If you have a MassHealth plan that covers orthotic and prosthetic services, you may be eligible for one pair of diabetic shoes and three pairs of custom heat molded inserts per year. In order to qualify, the following is required:
- Both the medical documentation AND the prescription must come from the primary care physician or endocrinologist with the credentials of MD or DO. Unlike Medicare, another professional CANNOT write the prescription.
- A copy of this form completed by the same MD or DO physician that writes your prescription: MassHealth CMN pdf
*Please remember: MassHealth Primary Care Clinician Plans (PCC) require a referral from your primary care physician. Please have your doctor’s office submit a referral through the MassHealth provider portal. Our NPI# is 1558376913.