Resource Library

Fall 2024 MassHealth Training Forum Provider Updates

Plan and provider changes coming January 2025, along with updates from the Office of Long-Term Services and Supports (OLTSS). Additional topics will be subordinate user maintenance, transportation, dental plan updates, provider revalidation automation tools, ACO, primary user and subordinate user roles, Virtual Gateway, Provider Online Service Center (POSC), provider revalidation automation, third party dental administrator… Continue Reading Fall 2024 MassHealth Training Forum Provider Updates

Fall 2024 Medicare in 2025

New information on Medicare in 2025, new regulations due to the Inflation Reduction Act, important things to consider when choosing a plan(s), and the importance of reviewing your options during the Medicare Open Enrollment. Topics include Enrollment Periods, Coverage Options, Medigap, Medicare Advantage, Prescription Drugs, Plan Finder, Prescription Payment Plan, Senior Medicare Patrol, My Ombudsman,… Continue Reading Fall 2024 Medicare in 2025

Fall 2024 MassHealth and Health Safety Net Updates

MassHealth’s redetermination and renewal, MassHealth health plans, new MassHealth premium billing provider, MassHealth covered benefits, ACO hospital network, continuity of care period, plan selection and fixed enrollment period, health related social needs services, remote patient monitoring, non-emergent medical transport, and MBTA’s income-eligible reduced fare program. Health Safety Net resweeps of procedure codes, August 2024 remittance… Continue Reading Fall 2024 MassHealth and Health Safety Net Updates

Summer 2024 MassHealth Training Forum Provider Updates

Updates to the mass.gov website, multi-factor authentication, Provider Revalidation, Call Center Improvement Initiatives, Ordering, Referring and Prescribing (ORP) updates, MassHealth Robotics Processing Automation (RPA), Provider Revalidation Automation Pilot, sterilization form, provider bulletins, Long-Term Services and Supports Services (LTSS) Provider Directory, Non-LTSS provider training, and Virtual Gateway. Download presentation.

Summer 2024 MA Health Care Learning Series

Updates related to the Health Connector’s Redeterminations and Renewals, ConnectorCare Premium Hardship Waiver process, Employer Sponsored Insurance (ESI) Verification process, ESI verification notices, income verification forms, and system updates for the online application at MAhealthconnector.org. Download presentation and transcript. Click the link icon to the right to access the recording.

Summer 2024 Health Safety Net and MassHealth Updates

Latest updates and information related to MassHealth applicants and members including CommonHealth Plus Medicare Savings Program (MSP), new Hardship Waiver for a Period of Ineligibility, and system enhancement to the online ACA-3 application at MAhealthconnect.org. Health Safety Net (HSN) billing and system updates which will include cybersecurity attack, Telehealth policy, HPV vaccine, Pharmacy remits, specific… Continue Reading Summer 2024 Health Safety Net and MassHealth Updates

Going to a Nursing Facility? How to Apply for Long-Term-Care (LTC)

Learn about how to apply for long-term-care services for an applicant going to a nursing facility.  We will review the eligibility criteria, LTC intake application, LTC conversion, LTC supplement, Family Assistance expansion, LTC Renewal, real estate liens, estate recovery, best practices, how to complete the application and what to expect from MassHealth throughout the process.… Continue Reading Going to a Nursing Facility? How to Apply for Long-Term-Care (LTC)

Spring 2024 MassHealth Updates

MassHealth updates on the 2023-2024 Redetermination Updates, Expansion of the Medicare Savings Program (formerly MassHealth Buy-In Program) effective 3/1/2024, 2024 Income Standards and Federal Poverty Guide, MassHealth Language Access Plan, citizenship, immigration, 2024 CAC recertification, and application tips. Download presentation. Click on the link icon to the right to access the recording.

Spring 2024 MassHealth Training Forum Provider Updates

Upcoming Provider Online Service Center (POSC) security change, change Healthcare Incident Response, Virtual Gateway multifactor authentication, Long-Term Services and Supports Provider communications, Fee-for-Service (FFS) Providers & Accountable Care Organization (ACO) Primary Care Exclusivity, Ordering, Referring and Prescribing (ORP), and updates on Primary and Subordinate User Access. The session will also include a review of current… Continue Reading Spring 2024 MassHealth Training Forum Provider Updates

Spring 2024 MA Health Care Learning Series

Updates on MassHealth’s 2023-2024 renewal process and how regular renewals will take place on an ongoing basis.  Health Connector will discuss how to continue to support those transitioning from MassHealth or others in your community still in need of health coverage. Topics include citizenship, immigration, MassHealth redeterminations, Health Connector Special Enrollment Period (SEP), zero cost… Continue Reading Spring 2024 MA Health Care Learning Series

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