Resource Library

Health Connector updates on Open Enrollment for Plan Year 2026 including updates related to federal policy changes, available health and dental plans, and system updates.

Learn how to locate and use shopping tools and updated Health Connector resources, identify changes to the ConnectorCare program for pan year 2026, how to direct new applicants or current Health Connector members who need to update their application.

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MassHealth updates on continuous eligibility for over 65 applicants and members, changes to MassHealth premiums and MassHealth’s universal eligibility requirement, MassHealth Health Plans update, 2026 One Care and Senior Care Option (SCO) plans, dental plan update, coverage of vaccines, MassHealth My Account Page (MAP) for members, and Health Connector updates. Health Care For All (HCFA) In the Loop private online community for enrollment assisters.

Health Safety Net will provide updates on the new dental administrator, dental prior authorization waiver, emergency regulation changes, resweep of Current Procedural Terminology (CPT) codes, Claim Adjustment Reason Code (CARC) updates, fiscal year 2023 and 2026 updates, submission of protected health information (PHI), HSN pharmacy formulary changes.

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The Commonwealth’s Paid Family and Medical Leave (PFML) program provides temporary income replacement as well as job and benefit protections to eligible workers across the state when they need it most. PFML is available to those who are welcoming a new child into their family, are struck by a serious illness or injury, need to take care of an ill or ailing relative, and for certain military considerations. We’ll talk about how you, your family member, or your patients can take paid leave for up to 26 weeks in a benefit year and how that can be structured to best meet unique family needs. In addition, we’ll look at the benefits of taking leave and the positive impact it can have.

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Medicare changes in 2026 that may impact Medicare and MassHealth beneficiaries including increases in premiums and deductibles, plan changes, prescription out-of-pocket limits, payment plans and resources.

Topics include Enrollment Periods, Coverage Options, Medigap, Medicare Advantage Plans resource, Prescription Drugs, Medicare Plan Finder, Prescription Payment Plan, Senior Medicare Patrol, My Ombudsman, Pharmacy Outreach Program, Mass Options.

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List of frequently used acronyms in MTF quarterly presentations. This document is updated following each MTF quarterly session.

Health Connector updates on 2025 Marketplace, Affordability Final Rule, Federal Budget Bill Provisions, Open Enrollment 2026, redeterminations and renewals, walk-in center closures, and payment guidelines.

MAhealthconnector.org system updates include MassHealth retroactive eligibility, MassHealth start date rule, Health Connector standalone dental shopping, tax filer dependent status, multi-language email invitation, user feedback survey, user improvements, and RefID changes.

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MassHealth updates on the discontinuation of certain flexibilities, MassHealth eligibility start date rule, MassHealth health plan, enrolling QMB-eligible members into Medicare, estate recovery, and MassHealth Operations.

Topics include MassHealth webpages for providers care for pregnant and postpartum members, MassHealth member customer service center hours, MassHealth appointment reminders, how to report a change, how to enroll in a Senior Care Option (SCO).

Health Safety Net will provide updates on the new dental administrator, anti-obesity medication changes, inpatient hospital claims pricing adjustment, 99211 claims resweep, June 2025 duplicate pharmacy claims, and July 2025 interim dental reimbursable health services.

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Updates on the reinstatement of Primary Care Clinician Plan/Primary Care ACO referral requirements, Ordering Referring and Prescribing (ORP) requirements, advancing interoperability and improving prior authorization processes, Standardized Encounter Data Program (SendPro), LTSS, POSC user functionality and homepage refresh, robotics processing automation annual validation, and Payment Error Rate Measurement (PERM) RY2026.

Topics include self-service resources on Mass.gov site updates, 1010 claim denials, call center update, training opportunities

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The Office of Economic Empowerment (OEE) is a department of the Massachusetts State Treasury that provides resources to help people in Massachusetts learn how to confidently manage their money and plan for their family’s future. In this presentation, OEE staff will review the various free financial education workshops, digital tools, and coaching available to Massachusetts residents. OEE will also review current engagement data and opportunities with the BabySteps program.

