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    Launch of HRSN Supplemental and Required Services in January 2025

    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

    Understanding Immigration Requirements and Application Completion for Health Insurance Coverage in Massachusetts: Part 2

    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.  This session will review scenarios and the application. Here you will find the presentation and transcription. Click on the link… Continue Reading Understanding Immigration Requirements and Application Completion for Health Insurance Coverage in Massachusetts: Part 2

    Fall 2024 MA Health Care Learning Series

    Health Connector Open Enrollment 2025 timeline, special considerations, available health and dental plans, and policy updates. MassHealth redetermination and renewal updates. Here you will find the presentation and transcription. Click on the link icon to the right to access the recording. Topics: DACA status, online shopping tools, preliminary eligibility notices, failure to reconcile, mixed households,… Continue Reading Fall 2024 MA Health Care Learning Series

    Fall 2024 MassHealth and Disability

    Overview of MassHealth disability evaluation process. Here you will find the presentation and transcription. Click on the link icon to the right to access the recording. Topics: MassHealth application process, determination of disability, MassHealth Continuing Disability Reviews (CDRs), Disability Evaluation Services (DES), Adult and Child Disability Supplements, disability resources

    Fall 2024 MassHealth Training Forum Provider Updates Presentation

    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, and additional self-service tools for providers that are in development. Topics: ACO, primary user and subordinate user roles, Virtual Gateway, Provider… Continue Reading Fall 2024 MassHealth Training Forum Provider Updates Presentation

    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. Here you will find the presentation and transcription. Click on the link icon to the right to access the recording. Topics: … 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, and MassHealth covered benefits. Health Safety Net resweeps of procedure codes, August 2024 remittance advice corrections, DRG Inpatient rate pricing at zero, and special circumstance application information. Here you will find the presentation and transcription. Click on the link icon to the right… Continue Reading Fall 2024 MassHealth and Health Safety Net Updates

    Summer 2024 MassHealth Training Forum Provider Updates Presentation

    Updates to the mass.gov website, multi-factor authentication, Provider Revalidation, Call Center Improvement Initiatives, Ordering, Referring and Prescribing (ORP) updates, and other vital provider-related resources and updates. Topics: 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, Virtual Gateway

    Summer 2024 MA Health Care Learning Series

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

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