An electronic way to submit documents that were requested by MassHealth

Complete the fields below to verify you may submit your document electronically or to access the fillable form that MassHealth requested.

Enter the e-Submission Number
(Located on the notice you received from MassHealth)

Enter the Head of Household's Date of Birth

Enter the Head of Household's Medicaid ID
(If Head of Household does not have one, enter MassHealth ID for any household member)

If you need additional help or your information could not be verified, please contact MassHealth Customer Service at (800) 841-2900 (TDD/TTY: 711 for people who are deaf, hard of hearing, or speech disabled).

For Technical Support:

Phone:

TTY for the deaf and hard of hearing:

Monday - Friday

(800) 421-0938

(617) 847-6578

8:30 am - 5:00 pm