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.
MMIS System Outage Notice – Tuesday, September 16, 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 Tuesday, September 16, 2025, from 7:00… Continue Reading MMIS System Outage Notice – Tuesday, September 16, 2025
Health Connector Preliminary Eligibility Notices are Mailing
Notices for Health Connector Redetermination are Being Mailed! Preliminary Eligibility notices for the Health Connector’s Open Enrollment 2026 are now being sent to members through mid-September. Some members may have… Continue Reading Health Connector Preliminary Eligibility Notices are Mailing
Update For Quarterly Drug Code Rates Effective July 1, 2025
MassHealth has completed the rate updates for the July 1, 2025 Quarterly Drug Codes. The impacted claims will be reprocessed and/or adjusted and will appear on a future remittance advice.… Continue Reading Update For Quarterly Drug Code Rates Effective July 1, 2025
REVISED – Provider File Update Requests by Fax Submissions to Be Discontinued Effective October 1, 2025
Effective October 1, 2025, provider file update requests for non-LTSS and non-dental MassHealth providers will no longer be accepted via fax. To ensure timely processing of your updates moving forward,… Continue Reading REVISED – Provider File Update Requests by Fax Submissions to Be Discontinued Effective October 1, 2025
Update to the Primary Care Clinician Plan & Primary Care ACO Referral Requirements – Exemption for Home Health Services
Effective August 1, 2025, MassHealth has added home health services to the list of services exempt from PCC referral requirements for members enrolled in the Primary Care Clinician (PCC) plan… Continue Reading Update to the Primary Care Clinician Plan & Primary Care ACO Referral Requirements – Exemption for Home Health Services
Update to the Primary Care Clinician Plan & Primary Care ACO Referral Requirements – Exemption for Independent Nursing Services
Effective August 1, 2025, MassHealth has added independent nursing services to the list of services exempt from PCC referral requirements for members enrolled in the Primary Care Clinician (PCC) plan… Continue Reading Update to the Primary Care Clinician Plan & Primary Care ACO Referral Requirements – Exemption for Independent Nursing Services
Update to the Primary Care Clinician Plan & Primary Care ACO Referral Requirements – Exemption for CSN Agency Services
Effective August 1, 2025, MassHealth has added Continuous Skilled Nursing (CSN) agency services to the list of services exempt from PCC referral requirements for members enrolled in the Primary Care… Continue Reading Update to the Primary Care Clinician Plan & Primary Care ACO Referral Requirements – Exemption for CSN Agency Services
Update to the Primary Care Clinician Plan & Primary Care ACO Referral Requirements – Exemption for Therapist Services
Effective August 1, 2025, MassHealth has added therapist services to the list of services exempt from PCC referral requirements for members enrolled in the Primary Care Clinician (PCC) plan or… Continue Reading Update to the Primary Care Clinician Plan & Primary Care ACO Referral Requirements – Exemption for Therapist Services
Update to the Primary Care Clinician Plan & Primary Care ACO Referral Requirements – Exemption for Prosthetic and Orthotic Services
Effective August 1, 2025, MassHealth has added prosthetic and orthotic services to the list of services exempt from PCC referral requirements for members enrolled in the Primary Care Clinician (PCC)… Continue Reading Update to the Primary Care Clinician Plan & Primary Care ACO Referral Requirements – Exemption for Prosthetic and Orthotic Services
Hearing Aid Claim Denials & Prior Authorization
This is a reminder that Prior Authorization (PA) is required if a member has received a hearing aid within the last five (5) years. Please remember that a PA is… Continue Reading Hearing Aid Claim Denials & Prior Authorization