To allow for system maintenance, the MMIS POSC, Provider Portal, HTS transactions, internal MMIS application, EVS and all eligibility services will be unavailable on Sunday, August 24, 2025, from 4:00… Continue Reading MMIS System Outage Notice – Sunday, August 24, 2025
Effective September 2025, provider file update requests for non-LTSS and non-dental MassHealth providers will no longer be accepted via fax. To ensure timely processing of your updates moving forward, please… Continue Reading Provider File Updates: Fax Submissions to Be Discontinued Effective September 2025
The Executive Office of Health and Human Services (EOHHS) has procured a vendor to update the online application for the Child/Adolescent Needs and Strengths (CANS) Assessment. Starting in early calendar… Continue Reading Announcing CANS Changes Kick Off Meeting
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… Continue Reading Reinstatement of Primary Care Referral Requirements
Effective 9/1/2025, the MassHealth Customer Service phone prompts will be changing. Providers will be required to enter their MassHealth Provider ID (PID) to connect with a Customer Service Agent. If… Continue Reading Change in Phone Prompts for Customer Service
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… 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… 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… 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.… Continue Reading Virtual Gateway Multi-Factor Authentication (MFA) Profile Updates & Transition
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… Continue Reading CCM Nurse Directory Updated Platform Live Now!
