The Massachusetts Health Care Training Forum (MTF) sends out regular email updates on current program and policy information, meeting notices, learning opportunities and other relevant information and resources.
For more information about the Provider Services notices (manage claims and payment information), please visit MassHealth Provider Remittance Advice Message Text.
Claims Reprocessed for Community Health Centers for Updated July 1, 2025 and October 1, 2025 Quarterly Drug Code Rates
MassHealth has completed the rate updates for the July 1, 2025 and October 1, 2025 Quarterly Drug Code Rates of the Community Health Center Manual. MassHealth updated its system for these drug code rate changes effective for dates of services on or after July 1, 2025, and October 1, 2025. All affected claims were reprocessed… Continue Reading Claims Reprocessed for Community Health Centers for Updated July 1, 2025 and October 1, 2025 Quarterly Drug Code Rates
Claim Denials – Billig Provider HPI is Mapped to Multiple PID/SLS
MassHealth is seeing large numbers of denials for 1945 – BILLING PROVIDER NPI IS MAPPED TO MULTI SERV LOC when the NPI cannot be mapped to the correct MassHealth Provider ID/Service Location (PID/SL). Providers are reminded of the following to avoid these denials: Do not bill with a taxonomy code in the 2000A PRV03 segment… Continue Reading Claim Denials – Billig Provider HPI is Mapped to Multiple PID/SLS
NEW: Health Connector Open Enrollment Public Dashboard
Open Enrollment for 2026 is the most complex Open Enrollment the Health Connector has had in many years. To ensure our partners remain up to date with the enrollment trends we are seeing, we are pleased to be able to share a new external dashboard. This dashboard helps interested parties have real-time sightlines into Health… Continue Reading NEW: Health Connector Open Enrollment Public Dashboard
System Maintenance Reminder for the Online Application at MAhealthconnector.org
A system maintenance was made overnight on December 17th, to the online application at MAhealthconnector.org, (also known as the HIX system). It is recommended that following any system release or update, Assisters or anyone using the online application (including the Assister Portal) should clear their cache or internal history before accessing the online application or… Continue Reading System Maintenance Reminder for the Online Application at MAhealthconnector.org
Health Connector Enrollment and Payment Deadline Approaching
The Enrollment and Payment Deadline for Health Connector Coverage Start on January 1st is Tuesday, December 23rd. If members have questions about their January 1st enrollment, need help reporting a change, or selecting a new health and dental plan, they can call the Health Connector Customer Service at: 1-877-MA-ENROLL (877-623-6765) As the Health Connector payment deadline… Continue Reading Health Connector Enrollment and Payment Deadline Approaching
System Update Reminder for the Online Application at MAhealthconnector.org
A system update was made overnight on December 16th, to the online application at MAhealthconnector.org, (also known as the HIX system). It is recommended that following any system release or update, Assisters or anyone using the online application (including the Assister Portal) should clear their cache or internal history before accessing the online application or… Continue Reading System Update Reminder for the Online Application at MAhealthconnector.org
MMIS System Outage Notice – Sunday, December 21, 2025
To allow for system maintenance, the MMIS POSC, Provider Portal, HTS transactions, internal MMIS application, EVS and all eligibility services will be unavailable on Sunday, December 21st, 2025, from 4:00 PM to 10:00 PM. MAP, CBHI, MeNoB, member and eligibility web services and Netreveal predictive modeling application servers will also be impacted. We apologize for… Continue Reading MMIS System Outage Notice – Sunday, December 21, 2025
Reprocessing Community Behavioral Health Center (CBHC) Claims Denied in Error
MassHealth identified that certain Community Behavioral Health Center (CBHC) claims for Medicare Savings Plan (MSP) members (formerly known as Senior Buy-in) were incorrectly denied for edit 2609 “SBI benefit plan – not a covered service”. Specifically, claims billed to MassHealth for the CBHC clinic per diem bundle that included a payment and/or patient responsibility from… Continue Reading Reprocessing Community Behavioral Health Center (CBHC) Claims Denied in Error
Adjusting Certain Group Practice Medicare Crossover Claims
MassHealth identified an issue that caused incorrect pricing on certain group practice Medicare crossover claims, leading to overpayments. This occurred when the rendering provider was a mid-level practitioner and the place of service was 02 or 10 (telehealth). The issue has been resolved, and all impacted Medicare crossover claims adjudicated on or after February 1,… Continue Reading Adjusting Certain Group Practice Medicare Crossover Claims
Open Enrollment Promotion, Health Connector Shopping Tools and Member Resources
The Health Connector has promotional materials, online shopping tools and downloadable member resources – in many languages – to help people make decisions about their health insurance coverage for plan year 2026. Many of the resources described below can be easily accessed from the Health Connector’s renewal page: www.mahealthconnector.org/renew. Help Promote Open Enrollment: The Health Connector’s 2026 Open… Continue Reading Open Enrollment Promotion, Health Connector Shopping Tools and Member Resources