MassHealth: Revisions to the Eligibility Verification System (EVS) for All Providers

MassHealth has issued revisions to the Eligibility Verification System (EVS) message codes in Appendix Y of all provider manuals. The following changes were made:

  • added codes related to the new ACOs. These codes were announced in March 2018 and appeared in All Provider Bulletin 275: MassHealth EVS Codes and Restrictive Messages for 2018 Managed Care Health Plans;
  • placed outdated codes at the end of the document in a new section titled “Obsolete Codes”;
  • edited some active codes for clarity and updated content for other active codes;
  • restructured the document table so that the structure mirrors the order in which the provider accesses the information.

Click here to read the transmittal letter from MassHealth, with more information on the changes.