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. Meeting Presentation Material Download PDF
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. Meeting Presentation Material Download PDF
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. Meeting Presentation Material Download PDF
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. Meeting Presentation Material Download PDF
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 Meeting Presentation Material Download PDF
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). Meeting Presentation Material Download PDF
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. Meeting Presentation Material Download PDF
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. Meeting Presentation Material Download PDF
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. Meeting Presentation Material Download PDF
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. Meeting Presentation Material Download PDF
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). Meeting Presentation Material Download PDF
Information on how the Inflation Reduction Act lowered insulin and drug costs for Medicare beneficiaries, the increased eligibility for the MassHealth Buy-In programs, new special enrollment periods, SNAP medical deductions and more. Meeting Presentation Material Download PDF
System Modernization and Payments – Discussing system modernization updates, timelines, medical hardship, populations exempt from collection action, billing intermediaries and companies, and interim payments. Meeting Presentation Material Download PDF
Review highlights related to the End of Year Tax Filing and MAhealthconnector.org system updates. Health Connector staff will also review Special Enrollment Period (SEP) rules, Simple Sign-Up processes. MassHealth will review MassHealth member eligibility redeterminations communications toolkit, MassHealth Adult Disability, MassHealth’s 1115 Demonstration Waiver, Family Glitch, APTCs, free tax assistance, tax resources, and SNAP. Meeting… Continue Reading Winter 2023 MA Health Care Learning Series
Updates on Payment and Care Delivery Innovation (PCDI) ACO plan updates for 2023, Behavioral Health Expansion updates, Claims Reminders, Revalidation including updated process for ORP Revalidation coming in 2023, MassHealth eligibility redeterminations, Long-Term Services and Supports (LTSS), Non-OLTSS provider revalidation, transportation update, POSC, payment error rate measurement, telehealth policy, and provider bulletins. Meeting Presentation Material… Continue Reading Winter 2023 MassHealth Training Forum Provider Updates
