MassHealth – 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

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

Spring 2025 MA Health Care Learning Series

The Health Connector’s closure of its walk-in centers and best practices for making premium payments, assisting individuals losing employer-sponsored health insurance, Special Enrollment Period (SEP) effective dates update, new Premium Hardship Waiver form, and the 2025 Marketplace Integrity and Affordability Proposed Rule. Here you will find the presentation and transcription. Click on the link icon… Continue Reading Spring 2025 MA Health Care Learning Series

Winter 2025 MA Health Care Learning Series Q & A

MA Health Care Learning Series question 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

Winter 2025 MA Health Care Learning Series

The Health Connector’s closed enrollment rules and Special Enrollment Periods (SEP), annual tax filing documents and responsibilities for Health Connector and MassHealth members, review updates to the online application at MAhealthconnector.org as well as renewal updates for MassHealth members. Here you will find the presentation and transcription. Click on the link icon to the right… Continue Reading Winter 2025 MA Health Care Learning Series

Launch of HRSN Supplemental and Required Services in January 2025

In September of 2022, the Centers for Medicare & Medicaid Services (CMS) approved MassHealth’s 1115 demonstration waiver renewal, which included re-authorization of and changes to both Flexible Services Program (FSP) and Specialized Community Supports Program (CSP) for Accountable Care Organization (ACO) Enrollees only. As approved in this waiver FSP will be ending on 12/31/2024. As… Continue Reading Launch of HRSN Supplemental and Required Services in January 2025

Understanding Immigration Requirements and Application Completion for Health Insurance Coverage in Massachusetts: Part 2

Understand the citizenship and immigration policies that guide the MassHealth and Health Connector programs for individuals younger than 65 and best practices to support applicants and members in completing an application – online or on paper. This session will review scenarios and the application. Here you will find the presentation and transcription. Click on the link… Continue Reading Understanding Immigration Requirements and Application Completion for Health Insurance Coverage in Massachusetts: Part 2

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