Summer 2025 – MA Health Care Training Forum

Summer 2025 MA Health Care Learning Series Updates

Health Connector updates on 2025 Marketplace, Affordability Final Rule, Federal Budget Bill Provisions, Open Enrollment 2026, redeterminations and renewals, walk-in center closures, and payment guidelines. MAhealthconnector.org system updates include MassHealth retroactive eligibility, MassHealth start date rule, Health Connector standalone dental shopping, tax filer dependent status, multi-language email invitation, user feedback survey, user improvements, and RefID… Continue Reading Summer 2025 MA Health Care Learning Series Updates

Summer 2025 MassHealth and Health Safety Net Updates

MassHealth updates on the discontinuation of certain flexibilities, MassHealth eligibility start date rule, MassHealth health plan, enrolling QMB-eligible members into Medicare, estate recovery, and MassHealth Operations. Health Safety Net will provide updates on the new dental administrator, anti-obesity medication changes, inpatient hospital claims pricing adjustment, 99211 claims resweep, June 2025 duplicate pharmacy claims, and July… Continue Reading Summer 2025 MassHealth and Health Safety Net Updates

MTF Frequently Used Acronyms

List of frequently used acronyms in MTF quarterly presentations. This document is updated following each MTF quarterly session.

Summer 2025 MassHealth Training Forum Provider Updates Presentation

Updates on the reinstatement of Primary Care Clinician Plan/Primary Care ACO referral requirements, Ordering Referring and Prescribing (ORP) requirements, advancing interoperability and improving prior authorization processes, Standardized Encounter Data Program (SendPro), LTSS, POSC user functionality and homepage refresh, robotics processing automation annual validation, and Payment Error Rate Measurement (PERM) RY2026. Additional Topics: self-service resources on… Continue Reading Summer 2025 MassHealth Training Forum Provider Updates Presentation