Massachusetts EOHHS Alternate EVV Technical Specification V1.9 Updates
The following Release Note is a companion to the Massachusetts EOHHS Alternate EVV Technical Solutions V1.9 update that was published on November 7, 2025. This Release Note outlines in greater detail the changes made to the V1.9 Specifications and provides information about effective change dates.
Outlined Changes: The changes outlined below are in the order they appear in the Specification document.
Segment: Multiple
Field: Multiple
Effective Date: 11/07/2025
Change: Replacing references to Executive Office on Aging & Independence of “EOEA” to “AGE.”
Segment: Multiple
Field: Multiple
Effective Date: 11/07/2025
Change: Clarifying language for the use of Client Medicaid ID or Client AGE Consumer ID was added throughout the document to provide precise direction to AltEVV Providers and Vendors as to the format and expected use for both client identifiers.
Segment: VisitGeneralInformation – Required
Field: BypassReason
Effective Date: 8/28/2025
Change: Clarifying language was added to the Expected Value and Rules column for the ‘BypassReason’ field. Previously, when conditional rules were met indicating BypassReason was required, visits meeting conditional criteria were being imported successfully without a BypassReason provided. Effective 8/28/2025, when conditional criteria are met as outlined in the Expected Value and Rules column, and BypassReason is not provided, the visit will be rejected.
Segment: Calls – Conditional
Field: ClientIdentifierOnCall
Effective Date: 12/17/2025
Change: ClientIdentifierOnCall field will no longer be a required field effective 12/16/2025. Prior to this date, AltEVV Providers and Vendors may send any 10-digit value in this field.
Section: 6.1 Payers (Table 4: Payers)
Effective Date: 1/1/2026
Change: Two new One Care Health Plans are added. One (1) new Senior Care Options (SCO) Health Plans are added. Visits containing the below Payer IDs will not be accepted for dates of service 12/31/2025 and earlier.
| Plan Type | New PayerID | Payer Name |
| One Care | MAGBH | Mass General Brigham Health One Care |
| One Care | MASWH | Molina One Care |
| SCO | MAGBS | Mass General Brigham Health SCO |
Section: 6.1 Payers (Table 4: Payers)
Effective Date: 12/31/2025
Change: End-date added for one Senior Care Option Health Plan. Visits for dates of service 1/1/2026 and later will not be accepted for this Payer for any Program and Service combination.
| Plan Type | PayerID | Payer Name |
| SCO | MASHN | Wellsense Senior Care Options |
Section: 6.3 Payer Program Mapping (Table 6: Programs)
Effective Date: 1/1/2026
Change: Three new Payers were added to the PCA (Consumer Directed Only) Program. Visits for dates of service 12/31/2025 and earlier will not be accepted for this Payer and Program combination.
| Payer ID | Program |
| MAGBH | PCA (Consumer Directed Only) |
| MASWH | PCA (Consumer Directed Only) |
| MAGBS | PCA (Consumer Directed Only) |
Section: 6.3 Payer Program Mapping (Table 6: Programs)
Effective Date: 12/31/2025
Change: End-date added for one Senior Care Option Health Plan. Visits for dates of service 1/1/2026 and later will not be accepted for this Payer for any Program and Service combination.
| Payer ID | Program |
| MASHN | HH, GAFC, SCBMC, SCCCA, SCFAL, SCSWH, SCTUF, SCUNI, SDABI (Consumer Directed Only), SDMFP (Consumer Directed Only) |
Section: 6.3 Payer Program Mapping (Table 6: Programs)
Effective Date: 11/30/2024
Change: ASAP Payers were previously missing from and therefore added to the Payer Program Mapping section.
Section: 6.4 Procedure Codes (HCPCS Codes) (Table 7: Procedure Code Listing)
Effective Date: 1/1/2026
Change: Added 3 New One Care and SCO Payers to PCA Program and T1019 service code in the Procedure Code Table.
| Payer ID | Program | HCPC Code | Modifier | Service Description |
| MAGBH | PCA | T1019 | Personal Care 15 min | |
| MASWH | PCA | T1019 | Personal Care 15 min | |
| MAGBS | PCA | T1019 | Personal Care 15 min |
Section: 6.4 Procedure Codes (HCPCS Codes) (Table 7: Procedure Code Listing)
Effective Date: 1/1/2026
Change: Added 5 new service codes to SDABI and SDMFP Programs
| Payer IDs | Programs | HCPC Code | Modifier | Service Description |
| MAFAH, MABFH, MAFAC, MAWGB, MABHP, MABNH, MATCH, MATUM, MAWBI, MAWBC, MAWCR, MAWCA, MAWMA, MAWSA, MAWSC, MATFT, MAWEM | SDABI, SDMFP | H0038 | UB | SDABI-SDMFP – Peer Support |
| MAFAH, MABFH, MAFAC, MAWGB, MABHP, MABNH, MATCH, MATUM, MAWBI, MAWBC, MAWCR, MAWCA, MAWMA, MAWSA, MAWSC, MATFT, MAWEM | SDABI, SDMFP | H2014 | UB | SDABI-SDMFP – ISCH |
| MAFAH, MABFH, MAFAC, MAWGB, MABHP, MABNH, MATCH, MATUM, MAWBI, MAWBC, MAWCR, MAWCA, MAWMA, MAWSA, MAWSC, MATFT, MAWEM | SDABI, SDMFP | S5120 | UB | SDABI-SDMFP - Chore |
| MAFAH, MABFH, MAFAC, MAWGB, MABHP, MABNH, MATCH, MATUM, MAWBI, MAWBC, MAWCR, MAWCA, MAWMA, MAWSA, MAWSC, MATFT, MAWEM | SDABI | S5125 | U4 | SDABI – Adult Companion |
| MAFAH, MABFH, MAFAC, MAWGB, MABHP, MABNH, MATCH, MATUM, MAWBI, MAWBC, MAWCR, MAWCA, MAWMA, MAWSA, MAWSC, MATFT, MAWEM | SDMFP | S5125 | U8 | SDMFP – Adult Companion |
Section: 6.4 Procedure Codes (HCPCS Codes) (Table 7: Procedure Code Listing)
Effective Date: 12/31/2025
Change: Payer MASHN is not available for visits with dates of 1/1/2026 and later for any programs or services.
Section: 6.4 Procedure Codes (HCPCS Codes) (Table 7: Procedure Code Listing)
Effective Date: 10/01/2024
Change: Added additional Payers below to PCA Program and T1019 service code for consumer-directed only. Visits with dates of service will be accepted 10/01/2024 and later.
| Payer IDs | Programs | HCPC Code | Modifier | Service Description |
| MACCA, MASCC, MASFA, MASTF, MASTU, MASW, MATHU, MAUCT | PCA | T1019 | Personal Care 15 min (Consumer-Directed only) |
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