MassHealth Updates include information and updates to MassHealth’s 2023-2024 Redetermination, MassHealth’s ACA-3 and SACA-2 applications, CAC Recertification, MassHealth flexibilities, 2023 Income Standards and Federal Poverty Guide, and more. Meeting Presentation Material Download PDF
MassHealth and the Health Connector updates related to the MassHealth Renewals process, Health Connector Special Enrollment Period for those losing access to MassHealth coverage and best practices for helping people maintain access to care. Topics include member scenarios, Health Connector communications, MassHealth redeterminations, and Health Connector premium hardship waivers. Meeting Presentation Material Download PDF
The Health Safety Net (HSN) updates will focus on the OnBase application, interim payments, acute outpatient hospital resweep, 2023 procedure code updates and claim waiver requests. Meeting Presentation Material Download PDF
Updates on Payment and Care Delivery Innovation (PCDI), ACO plans for 2023, member eligibility redetermination, Ordering Referring and Prescribing (ORP) resumption of claim denials, behavioral health expansion including community service partners, new automated ORP revalidation process, along with updates from the Office of Long-Term Services and Supports (OLTSS). Meeting Presentation Material Download PDF
Information on how the Inflation Reduction Act lowered insulin and drug costs for Medicare beneficiaries, the increased eligibility for the MassHealth Buy-In programs, new special enrollment periods, SNAP medical deductions and more. Meeting Presentation Material Download PDF
MassHealth selected 17 healthcare organizations to participate in the MassHealth ACO program. Identify MassHealth’s new health plan options starting on April 1, 2023, understand the types of messages members may receive about their health plan enrollment, and how members can find a health plan or providers. Topics include Continuity of Care, community partners, Eligibility Verification… Continue Reading MassHealth Health Plan Updates: Relaunch of ACO Programs
