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.
Reminder: Health Connector Walk-in Center Closures
As a reminder, the Health Connector is closing its three walk-in center locations. These closures come as part of an effort to streamline services and expand access to other free… Continue Reading Reminder: Health Connector Walk-in Center Closures
Provider Enrollment & Credentialing (PEC) Self-Service Tools for MassHealth Providers
MassHealth is working to improve the provider experience through the increased use of electronic self-service tools. Effective 5/1/2025, a new tool is available on Mass.gov, allowing providers and their credentialing… Continue Reading Provider Enrollment & Credentialing (PEC) Self-Service Tools for MassHealth Providers
Medicare Adjustments on Certain Outpatient Claims
Medicare recently notified MassHealth that it will be adjusting certain Outpatient Prospective Payment System (OPPS) claims to correct the coinsurance amounts apportioned to revenue code 636 and J-code lines. Adjustments… Continue Reading Medicare Adjustments on Certain Outpatient Claims
Retroactive Medicare Recovery Project (RMRP) For Durable Medical Equipment (DME)
Effective May 1, 2025, and in accordance with MassHealth regulations 130 CMR 450.316(A)(6) and 130 CMR 450.316(F), the Retroactive Medicare Recovery Project (RMRP) will recover MassHealth claim payments for services… Continue Reading Retroactive Medicare Recovery Project (RMRP) For Durable Medical Equipment (DME)
Delay Reason Code Requirements on 90-Day Waiver Submissions for Medicare Crossover Claims
In April 2024, providers were notified that the standard process of submitting 90-day waiver requests using delay reason codes 1, 4 and 8 was causing denials for Medicare Crossover requests… Continue Reading Delay Reason Code Requirements on 90-Day Waiver Submissions for Medicare Crossover Claims
Claims Reprocessed for 2025 HCPCS/CPT Code Updates
The Centers for Medicare & Medicaid Services (CMS) have revised the HCPCS codes for 2025. MassHealth is updating the Service Codes and Descriptions (Subchapter 6) of the Physician Manual to… Continue Reading Claims Reprocessed for 2025 HCPCS/CPT Code Updates
MassHealth EOB Codes Appearing on the Remittance Advice
MassHealth Independent Nurses (INs) may encounter an Explanation of Benefits (EOB) code on their Remittance Advice that prevents claims from paying. To understand what these EOB codes mean, INs may… Continue Reading MassHealth EOB Codes Appearing on the Remittance Advice
System Updates Reminder for the Online Application at MAhealthconnector.org
A system update was made overnight to the online application at MAhealthconnector.org (also known as the HIX system). It is recommended that following any systems release or update, Assisters or… Continue Reading System Updates Reminder for the Online Application at MAhealthconnector.org
Building Financial Futures with the State Treasurer’s Office: A Look at BabySteps and FinEd Programs – April 30
Presented by Office of Economic Empowerment The Office of Economic Empowerment (OEE) is a department of the Massachusetts State Treasury that provides resources to help people in Massachusetts learn how… Continue Reading Building Financial Futures with the State Treasurer’s Office: A Look at BabySteps and FinEd Programs – April 30
MA Health Care Learning Series – April 16
Presented by the Health Connector and MassHealth This presentation will cover information about the Health Connector’s closure of its walk-in centers and best practices for making premium payments, assisting individuals… Continue Reading MA Health Care Learning Series – April 16