Quarterly Presentations

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

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

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

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