Quarterly Presentations

Spring 2025 MassHealth and Health Safety Net Updates

MassHealth updates to health plans, ACA-3 and SACA-2 applications, and Medicare Savings Program (MSP). Health Safety Net will provide updates and information about hospital and PPS rates, Medical Hardship and Bad Debt, Dental Third-Party Administration, anti-obesity medication changes, and covered codes for the year 2025. Download presentation, transcript and Health Safety Net Updates Q&A. Click on… Continue Reading Spring 2025 MassHealth and Health Safety Net Updates

Spring 2025 MA Health Care Learning Series

The Health Connector’s closure of its walk-in centers and best practices for making premium payments, assisting individuals losing employer-sponsored health insurance, Special Enrollment Period (SEP) effective dates update, new Premium Hardship Waiver form, and the 2025 Marketplace Integrity and Affordability Proposed Rule. Download presentation, transcript and Q&A. Click on the link icon to the right… Continue Reading Spring 2025 MA Health Care Learning Series

Winter 2025 MassHealth and Health Safety Net Updates

MassHealth’s redetermination and renewal structure, Children’s Medical Security Plan (CHIP) elimination of premiums and copays, reminder about MassHealth Health Plans, 2025 CAC recertification, and new MassHealth dental administrator, BeneCare. Health Safety Net (HSN) will provide updates on system and billing, which will include specific Current Procedural Terminology (CPT) code updates as well as resweeping past… Continue Reading Winter 2025 MassHealth and Health Safety Net Updates

Winter 2025 MassHealth Training Forum Provider Updates

Updates on account maintenance on the Provider Online Service Center (POSC), updated provider information on Mass.gov, updates to Provider Directory, new programs coming in 2025 and updates from the Office of Long-Term Services and Supports (OLTSS), Health Related Social Needs (HRSN) Supplemental Housing and Nutrition Services, Provider Enrollment Status tools, MassHealth Doula program, Certified Nurse… Continue Reading Winter 2025 MassHealth Training Forum Provider Updates

Winter 2025 MA Health Care Learning Series

The Health Connector’s closed enrollment rules and Special Enrollment Periods (SEP), annual tax filing documents and responsibilities for Health Connector and MassHealth members, tax assistance, ConnectorCare, review updates to the online application at MAhealthconnector.org as well as renewal updates for MassHealth members. Download presentation, transcript and Q&A. Click on the link icon to the right… Continue Reading Winter 2025 MA Health Care Learning Series

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. Topics include DACA status, online shopping tools, preliminary eligibility notices, failure to reconcile, mixed households, ConnectorCare, Qualified Health plans, unsubsidized, APTC, and Identity Proofing Documents (IDP). Download presentation and transcript. Click on the link… Continue Reading Fall 2024 MA Health Care Learning Series

Fall 2024 MassHealth and Disability

Overview of MassHealth disability evaluation process including MassHealth application process, determination of disability, MassHealth Continuing Disability Reviews (CDRs), Disability Evaluation Services (DES), Adult and Child Disability Supplements, and disability resources. Download presentation and transcript. Click on the link icon to the right to access the recording.

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

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