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.
To allow for system maintenance, the MMIS POSC, Provider Portal, HTS transactions, internal MMIS application, EVS and all eligibility services will be unavailable on Saturday, May 17, 2025, from 3:00 PM… Continue Reading MMIS System Outage Notice – Saturday, May 17, 2025
Effective April 25, MassHealth now uses the title Licensed Independent Behavioral Health Clinician (LIBHC) to designate certain provider types. This now includes Licensed Independent Clinical Social Workers (LICSW), Licensed Marriage… Continue Reading Update to Licensed Independent Clinical Social Worker Provider Manual
MassHealth is working to improve the provider experience through the increased use of electronic self-service tools. Effective 5/1/2025, a new tool is available on Mass.gov, allowing providers and their credentialing… Continue Reading UPDATE: Provider Enrollment & Credentialing (PEC) Self-Service Tools for MassHealth Providers
As a reminder, the Health Connector is closing its three walk-in center locations. These closures come as part of an effort to streamline services and expand access to other free… Continue Reading Reminder: Health Connector Walk-in Center Closures
Medicare recently notified MassHealth that it will be adjusting certain Outpatient Prospective Payment System (OPPS) claims to correct the coinsurance amounts apportioned to revenue code 636 and J-code lines. Adjustments… Continue Reading Medicare Adjustments on Certain Outpatient Claims
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
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
