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    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

    Summer 2024 Health Safety Net and MassHealth Updates

    Latest updates and information related to MassHealth applicants and members including system enhancement to the online ACA-3 application at MAhealthconnect.org. Health Safety Net (HSN) billing and system updates which will include specific CPT code updates as well as resweeping past codes that may have processed at incorrectly. Here you will find the presentation and transcription.… 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, how to complete the application and what to expect from MassHealth throughout the process. Here you will find the presentation, transcription and questions answered following the live presentation. Click on the link icon… 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, and others. Here you will find the presentation. Topics: 2024 Income Standards and Federal Poverty Guide, MassHealth Language Access Plan, citizenship, immigration, 2024 CAC recertification, application tips

    Spring 2024 MassHealth Training Forum Provider Updates Presentation

    Upcoming Provider Online Service Center (POSC) security change, and updates on Primary and Subordinate User Access. The session will also include a review of current trends in claim denials and ways to avoid them along with other important provider related updates and resources. Topics: Change Healthcare Incident Response, Virtual Gateway multifactor authentication, Long-Term Services and… Continue Reading Spring 2024 MassHealth Training Forum Provider Updates Presentation

    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. Here you will find the presentation. Topics: citizenship, immigration, MassHealth redeterminations, Health Connector Special… Continue Reading Spring 2024 MA Health Care Learning Series

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