Updates on Member Eligibility Redetermination, Ordering Referring and Prescribing Resumption of Claim Denials, a review of the updated Prior Approval policy, New Automated ORP Revalidation process, data collection forms, Long-Term Services and Supports Provider communications, COVID-19 policy updates, and MassHealth provider bulletins Download presentation.
Overview of the MassHealth Premium Assistance program. We will discuss the application process, standards for qualification, and the enrollment process if Premium Assistance has confirmed that a member has access to qualifying employer sponsored insurance. We will also discuss the HIRD initiative and how it is used to assist MassHealth in identifying members who may… Continue Reading Summer 2023 MassHealth Premium Assistance Program
MassHealth and the Health Connector updates related to the MassHealth Renewals process, Health Connector Redeterminations and Renewals and system updates for the online application at MAhealthconnector.org. Topics include Request for Information (RFI), MassHealth Initial Disability Reviews (IDR), MassHealth Continuous Disability Reviews (CDR), Race, Ethnicity, and Language questions, Sexual Orientation and Gender Identity (SOGI) questions, RAC… Continue Reading Summer 2023 MA Health Care Learning Series
Updates on MassHealth’s 2023-2024 Redetermination Updates, Electronic Signature Guidelines, the new MyServices Portal, auto renewals, pharmacy copay suspension, and MassHealth Member Advisory Committee (MAC). Download presentation. Click on the link icon to the right to access the recording.
Updates on new inpatient bad debt claim requirements, an update on certain inpatient claims pricing at $0.00, reimbursable telehealth services, INET portal agreements, information related to Health Safety Net interim payments and claim reconciliations, and FY21 closure date. Download presentation. Click on the link icon to the right to access the recording.
[su_button url="https://demo3.neindex.org/resourcelibrary/" background="#9C5B71"]Back to List[/su_button] Continue Reading Spring 2023 Changes in the Medicare World in 2023
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.
