Month: September 2024

Based on feedback received from providers and Community Case Management (CCM) families, CCM and MassHealth Office of Long Term Services and Supports (OLTSS) have been working on updating the CCM Nurse Directory with new enhancements. These enhancements are aimed at providing a better user experience to help each Continuous Skilled Nursing (CSN) provider and family/member register and… Continue Reading CCM Nurse Directory Updated Platform Live Now! 

MassHealth identified an issue affecting some acute outpatient hospital claims that were processed under the Enhance Ambulatory Patient Group (EAPG) pricing methodology when another payer made a payment and/or applied a patient responsibility to the claim. MassHealth corrected the issue, and the fix was implemented in MMIS on 6/9/2024. Claims adjudicated from 11/19/2023 to 6/9/2024… Continue Reading Adjustments of Acute Outpatient Hospital Claims with Coordination of Benefits (COB) Information