Updates on PCC referral policy, PERM audit response requirement, POSC primary user functionality improvements, MassHealth homepage redesign, Long-Term Services and Supports, and the 2026 ACO/MCO changes. Download 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. Topics include self-service resources on… Continue Reading Summer 2025 MassHealth Training Forum Provider Updates
Updates on the Behavioral Health Initiative including the addition of Licensed Behavior Health Clinicians as a Fee for Service (FFS) provider type, new provider self-service tools, along with updates from the Office of Long-Term Services and Supports (OLTSS). Topics include provider revalidation automation tools, Mass.gov site updates, PERM audits. Download presentation.
Updates on account maintenance on the Provider Online Service Center (POSC), updated provider information on Mass.gov, updates to Provider Directory, new programs coming in 2025 and updates from the Office of Long-Term Services and Supports (OLTSS), Health Related Social Needs (HRSN) Supplemental Housing and Nutrition Services, Provider Enrollment Status tools, MassHealth Doula program, Certified Nurse… Continue Reading Winter 2025 MassHealth Training Forum Provider Updates
Plan and provider changes coming January 2025, along with updates from the Office of Long-Term Services and Supports (OLTSS). Additional topics will be subordinate user maintenance, transportation, dental plan updates, provider revalidation automation tools, ACO, primary user and subordinate user roles, Virtual Gateway, Provider Online Service Center (POSC), provider revalidation automation, third party dental administrator… Continue Reading Fall 2024 MassHealth Training Forum Provider Updates
Updates to the mass.gov website, multi-factor authentication, Provider Revalidation, Call Center Improvement Initiatives, Ordering, Referring and Prescribing (ORP) updates, MassHealth Robotics Processing Automation (RPA), Provider Revalidation Automation Pilot, sterilization form, provider bulletins, Long-Term Services and Supports Services (LTSS) Provider Directory, Non-LTSS provider training, and Virtual Gateway. Download presentation.
Upcoming Provider Online Service Center (POSC) security change, change Healthcare Incident Response, Virtual Gateway multifactor authentication, Long-Term Services and Supports Provider communications, Fee-for-Service (FFS) Providers & Accountable Care Organization (ACO) Primary Care Exclusivity, Ordering, Referring and Prescribing (ORP), and updates on Primary and Subordinate User Access. The session will also include a review of current… Continue Reading Spring 2024 MassHealth Training Forum Provider Updates
Updates on Member Eligibility Redetermination, Ordering, Referring and Prescribing Resumption of Claim Denials, Provider Online Service Center (POSC) Primary and Subordinate User Access, and other important provider related updates, MassHealth Transportation PT-1, Long-Term Services and Supports (LTSS) Provider communications, MassHealth Doula Provider Program, e-signatures, Children’s Behavioral Health Initiative CANS tool, provider education, and provider bulletins.… Continue Reading Winter 2024 MassHealth Training Forum Provider Updates
Updates on Member Eligibility Redetermination, Ordering Referring and Prescribing Resumption of Claim Denials, a review of the MassHealth Coordinating Aligned, Relationship-centered, Enhanced Support (CARES) for Kids Program, resumption of PCC and primary care ACO referral requirements, Long-Term Services and Supports provider communications, primary user policy, Payment and Care Delivery (PCDI) updates, Robotic Processing Automation (RPA)… Continue Reading Fall 2023 MassHealth Training Forum Provider Updates
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.
