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.
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
Health Connector Network Updates
Effective 1/1/2026, the following network changes will be in place for the Tufts Direct plan members. Please note, these changes may not reflect the full scope of provider changes that members may experience in plan year 2026; however, these changes should be considered when helping members shop for a Health Connector plan during this open enrollment… Continue Reading Health Connector Network Updates
Mailing Discontinued for PT-1 Provider Expiration Notices
Effective December 1, 2025, Provider Expiration Notices for Provider Requests for Transportation (PT-1s) will no longer be mailed. Please continue to monitor the Upcoming Expirations tab within the Customer Web Portal (CWP) for updates on existing PT-1 status: https://masshealth.ehs.state.ma.us/CWP/Default. If you have questions, please contact MassHealth at provider@masshealthquestions.com or (800) 841-2900. LTSS providers, please contact… Continue Reading Mailing Discontinued for PT-1 Provider Expiration Notices
Adjustments on Medicare Crossover Claims for Discarded Drugs
MassHealth implemented edit 9974 “PM: deny-service not covered/payable by MassHealth” in May 2025 to deny crossover claims billed with modifier JW ‘drug amount discarded/not administered to any patient’. Use of this modifier is not permitted under MassHealth policy, as outlined in Subchapter 6 of the Provider Manual. In October 2025, MassHealth identified a system issue… Continue Reading Adjustments on Medicare Crossover Claims for Discarded Drugs
Upcoming Changes to EVS and POSC Hospice Information Display
Beginning 12/21/25, the Eligibility Verification System (EVS) and Provider Online Service Center (POSC) will show key details when a member elects the MassHealth Hospice Benefit, including the hospice provider’s information (DBA, name, address, phone, PID/SL, NPI), and the member’s MassHealth and Medicare hospice enrollment dates (if available). A reminder will also appear for providers to… Continue Reading Upcoming Changes to EVS and POSC Hospice Information Display
AutoPay Cancellation Process: ConnectorCare PT1 in 2025 to Unsubsidized Plans in 2026
Overview Starting January 1, 2026, individuals with income below 100% of the Federal Poverty Level (FPL) will no longer qualify for Advance Premium Tax Credits (APTCs) and ConnectorCare coverage. Impacted members will either qualify for a MassHealth program or be automatically renewed into an unsubsidized Qualified Health Plan (QHP) for 2026. Members enrolled in unsubsidized… Continue Reading AutoPay Cancellation Process: ConnectorCare PT1 in 2025 to Unsubsidized Plans in 2026