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Updates on the Behavioral Health Initiative including the addition of Licensed Behavior Health Clinicians as a Fee for Service (FFS) provider type, new provider self-service tools, along with updates from the Office of Long-Term Services and Supports (OLTSS).

Topics include provider revalidation automation tools, Mass.gov site updates, PERM audits.

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MassHealth updates to health plans, ACA-3 and SACA-2 applications, and Medicare Savings Program (MSP).

Health Safety Net will provide updates and information about hospital and PPS rates, Medical Hardship and Bad Debt, Dental Third-Party Administration, anti-obesity medication changes, and covered codes for the year 2025.

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The Health Connector’s closure of its walk-in centers and best practices for making premium payments, assisting individuals losing employer-sponsored health insurance, Special Enrollment Period (SEP) effective dates update, new Premium Hardship Waiver form, and the 2025 Marketplace Integrity and Affordability Proposed Rule.

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MassHealth’s redetermination and renewal structure, Children’s Medical Security Plan (CHIP) elimination of premiums and copays, reminder about MassHealth Health Plans, 2025 CAC recertification, and new MassHealth dental administrator, BeneCare.

Health Safety Net (HSN) will provide updates on system and billing, which will include specific Current Procedural Terminology (CPT) code updates as well as resweeping past codes that may have processed incorrectly, Medical Hardship, Bad Debt, and HSN and ConnectorCare.

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Updates on account maintenance on the Provider Online Service Center (POSC), updated provider information on Mass.gov, updates to Provider Directory, new programs coming in 2025 and updates from the Office of Long-Term Services and Supports (OLTSS), Health Related Social Needs (HRSN) Supplemental Housing and Nutrition Services, Provider Enrollment Status tools, MassHealth Doula program, Certified Nurse Midwives, provider revalidation automation, AWS migration, multi-factor authentication transition, new MassHealth dental administrator, and All Provider Bulletins.

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The Health Connector’s closed enrollment rules and Special Enrollment Periods (SEP), annual tax filing documents and responsibilities for Health Connector and MassHealth members, tax assistance, ConnectorCare, review updates to the online application at MAhealthconnector.org as well as renewal updates for MassHealth members.

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In September of 2022, the Centers for Medicare & Medicaid Services (CMS) approved MassHealth’s 1115 demonstration waiver renewal, which included re-authorization of and changes to both Flexible Services Program (FSP) and Specialized Community Supports Program (CSP) for Accountable Care Organization (ACO) Enrollees only.

As approved in this waiver FSP will be ending on 12/31/2024. As of January 2025, there will be two categories of services that address HRSNs (i.e., HRSN Services) for ACO Enrollees – Required Services and Supplemental Services. HRSN Required Services must be offered and provided to any eligible ACO Enrollee. HRSN Supplemental Services are chosen by the ACO. The ACO must then offer and provide such services to any eligible ACO Enrollee.

Learn about current and future state Housing and Nutrition Services, member eligibility, and changes that impact members.

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Understand the citizenship and immigration policies that guide the MassHealth and Health Connector programs for individuals younger than 65 and best practices to support applicants and members in completing an application – online or on paper.

Topics include citizens, noncitizens, immigration document types, coverage options, eligibility, identity proofing (IDP), and immigration resources.

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Health Connector Open Enrollment 2025 timeline, special considerations, available health and dental plans, and policy updates. MassHealth redetermination and renewal updates.

Topics include DACA status, online shopping tools, preliminary eligibility notices, failure to reconcile, mixed households, ConnectorCare, Qualified Health plans, unsubsidized, APTC, and Identity Proofing Documents (IDP).

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Overview of MassHealth disability evaluation process including MassHealth application process, determination of disability, MassHealth Continuing Disability Reviews (CDRs), Disability Evaluation Services (DES), Adult and Child Disability Supplements, and disability resources.

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Plan and provider changes coming January 2025, along with updates from the Office of Long-Term Services and Supports (OLTSS). Additional topics will be subordinate user maintenance, transportation, dental plan updates, provider revalidation automation tools, ACO, primary user and subordinate user roles, Virtual Gateway, Provider Online Service Center (POSC), provider revalidation automation, third party dental administrator vendor, transportation PT-1 and additional self-service tools for providers that are in development.

