Summer 2023 – MA Health Care Training Forum

Summer 2023 Collecting Race, Ethnicity, Language, Disability, Sexual Orientation, and Gender Identity Data (RELD and SOGI Data)

MassHealth and the Health Connector are dedicated to improving data collection including demographic data. Data collection helps MassHealth, and the Health Connector make informed policy and operational decisions to provide equitable access to health coverage for members and tailor services to meet members’ needs. Here you will find the presentation. Click on the link icon… Continue Reading Summer 2023 Collecting Race, Ethnicity, Language, Disability, Sexual Orientation, and Gender Identity Data (RELD and SOGI Data)

Summer 2023 Protecting Beneficiaries from Becoming Victims of Healthcare Errors, Fraud and Abuse

Comprehensive overview of the MA Senior Medicare Patrol (SMP) Program mission. Additionally, members will gain a better appreciation for the role they can have in activating consumers to become better engaged in their healthcare by keeping a personal healthcare journal, “My Health Care Tracker,” and documenting all medical encounters. Through case scenarios members will understand… Continue Reading Summer 2023 Protecting Beneficiaries from Becoming Victims of Healthcare Errors, Fraud and Abuse

Summer 2023 MassHealth Training Forum Provider Updates Presentation

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, and other important provider related updates and resources. Topics: data collection forms, Long-Term Services and Supports Provider communications, COVID-19 policy updates, MassHealth provider bulletins

Summer 2023 MassHealth Premium Assistance Program

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

Summer 2023 MA Health Care Learning Series

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. Here you will find the presentation. Click on the link icon to the right to access the recording. Topics: Request for Information (RFI), MassHealth Initial Disability Reviews (IDR), MassHealth… Continue Reading Summer 2023 MA Health Care Learning Series

Summer 2023 MassHealth Updates

Updates on MassHealth’s 2023-2024 Redetermination Updates, Electronic Signature Guidelines, the new MyServices Portal, and more. Here you will find the presentation. Click on the link icon to the right to access the recording. Topics: MassHealth auto renewals, pharmacy copay suspension, MassHealth Member Advisory Committee (MAC)

Summer 2023 Health Safety Net Updates

Updates on new inpatient bad debt claim requirements, an update on certain inpatient claims pricing at $0.00, information related to Health Safety Net interim payments and claim reconciliations, and FY21 closure date. Here you will find the presentation. Click on the link icon to the right to access the recording. Topics: reimbursable telehealth services, INET… Continue Reading Summer 2023 Health Safety Net Updates