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MassHealth Technical Refresh Phase 2 - Informational Sessions

November 18, 2019

MassHealth is preparing for the final phase of the MassHealth Technical Refresh Initiative (Phase 2) which will be implemented in March 2020. The Technical refresh requires that MassHealth replace its "end of life" HIPAA compliance and translator tool. The tool is used to validate HIPAA compliance and translate the HIPAA compliant transactions to an XML format so that they can be processed within MassHealth's Medicaid Management Information System (MMIS). 

All trading partners that utilize the following inbound and outbound HIPAA transactions MUST conduct Trading Partner Testing (TPT) with MassHealth prior to submitting transactions in production:

  • Health Care Claim Status Request and Response (276/277),
  • Health Care Claim Payment/Advice (835),
  • Health Care Claim: Institutional and Professional (837), and
  • HIPAA (999/TA1) Implementation Acknowledgment for Health Care Insurance

 

In preparation MassHealth will hold a series of information sessions to discuss the changes, the testing requirements, and implementation. These one-hour information sessions will educate Providers, Billing Intermediaries/Clearinghouses (BIs/CHs) and software vendors (SWVs) about the Phase 2 technical refresh and trading partner testing impacting 837I, 837P, 276/277, 835 transactions. It is strongly recommended that all affected providers and vendors (BI/CH & SWV) enroll and attend one of the information sessions.

TPT Information Sessions Schedule:

Separate sessions are available for providers who are direct submitters and BI/CH/SWV.

Providers and vendors may sign up for any of the following Information Sessions by clicking on the link associated with the session you would like to attend.

Date: 11/19/2019
Time: 2:00 pm
Audience: BI/CH/SWV
ReadyTalk Registration URL: https://cc.readytalk.com/r/9howtg80rrgf&eom

Date: 11/21/2019
Time: 2:00 pm
Audience: Providers
ReadyTalk Registration URL: https://cc.readytalk.com/r/k4czckmyyqgg&eom

Date: 12/05/2019
Time: 2:00 pm
Audience: Providers
Zoom Registration URL: https://maximus.zoom.us/webinar/register/WN_QPB8tY0WQ_KNDhcYZKuF4w

Date: 12/12/2019
Time: 2:00 pm
Audience: BI/CH/SWV
Zoom Registration URL: https://maximus.zoom.us/webinar/register/WN_tFS3LkuGT-2KpMfBCWygwg

If you have any questions, please email the MassHealth Customer Service Center at ProviderSupport@MAHealth.net or call 1-800-841-2900.