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MA Health Care Training Forum

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    • Year: 2025

    Health Connector Federal Policy Updates: ConnectorCare Program Changes

    Health Connector Federal Policy Updates The federal government recently passed a budget reconciliation bill on July 4, 2025. As a result, many Health Connector members will see increases in the cost of their health insurance or changes in their eligibility, access to coverage, or the amount of financial help they’re able to receive. For Plan… Continue Reading Health Connector Federal Policy Updates: ConnectorCare Program Changes

    Posted on Posted in All MTF News, Health Connector

    Reinstatement of Primary Care Referral Requirements

    On March 20, 2020, as part of MassHealth’s COVID-19 response, the Executive Office of Health and Human Services suspended referral requirements for MassHealth-covered services for the Primary Care Accountable Care Organizations (ACO) and the Primary Care Clinician (PCC) Plan. Effective August 1, 2025, MassHealth will reinstate referral requirements for services provided to members in the… Continue Reading Reinstatement of Primary Care Referral Requirements

    Posted on Posted in All MTF News, MassHealth Provider Services

    Enrolling Qualified Medicare Beneficiary (QMB) Members in Medicare

    MassHealth requires members to enroll in health insurance they have access to that’s at no cost to them, including Medicare. This is because MassHealth is the payer of last resort and pays for health care and related services only when no other source of payment is available, except when required by federal law. Qualified Medicare… Continue Reading Enrolling Qualified Medicare Beneficiary (QMB) Members in Medicare

    Posted on Posted in All MTF News, MassHealth

    Employee Sponsored Health Insurance Verification Effort

    Applicants and members who receive affordable employer-sponsored insurance (ESI) are not eligible for Advanced Premium Tax Credits (APTCs). If an applicant or member is not offered ESI or is offered an unaffordable plan, they may be eligible for APTCs if they meet other eligibility requirements. The Health Connector verifies access to ESI by sending notices… Continue Reading Employee Sponsored Health Insurance Verification Effort

    Posted on Posted in All MTF News, Health Connector

    Health Connector Walk-in Center Closures

    All Health Connector walk-in center locations will be closed as of June 27th. These closures come as part of an effort to streamline services and expand access to other free and local options. The last day of operation for each location is listed below: Springfield (88 Industrial Ave.), closed on March 28 Worcester (146 Main St.),… Continue Reading Health Connector Walk-in Center Closures

    Posted on Posted in All MTF News, Health Connector

    MassHealth Training Forum Provider Updates – July 29

    Presented by MassHealth Provider Relations and Business Services and Supports (BSS) The MassHealth Business Support Services team will provide important updates and valuable information for providers and staff. Topics will include: PCC Referral Policy Announcement PERM Audit Information MassHealth Homepage Redesign Long-term Services and Supports Updates Changes to Self-Service Resources on Mass.gov/MassHealth Additional Updates and… Continue Reading MassHealth Training Forum Provider Updates – July 29

    Posted on Posted in MTF Events, MTF Quarterly Meetings

    MassHealth Training Forum Provider Updates – July 31

    Presented by MassHealth Provider Relations and Business Services and Supports (BSS) The MassHealth Business Support Services team will provide important updates and valuable information for providers and staff. Topics will include: PCC Referral Policy Announcement PERM Audit Information MassHealth Homepage Redesign Long-term Services and Supports Updates Changes to Self-Service Resources on Mass.gov/MassHealth Additional Updates and… Continue Reading MassHealth Training Forum Provider Updates – July 31

    Posted on Posted in MTF Events, MTF Quarterly Meetings

    MassHealth & Health Safety Net Updates – July 30

    Presented by MassHealth and Health Safety Net The MassHealth Updates webinar will provide the latest updates and information related to MassHealth applicants and members. This quarter will include updates on One Care and SCO Plans, enrolling QMB-eligible MassHealth members into Medicare, MassHealth estate recovery, and more. Health Safety Net will be presenting updates and information… Continue Reading MassHealth & Health Safety Net Updates – July 30

    Posted on Posted in MTF Events, MTF Quarterly Meetings
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