Received the following email from PEC@maximus.com  On 06/25/21, we reached out to you regarding your incomplete FFS application. As of the date of this e-mail, we still have not received the requested item(s) listed below:  Data Collection Form (DCF) The Data Collection Form (DCF) is required. This form must be filled out in its entirety. FRDF for Individual Practitioners The Federally Required Disclosures form for Individual Practitioners (PE-FRD-IN) is required. The form must be completed in its entirety. Medical Practitioner Application We have received an initial application via the Provider Online Service Center (POSC), however additional information is required. Please complete the required sections of the paper application for Medical Practitioners (PE-MP). Provider Contract The MassHealth Provider Contract for Individuals is required. The form must be signed by the individual applicant. At this time, we cannot process your application to become a participating Mass Health Provider.  All items must be accounted for and processed in order to complete your application within 60 days of the initial request or the application will be denied. Therefore, the missing information listed above must be sent to us immediately to avoid a denial of your application. Once denied you will be required to resubmit a new application and all new documents.  Please note that effective 11/3/2017, Massachusetts Law (M.G.L. c. 112, §§ 2 and 9) require that all applicants for a limited license and all applicants for an initial license, or a renewal license must enroll with MassHealth as either billing or non-billing providers. Therefore, a denied application can prevent prospective healthcare providers from being issued a MA professional license as well as preventing already licensed healthcare providers from being able to renew their MA professional license.  If a submission/re-submission of a document is being requested, please make sure to indicate the Application Tracking Number (ATN) on the top of each document. You can submit the item(s) to us by either:  Mailing the requested item(s) to the address below,  MassHealth Attn: Provider Enrollment and Credentialing (PEC) P.O. Box 121205 Boston, MA 02112-1205  *Replying to this e-mail with the requested item(s) attached or; *Please note that any e-mail submissions containing Personally Identifiable Information (PII) or Protected Health Information (PHI) should be sent encrypted and secured  *Uploading the requested item(s) to your ATN directly through the MassHealth Provider Online Service Center (POSC) *This option is only available if you initially obtained an ATN by applying through the POSC; you have the option of logging into the POSC and uploading the requested documents (in .pdf format) directly into the ATN. Please note that you are not a MassHealth provider until you receive your MassHealth Welcome Letter notifying you of your approval with an approval effective date.  MassHealth cannot pay for services provided before the effective date of an approved MassHealth contract. MassHealth has the authority to determine the effective date of the provider contract according to the MassHealth regulations at 130 CMR 450.223 and is therefore, not obligated to retroactively approve an enrollment application.  To view our provider regulations as pertaining to you provider type (PT), please visit: https://www.mass.gov/service-details/masshealth-provider-regulations.  To obtain MassHealth application forms as related to your enrollment, please visit: https://www.mass.gov/masshealth-provider-forms  If you have any questions or concerns about what we are requesting or the application process in general, you can reach out to us by calling the MassHealth Customer Service Center at 1 (800) 841-2900 or by e-mailing PEC@maximus.com.  Sincerely,   MassHealth Provider Enrollment and Credentialing (PEC) 