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    Fall 2025 MassHealth and Health Safety Net Updates

    MassHealth updates on continuous eligibility for over 65 applicants and members, changes to MassHealth premiums and MassHealth’s universal eligibility requirement, MassHealth Health Plans update, 2026 One Care and Senior Care Option (SCO) plans, dental plan update, coverage of vaccines, MassHealth My Account Page (MAP) for members, and Health Connector updates. Health Safety Net will provide… Continue Reading Fall 2025 MassHealth and Health Safety Net Updates

    Fall 2025 Navigating the Massachusetts Paid Family and Medical Leave (PFML) Program

    The Commonwealth’s Paid Family and Medical Leave (PFML) program provides temporary income replacement as well as job and benefit protections to eligible workers across the state when they need it most. PFML is available to those who are welcoming a new child into their family, are struck by a serious illness or injury, need to… Continue Reading Fall 2025 Navigating the Massachusetts Paid Family and Medical Leave (PFML) Program

    Fall 2025 Medicare in 2026

    Medicare changes in 2026 that may impact Medicare and MassHealth beneficiaries including increases in premiums and deductibles, plan changes, prescription out-of-pocket limits, payment plans and resources. Here you will find the presentation and transcription. Click on the link icon to the right to access the recording. Topics:  Enrollment Periods, Coverage Options, Medigap, Medicare Advantage Plans… Continue Reading Fall 2025 Medicare in 2026

    MTF Frequently Used Acronyms

    List of frequently used acronyms in MTF quarterly presentations. This document is updated following each MTF quarterly session.

    Summer 2025 MA Health Care Learning Series Updates

    Health Connector updates on 2025 Marketplace, Affordability Final Rule, Federal Budget Bill Provisions, Open Enrollment 2026, redeterminations and renewals, walk-in center closures, and payment guidelines. MAhealthconnector.org system updates include MassHealth retroactive eligibility, MassHealth start date rule, Health Connector standalone dental shopping, tax filer dependent status, multi-language email invitation, user feedback survey, user improvements, and RefID… Continue Reading Summer 2025 MA Health Care Learning Series Updates

    Summer 2025 MassHealth and Health Safety Net Updates

    MassHealth updates on the discontinuation of certain flexibilities, MassHealth eligibility start date rule, MassHealth health plan, enrolling QMB-eligible members into Medicare, estate recovery, and MassHealth Operations. Health Safety Net will provide updates on the new dental administrator, anti-obesity medication changes, inpatient hospital claims pricing adjustment, 99211 claims resweep, June 2025 duplicate pharmacy claims, and July… Continue Reading Summer 2025 MassHealth and Health Safety Net Updates

    Summer 2025 MassHealth Training Forum Provider Updates Presentation

    Updates on the reinstatement of Primary Care Clinician Plan/Primary Care ACO referral requirements, Ordering Referring and Prescribing (ORP) requirements, advancing interoperability and improving prior authorization processes, Standardized Encounter Data Program (SendPro), LTSS, POSC user functionality and homepage refresh, robotics processing automation annual validation, and Payment Error Rate Measurement (PERM) RY2026. Additional Topics:  self-service resources on… Continue Reading Summer 2025 MassHealth Training Forum Provider Updates Presentation

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