- Medical Necessity Review Form for Enteral Nutrition (Standard Mass Health)
- Medical Necessity Review Form for MCO's (Network Health and NHP)
- Medical Necessity Review Form for Absorbent Products (Standard MH and MCO's)
- You may use our List of Infant Formulas and Nutritional Supplements as a guide to product and caloric information that may be required on these forms. Please call or e-mail us if you are unsure of the calculations or if you do not see the product you need listed.
For other information regarding member eligibility or enrollment questions, please contact your insurance provider directly. See the links listed below.
Mass Health Customer Service: 1-800-841-2900
Medicare Customer Service: 1-800-633-4227
Network Health Customer Service: 888-257-1985
Neighborhood Health Plan Customer Service: 800-462-5449