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.
Updates to the Medicare Savings Program (MSP) Application
The Medicare Savings Program (MSP) helps eligible Medicare beneficiaries pay their Medicare costs. MSP is not insurance plans. They are programs that help lower Medicare premiums and other healthcare costs, including prescriptions. You can apply by completing and submitting the December 2025 version of the Medicare Savings Program (MSP) application. Due to updates from federal… Continue Reading Updates to the Medicare Savings Program (MSP) Application
Increases to MassHealth Premium Billing Amount
As of January 1, 2026, MassHealth is increasing monthly premium billing amounts by 10%. MassHealth expects the increase is between $2 – $10 per month for members with countable income of over 150% of the Federal Poverty Level (FPL). Starting in March of 2027, MassHealth will increase premium billing amounts yearly by the same percentage… Continue Reading Increases to MassHealth Premium Billing Amount
Update: Advancing Interoperability and Improving Prior Authorization Processes
Effective January 1, 2026, prior authorizations (PAs) for the medical benefit will be adjudicated as outline below: Standard PA requests: A decision will be provided within seven calendar days from the date received, provided all necessary documentation is included. Expedited PA request: A decision will be provided within 72 hours when the member’s clinical condition… Continue Reading Update: Advancing Interoperability and Improving Prior Authorization Processes
Winter 2026 Know Your Rights Presentation 3.0
Presented by the MA Office for Refugees and Immigrants (ORI) Know Your Rights 3.0 is an in-depth and comprehensive review of rules regarding ICE enforcement beyond basic warrant requirements. Learning Objectives: It will include topics such as (1) understanding when ICE may be required to show a warrant, (2) overview of the rules regarding when ICE… Continue Reading Winter 2026 Know Your Rights Presentation 3.0
Edit 2016 Updated Error Message Description
Error message for edit 2016 has been updated to clarify denied claims where a member is enrolled in PACE/SCO. The updated message is 2016 MEMBER COVERED BY SCO/PACE PLAN – MUST BILL SCO/PACE. Providers are reminded to bill the SCO/PACE plan for services. For questions or concerns: LTSS providers, please contact the LTSS Provider Service… Continue Reading Edit 2016 Updated Error Message Description
Plan of Care Submission Requirements
Starting January 1, 2026, independent nurses (INs) who are seeking a prior authorization (PA) to work with a Community Case Management (CCM) member for the first time must submit a copy of a signed plan of care to the member’s CCM clinical manager in order to receive their PA for continuous skilled nursing (CSN) services.… Continue Reading Plan of Care Submission Requirements
New Claim Detection for Independent Nurses
MassHealth will be implementing a new claims detection on January 12, 2026, to ensure that dates of service (DOS) for claims submitted by independent nurses fall within one calendar week. A calendar week is defined as the hours from 12 am Sunday to 11:59 pm Saturday. This claims detection is being used to ensure that… Continue Reading New Claim Detection for Independent Nurses
Winter 2026 MassHealth Training Forum Provider Updates
Presented by MassHealth Provider Relations and Business Services and Supports (BSS) The Provider Services Training Series offers essential information and updates for MassHealth providers. This meeting will feature updates on enrollment self-service enhancements, referral requirements updates and reminders, the new Electronic Data Interface Assistance Request via Mass.gov, and other Mass.gov updates. Additional topics will include… Continue Reading Winter 2026 MassHealth Training Forum Provider Updates
Winter 2026 MassHealth & Health Safety Net Updates
Presented by MassHealth and Health Safety Net MassHealth will provide the latest updates and information related to MassHealth applicants and members. Learning Objectives: MassHealth Renewal Updates Updates to MassHealth Premium Schedule 2026 Social Security Cost of Living Adjustment (COLA) New Tool for Members to Access Health Care Information Audience: All Health Safety Net will be presenting… Continue Reading Winter 2026 MassHealth & Health Safety Net Updates
Winter 2026 MA Health Care Learning Series
Presented by the Health Connector and MassHealth The Health Connector will review information about the close of Open Enrollment, Special Enrollment Period rules and the process for End of Year tax filing. Learning Objectives: During this presentation, Health Connector and MassHealth staff will: Review information on the close of Health Connector open enrollment for 2026 Discuss… Continue Reading Winter 2026 MA Health Care Learning Series