This message serves as a reminder to providers about the standard RMRP process. In accordance with 130 CMR 450.316(A)(6) and 130 CMR 450.316(F), RMRP will recover MassHealth claim payments for members who have been awarded retroactive Medicare coverage when: MassHealth was the primary claims payor at the time when services were rendered, Medicare coverage is… Continue Reading Retroactive Medicare Recovery Project (RMRP)
Effective October 10, 2024, MassHealth launched two new self-service tools for MassHealth providers: a Provider Enrollment Status tool & a Provider Application Status tool. These web-based tools will assist providers and their credentialing staff with Provider Enrollment & Credentialing (PEC) inquiries. The Provider Enrollment Status tool will allow providers to verify the current enrollment status… Continue Reading Self-Service Tools for MassHealth Providers
Effective October 1, 2024, the MMIS and Virtual Gateway (VG) will begin deactivating accounts that have been inactive for more than 12 months. The initial deactivation event will affect accounts that have not been used since November 1, 2023. Following this initial deactivation event, accounts will be continually monitored for inactivity and subsequently deactivated in… Continue Reading Virtual Gateway Inactive Account Deactivation
Effective Sunday, October 20, 2024, the Virtual Gateway (VG) is implementing changes to ensure that the VG and the recently implemented Multi-Factor Authentication (MFA) profile updates via Azure are synchronized. As of October 20, the VG will require that profile changes to the user’s first name, last name, and email address must only be submitted… Continue Reading Virtual Gateway Multi-Factor Authentication (MFA) Profile Updates & Transition
Each year, the Health Connector reviews Health and Dental plans offered by health and dental carriers to be sold the next year on MAhealthconnector.org. This review and overall process is known as the Seal of Approval. On Thursday, September 19, 2024, the Health Connector’s Board of Directors approved the health and dental plans to be sold effective… Continue Reading Health Connector Health and Dental Plans for 2025
