Learn about the immigration requirements for those applying for health care coverage using the Massachusetts Application for Health and Dental Coverage and Help Paying Costs or ACA-3 application. Review coverage options and eligibility criteria, key immigration terms, and best practices. Download presentation and transcript.
SHINE will provide new Medicare and insurance options for 2024, Medicare enrollment periods, Medigap, Medicare Advantage plans, Medicare Plan Finder, LINET program, pharmacy outreach program, Medicare resources, prescription drug benefits resulting from the Inflation Reduction Act, Medicare Savings Plan and Extra Help, and news relevant to the 65+ population with MassHealth. Download presentation.
MassHealth Updates on MyServices Portal, Fair Hearing form, CommonHealth for non-working individuals over 65, Permission to Share (PSI) form, revised ACA-3 application, revised SACA-2 application, and MassHealth Health Plans. Download presentation.
Updates on Member Eligibility Redetermination, Ordering Referring and Prescribing Resumption of Claim Denials, a review of the MassHealth Coordinating Aligned, Relationship-centered, Enhanced Support (CARES) for Kids Program, resumption of PCC and primary care ACO referral requirements, Long-Term Services and Supports provider communications, primary user policy, Payment and Care Delivery (PCDI) updates, Robotic Processing Automation (RPA)… Continue Reading Fall 2023 MassHealth Training Forum Provider Updates
Updates on interim payments, monovalent covid procedure code updates, HSN eligibility, inpatient claims pricing at zero, partial deductible reporting, INET portal agreements and FY21 ending. Download presentation.
The Health Connector team will provide an update on Open Enrollment for plan year 2024, Health Connector redeterminations and renewals, Advance Premium Tax Credits (APTC), dental plans, shopping tools, ConnectorCare expansion, newly available Health Insurance plans, shopping considerations for your community as well as payment and enrollment reminders. Download presentation.
The MA Treasurer’s Office of Economic Empowerment will discuss BabySteps and the recent expansion that partners with SNAP. The BabySteps Savings Plan provides every Massachusetts infant with a free $50 seed deposit into a MEFA U.Fund 529 account. Download presentation.
MassHealth and the Health Connector are dedicated to improving data collection including demographic data. Data collection helps MassHealth, and the Health Connector make informed policy and operational decisions to provide equitable access to health coverage for members and tailor services to meet members’ needs. Topics include reasons for collecting RELD and SOGI data, definitions of… Continue Reading Summer 2023 Collecting Race, Ethnicity, Language, Disability, Sexual Orientation, and Gender Identity Data (RELD and SOGI Data)
Comprehensive overview of the MA Senior Medicare Patrol (SMP) Program mission. Additionally, members will gain a better appreciation for the role they can have in activating consumers to become better engaged in their healthcare by keeping a personal healthcare journal, “My Health Care Tracker,” and documenting all medical encounters. Through case scenarios members will understand… Continue Reading Summer 2023 Protecting Beneficiaries from Becoming Victims of Healthcare Errors, Fraud and Abuse
Updates on Member Eligibility Redetermination, Ordering Referring and Prescribing Resumption of Claim Denials, a review of the updated Prior Approval policy, New Automated ORP Revalidation process, data collection forms, Long-Term Services and Supports Provider communications, COVID-19 policy updates, and MassHealth provider bulletins Download presentation.
Overview of the MassHealth Premium Assistance program. We will discuss the application process, standards for qualification, and the enrollment process if Premium Assistance has confirmed that a member has access to qualifying employer sponsored insurance. We will also discuss the HIRD initiative and how it is used to assist MassHealth in identifying members who may… Continue Reading Summer 2023 MassHealth Premium Assistance Program
MassHealth and the Health Connector updates related to the MassHealth Renewals process, Health Connector Redeterminations and Renewals and system updates for the online application at MAhealthconnector.org. Topics include Request for Information (RFI), MassHealth Initial Disability Reviews (IDR), MassHealth Continuous Disability Reviews (CDR), Race, Ethnicity, and Language questions, Sexual Orientation and Gender Identity (SOGI) questions, RAC… Continue Reading Summer 2023 MA Health Care Learning Series
Updates on MassHealth’s 2023-2024 Redetermination Updates, Electronic Signature Guidelines, the new MyServices Portal, auto renewals, pharmacy copay suspension, and MassHealth Member Advisory Committee (MAC). Download presentation.
Updates on new inpatient bad debt claim requirements, an update on certain inpatient claims pricing at $0.00, reimbursable telehealth services, INET portal agreements, information related to Health Safety Net interim payments and claim reconciliations, and FY21 closure date. Download presentation.
Understand the policies that guide the MassHealth and Health Connector programs for individuals younger than 65 and best practices to support applicants and members complete an application – online or on paper. Download presentation and transcript.
[su_button url="https://demo3.neindex.org/resourcelibrary/" background="#9C5B71"]Back to List[/su_button] Continue Reading Spring 2023 Medicare News and More in 2023
MassHealth Updates include information and updates to MassHealth’s 2023-2024 Redetermination, MassHealth’s ACA-3 and SACA-2 applications, CAC Recertification, MassHealth flexibilities, 2023 Income Standards and Federal Poverty Guide, and more. Download presentation.
MassHealth and the Health Connector updates related to the MassHealth Renewals process, Health Connector Special Enrollment Period for those losing access to MassHealth coverage and best practices for helping people maintain access to care. Topics include member scenarios, Health Connector communications, MassHealth redeterminations, and Health Connector premium hardship waivers. Download presentation.
The Health Safety Net (HSN) updates will focus on the OnBase application, interim payments, acute outpatient hospital resweep, 2023 procedure code updates and claim waiver requests. Download presentation.
Updates on Payment and Care Delivery Innovation (PCDI), ACO plans for 2023, member eligibility redetermination, Ordering Referring and Prescribing (ORP) resumption of claim denials, behavioral health expansion including community service partners, new automated ORP revalidation process, along with updates from the Office of Long-Term Services and Supports (OLTSS). Download presentation.
