Received the following reply from Masshealth:  "Good morning,  This is Philip Knott from MassHealth Provider Enrollment and Credentialing. We received your application via our Provider Online Service Center (POSC) on 3/11/2021.  There is some missing information in your application which needs to be addressed before credentialing can be completed:  Provider’s home address Medicaid information (Medicaid number and effective dates) for any other states where the provider has participated in Medicaid, if applicable. Additionally, applications submitted via POSC still require the submission of 3 paper forms (attached). Please note that signatures must be physical.  Federally Required Disclosures Form Provider Contract for Individuals Section 4 – Disclosures of the Provider Application   Please don’t hesitate to contact me with any questions you may have! As soon as we have this information we can immediately finish credentialing the application.  Also please let me know if you are only completing a MassHealth application solely for licensure reasons or have recently received your license and are not billing MassHealth, as you may need a different enrollment.  Best,  Philip        Philip Knott Provider Enrollment Coordinator  MassHealth 55 Summer Street, 8th Floor Boston, MA 02110"  Information was filled out and sent back to Philip. 