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Adjustments of Medicare Crossover Claims Billed with Procedure Code 90834

November 14, 2022

MassHealth is aware that some Medicare crossover claims billed by psychologists with procedure code 90834 were incorrectly reimbursed from August 2021 through October 2022. Although this procedure code is not covered by MassHealth, when rendered by psychologists, federal regulations require MassHealth to reimburse the Medicare patient responsibility amounts for dually eligible members who are Qualified Medicare Beneficiary (QMB). This issue has been corrected and the affected claims have been adjusted and will appear on this and subsequent remittance advices.

If you have questions regarding this message, please contact MassHealth Customer Service at providersupport@mahealth.net or (800) 841-2900. LTSS providers should contact the LTSS Provider Service Center at (844) 368-5184 or support@masshealthltss.com.