Resource Library

Spring 2024 Health Safety Net Updates

Updates to new procedure codes, inpatient claims pricing at zero, partial deductible reporting, Health Safety Net (HSN) eligibility, Medical Hardship assistance, Bad Debt, OnBase system, and HSN resources. Download presentation. Click on the link icon to the right to access the recording.

Understanding Medicare Savings Program

Introduction to Medicare Savings Program (MSP) – the programs and its income limits, how to apply, and benefits for members. Topics include Medicare beneficiaries, Extra Help eligibility, LIS eligibility, best practices, application tips, MSP expansions, and resources. Download presentation and transcript. Click on the link icon to the right to access the recording.

Winter 2024 MassHealth Updates

MassHealth Updates on MassHealth’s 2023-2024 Redetermination, the 2024 Cost of Living Adjustment (COLA), MassHealth Continuous Eligibility (CE) coverage, MassHealth health plans, ACO, MCO, MassHealth pregnant members, MassHealth doula services program, report changes to MassHealth, Medicare Savings Program (MSP), Qualified Medicare Beneficiary (QMB), and Supplemental Nutrition Assistance Program (SNAP). Download presentation and MassHealth Continuous Eligibility Coverage… Continue Reading Winter 2024 MassHealth Updates

Winter 2024 MassHealth Training Forum Provider Updates

Updates on Member Eligibility Redetermination, Ordering, Referring and Prescribing Resumption of Claim Denials, Provider Online Service Center (POSC) Primary and Subordinate User Access, and other important provider related updates, MassHealth Transportation PT-1, Long-Term Services and Supports (LTSS) Provider communications, MassHealth Doula Provider Program, e-signatures, Children’s Behavioral Health Initiative CANS tool, provider education, and provider bulletins.… Continue Reading Winter 2024 MassHealth Training Forum Provider Updates

Winter 2024 MA Health Care Learning Series

MassHealth Continuous Eligibility (CE), End of Year Tax Filing, MAhealthconnector.org system updates, Health Connector Special Enrollment Period (SEP) rules, Health Connector consumer resources, APTCs, free tax assistance, tax resources, Inflation Reduction Action, pilot ConnectorCare expansion and Simple Sign-Up processes. Download presentation and Q&A. Click on the link icon to the right to access the recording.

Winter 2024 Health Safety Net Updates

Overview on some Health Safety Net (HSN) eligibility requirements and updates rartial deductible reporting, Fiscal Year closing 2021, Special Circumstance application, updated portal agreements, FY23 outpatient claim adjustments, populations exempt from collection action, 2023 HSN Procedure Code lists, and HSN resources. Download presentation. Click on the link icon to the right to access the recording.

Understanding Immigration Requirements and Application Completion for Health Insurance Coverage in Massachusetts: Part 1

Learn about the immigration requirements for those applying for health care coverage using the Massachusetts Application for Health and Dental Coverage and Help Paying Costs or ACA-3 application. Review coverage options and eligibility criteria, key immigration terms, and best practices. Download presentation and transcript. Click on the link icon to the right to access the… Continue Reading Understanding Immigration Requirements and Application Completion for Health Insurance Coverage in Massachusetts: Part 1

Fall 2023 What’s New in the Medicare World in 2024?

SHINE will provide new Medicare and insurance options for 2024, Medicare enrollment periods, Medigap, Medicare Advantage plans, Medicare Plan Finder, LINET program, pharmacy outreach program, Medicare resources, prescription drug benefits resulting from the Inflation Reduction Act, Medicare Savings Plan and Extra Help, and news relevant to the 65+ population with MassHealth. Download presentation.

Fall 2023 MassHealth Updates

MassHealth Updates on MyServices Portal, Fair Hearing form, CommonHealth for non-working individuals over 65, Permission to Share (PSI) form, revised ACA-3 application, revised SACA-2 application, and MassHealth Health Plans. Download presentation. Click on the link icon to the right to access the recording.

Fall 2023 MassHealth Training Forum Provider Updates

Updates on Member Eligibility Redetermination, Ordering Referring and Prescribing Resumption of Claim Denials, a review of the MassHealth Coordinating Aligned, Relationship-centered, Enhanced Support (CARES) for Kids Program, resumption of PCC and primary care ACO referral requirements, Long-Term Services and Supports provider communications, primary user policy, Payment and Care Delivery (PCDI) updates, Robotic Processing Automation (RPA)… Continue Reading Fall 2023 MassHealth Training Forum Provider Updates

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