Updates on the Behavioral Health Initiative including the addition of Licensed Behavior Health Clinicians as a Fee for Service (FFS) provider type, new provider self-service tools, along with updates from the Office of Long-Term Services and Supports (OLTSS). Topics include provider revalidation automation tools, Mass.gov site updates, PERM audits. Download presentation.
MassHealth updates to health plans, ACA-3 and SACA-2 applications, and Medicare Savings Program (MSP). Health Safety Net will provide updates and information about hospital and PPS rates, Medical Hardship and Bad Debt, Dental Third-Party Administration, anti-obesity medication changes, and covered codes for the year 2025. Download presentation, transcript and Health Safety Net Updates Q&A. Click on… Continue Reading Spring 2025 MassHealth and Health Safety Net Updates
The Health Connector’s closure of its walk-in centers and best practices for making premium payments, assisting individuals losing employer-sponsored health insurance, Special Enrollment Period (SEP) effective dates update, new Premium Hardship Waiver form, and the 2025 Marketplace Integrity and Affordability Proposed Rule. Download presentation, transcript and Q&A. Click on the link icon to the right… Continue Reading Spring 2025 MA Health Care Learning Series
MassHealth’s redetermination and renewal structure, Children’s Medical Security Plan (CHIP) elimination of premiums and copays, reminder about MassHealth Health Plans, 2025 CAC recertification, and new MassHealth dental administrator, BeneCare. Health Safety Net (HSN) will provide updates on system and billing, which will include specific Current Procedural Terminology (CPT) code updates as well as resweeping past… Continue Reading Winter 2025 MassHealth and Health Safety Net Updates
Updates on account maintenance on the Provider Online Service Center (POSC), updated provider information on Mass.gov, updates to Provider Directory, new programs coming in 2025 and updates from the Office of Long-Term Services and Supports (OLTSS), Health Related Social Needs (HRSN) Supplemental Housing and Nutrition Services, Provider Enrollment Status tools, MassHealth Doula program, Certified Nurse… Continue Reading Winter 2025 MassHealth Training Forum Provider Updates
The Health Connector’s closed enrollment rules and Special Enrollment Periods (SEP), annual tax filing documents and responsibilities for Health Connector and MassHealth members, tax assistance, ConnectorCare, review updates to the online application at MAhealthconnector.org as well as renewal updates for MassHealth members. Download presentation, transcript and Q&A. Click on the link icon to the right… Continue Reading Winter 2025 MA Health Care Learning Series
In September of 2022, the Centers for Medicare & Medicaid Services (CMS) approved MassHealth’s 1115 demonstration waiver renewal, which included re-authorization of and changes to both Flexible Services Program (FSP) and Specialized Community Supports Program (CSP) for Accountable Care Organization (ACO) Enrollees only. As approved in this waiver FSP will be ending on 12/31/2024. As… Continue Reading Launch of HRSN Supplemental and Required Services in January 2025
Understand the citizenship and immigration policies that guide the MassHealth and Health Connector programs for individuals younger than 65 and best practices to support applicants and members in completing an application – online or on paper. Topics include citizens, noncitizens, immigration document types, coverage options, eligibility, identity proofing (IDP), and immigration resources. Download presentation and… Continue Reading Understanding Immigration Requirements and Application Completion for Health Insurance Coverage in Massachusetts: Part 2
Health Connector Open Enrollment 2025 timeline, special considerations, available health and dental plans, and policy updates. MassHealth redetermination and renewal updates. Topics include DACA status, online shopping tools, preliminary eligibility notices, failure to reconcile, mixed households, ConnectorCare, Qualified Health plans, unsubsidized, APTC, and Identity Proofing Documents (IDP). Download presentation and transcript. Click on the link… Continue Reading Fall 2024 MA Health Care Learning Series
Overview of MassHealth disability evaluation process including MassHealth application process, determination of disability, MassHealth Continuing Disability Reviews (CDRs), Disability Evaluation Services (DES), Adult and Child Disability Supplements, and disability resources. Download presentation and transcript. Click on the link icon to the right to access the recording.
