Health Safety Net – MA Health Care Training Forum

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

Spring 2025 Health Safety Net Updates Q & A

Health Safety Net questions answered following the live presentation.

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, and covered codes for the year 2025. Here you will find the presentation and the transcription. Click on the link… Continue Reading Spring 2025 MassHealth and Health Safety Net Updates

Winter 2025 Health Safety Net Updates Q & A

Health Safety Net questions answered following the live presentation.

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 will provide updates on system and billing, which will include specific Current Procedural Terminology (CPT) code updates as well as resweeping past codes… Continue Reading Winter 2025 MassHealth and Health Safety Net Updates

Fall 2024 Health Safety Net Updates Q & A

Health Safety Net question answered following the live presentation.

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 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 Health Safety Net Updates

Updates to new procedure codes and pricing as well as a timeline for the transitioning to the new billing system. Here you will find the presentation. Topics: inpatient claims pricing at zero, partial deductible reporting, Health Safety Net (HSN) eligibility, Medical Hardship assistance, bad debt, OnBase system, HSN resources

Winter 2024 Health Safety Net Updates

Overview on some Health Safety Net eligibility requirements and updates on claim processing. Here you will find the presentation. Click on the link icon to the right to access the recording. Topics: Partial deductible reporting, Fiscal Year closing 2021, Special Circumstance application, updated portal agreements, FY23 outpatient claim adjustments, populations exempt from collection action, 2023… Continue Reading Winter 2024 Health Safety Net Updates