The Massachusetts Health Care Training Forum (MTF) sends out regular email updates on current program and policy information, meeting notices, learning opportunities and other relevant information and resources.
For more information about the Provider Services notices (manage claims and payment information), please visit MassHealth Provider Remittance Advice Message Text.
Effective May 1, 2025, and in accordance with MassHealth regulations 130 CMR 450.316(A)(6) and 130 CMR 450.316(F), the Retroactive Medicare Recovery Project (RMRP) will recover MassHealth claim payments for services… Continue Reading Retroactive Medicare Recovery Project (RMRP) For Durable Medical Equipment (DME)
In April 2024, providers were notified that the standard process of submitting 90-day waiver requests using delay reason codes 1, 4 and 8 was causing denials for Medicare Crossover requests… Continue Reading Delay Reason Code Requirements on 90-Day Waiver Submissions for Medicare Crossover Claims
As instructed in the provider notice dated November 20, 2024, MassHealth will begin voiding claims for Group Practice Paid for Services Provided by Non-Independent Nurse Practitioner for Dates of Service… Continue Reading Services Provided by Non-Independent Nurse Practitioner (SA Modifier) for Dates of Service 01/01/2020 – 06/30/2023
The Centers for Medicare & Medicaid Services (CMS) have revised the HCPCS codes for 2025. MassHealth is updating the Service Codes and Descriptions (Subchapter 6) of the Physician Manual to… Continue Reading Claims Reprocessed for 2025 HCPCS/CPT Code Updates
MassHealth Independent Nurses (INs) may encounter an Explanation of Benefits (EOB) code on their Remittance Advice that prevents claims from paying. To understand what these EOB codes mean, INs may… Continue Reading MassHealth EOB Codes Appearing on the Remittance Advice
A system update was made overnight to the online application at MAhealthconnector.org (also known as the HIX system). It is recommended that following any systems release or update, Assisters or… Continue Reading System Updates Reminder for the Online Application at MAhealthconnector.org
Health Connector Special Enrollment Period Effective Dates System and Process Update: When a member reports a change that opens a Special Enrollment Period (SEP) after the 23rd the month, the… Continue Reading Updates to Health Connector Special Enrollment Period Effective Dates and Updated Applications
MassHealth will be transitioning to a new dental third-party administrator for MassHealth, the Children’s Medical Security Plan (CMSP), and Health Safety Net (HSN) members. The new anticipated start date for… Continue Reading New MassHealth dental Third-Party Administrator
As of January 27, 2025, MassHealth has issued a standing order for prenatal vitamins and a standing order for over-the-counter (OTC) oral hormonal birth control. MassHealth members and Health Safety Net… Continue Reading MassHealth Announcement: Standing Orders for Prenatal Vitamins, OTC Oral Hormonal Birth Control
Health Connector Member Tax Forms The Health Connector has completed the mailing of 1095-A tax forms for those members who had coverage in 2024. Mailed forms should be received during… Continue Reading Health Connector and MassHealth Tax Forms Mailed
