Understand the policies that guide the MassHealth and Health Connector programs for individuals younger than 65 and best practices to support applicants and members complete an application – online or on paper. Download presentation and transcript. Click on the link icon to the right to access the recording.
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MassHealth Updates include information and updates to MassHealth’s 2023-2024 Redetermination, MassHealth’s ACA-3 and SACA-2 applications, CAC Recertification, MassHealth flexibilities, 2023 Income Standards and Federal Poverty Guide, and more. Download presentation. Click on the link icon to the right to access the recording.
MassHealth and the Health Connector updates related to the MassHealth Renewals process, Health Connector Special Enrollment Period for those losing access to MassHealth coverage and best practices for helping people maintain access to care. Topics include member scenarios, Health Connector communications, MassHealth redeterminations, and Health Connector premium hardship waivers. Download presentation. Click on the link… Continue Reading Spring 2023 MA Health Care Learning Series
The Health Safety Net (HSN) updates will focus on the OnBase application, interim payments, acute outpatient hospital resweep, 2023 procedure code updates and claim waiver requests. Download presentation.
Updates on Payment and Care Delivery Innovation (PCDI), ACO plans for 2023, member eligibility redetermination, Ordering Referring and Prescribing (ORP) resumption of claim denials, behavioral health expansion including community service partners, new automated ORP revalidation process, along with updates from the Office of Long-Term Services and Supports (OLTSS). Download presentation.
MassHealth selected 17 healthcare organizations to participate in the MassHealth ACO program. Identify MassHealth’s new health plan options starting on April 1, 2023, understand the types of messages members may receive about their health plan enrollment, and how members can find a health plan or providers. Topics include Continuity of Care, community partners, Eligibility Verification… Continue Reading MassHealth Health Plan Updates: Relaunch of ACO Programs
Continuous coverage requirements end on April 1, 2023, and MassHealth will return to their standard annual eligibility renewal processes. MassHealth will describe the 2023-2024 redetermination process, identify key timelines and step for member action, explain how members can find supporting resources in the community, identify awareness and support materials for members, partners and stakeholders. Download… Continue Reading MassHealth 2023-2024 Member Eligibility Redetermination and Renewals Update
Learn about the senior renewals and how to help individuals 65 years of age or older or any individual seeking long-term-care services renew their health care benefits. Topics include MassHealth auto-renewals, Renewal Application for Certain Seniors Living in the Community, Renewal Application for Health Coverage for Seniors and People Needing Long-Term-Care Services, MassHealth Long-Term-Care Eligibility… Continue Reading MassHealth for Seniors and Individuals Seeking Long-Term-Care Services Part 3: Renewal
System Modernization and Payments – Discussing system modernization updates, timelines, medical hardship, populations exempt from collection action, billing intermediaries and companies, and interim payments. Download presentation. Click on the link icon to the right to access the recording.
