The problem is they do not mention anything about the waste. Other MCO's through MassHealth do mention in their policy on Botox and use the modifier JW. I am hoping they have a different way we are to code the Botox waste. I am not very hopeful though. Just wanted to see if anyone else bills Botox to MassHealth and if they just omit the waste or bill it some other way. These other insurances that allow the JW are paying us for the waste.