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New information on Medicare in 2025, new regulations due to the Inflation Reduction Act, important things to consider when choosing a plan(s), and the importance of reviewing your options during the Medicare Open Enrollment.

Topics include Enrollment Periods, Coverage Options, Medigap, Medicare Advantage, Prescription Drugs, Plan Finder, Prescription Payment Plan, Senior Medicare Patrol, My Ombudsman, Pharmacy Outreach Program, and Mass Options.

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MassHealth’s redetermination and renewal, MassHealth health plans, new MassHealth premium billing provider, MassHealth covered benefits, ACO hospital network, continuity of care period, plan selection and fixed enrollment period, health related social needs services, remote patient monitoring, non-emergent medical transport, and MBTA’s income-eligible reduced fare program.

Health Safety Net resweeps of procedure codes, August 2024 remittance advice corrections, DRG Inpatient rate pricing at zero, and special circumstance application information.

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Updates to the mass.gov website, multi-factor authentication, Provider Revalidation, Call Center Improvement Initiatives, Ordering, Referring and Prescribing (ORP) updates, MassHealth Robotics Processing Automation (RPA), Provider Revalidation Automation Pilot, sterilization form, provider bulletins, Long-Term Services and Supports Services (LTSS) Provider Directory, Non-LTSS provider training, and Virtual Gateway.

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Updates related to the Health Connector’s Redeterminations and Renewals, ConnectorCare Premium Hardship Waiver process, Employer Sponsored Insurance (ESI) Verification process, ESI verification notices, income verification forms, and system updates for the online application at MAhealthconnector.org.

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Latest updates and information related to MassHealth applicants and members including CommonHealth Plus Medicare Savings Program (MSP), new Hardship Waiver for a Period of Ineligibility, and system enhancement to the online ACA-3 application at MAhealthconnect.org.

Health Safety Net (HSN) billing and system updates which will include cybersecurity attack, Telehealth policy, HPV vaccine, Pharmacy remits, specific CPT code updates as well as resweeping past codes that may have processed at incorrectly.

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Learn about how to apply for long-term-care services for an applicant going to a nursing facility.  We will review the eligibility criteria, LTC intake application, LTC conversion, LTC supplement, Family Assistance expansion, LTC Renewal, real estate liens, estate recovery, best practices, how to complete the application and what to expect from MassHealth throughout the process.

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MassHealth updates on the 2023-2024 Redetermination Updates, Expansion of the Medicare Savings Program (formerly MassHealth Buy-In Program) effective 3/1/2024, 2024 Income Standards and Federal Poverty Guide, MassHealth Language Access Plan, citizenship, immigration, 2024 CAC recertification, and application tips.

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Upcoming Provider Online Service Center (POSC) security change, change Healthcare Incident Response, Virtual Gateway multifactor authentication, Long-Term Services and Supports Provider communications, Fee-for-Service (FFS) Providers & Accountable Care Organization (ACO) Primary Care Exclusivity, Ordering, Referring and Prescribing (ORP), and updates on Primary and Subordinate User Access. The session will also include a review of current trends in claim denials and ways to avoid them.

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Updates on MassHealth’s 2023-2024 renewal process and how regular renewals will take place on an ongoing basis.  Health Connector will discuss how to continue to support those transitioning from MassHealth or others in your community still in need of health coverage.

Topics include citizenship, immigration, MassHealth redeterminations, Health Connector Special Enrollment Period (SEP), zero cost medications, and ConnectorCare Card to Culture.

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Updates to new procedure codes, inpatient claims pricing at zero, partial deductible reporting, Health Safety Net (HSN) eligibility, Medical Hardship assistance, Bad Debt, OnBase system, and HSN resources.

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Introduction to Medicare Savings Program (MSP) – the programs and its income limits, how to apply, and benefits for members.

Topics include Medicare beneficiaries, Extra Help eligibility, LIS eligibility, best practices, application tips, MSP expansions, and resources.

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MassHealth Updates on MassHealth’s 2023-2024 Redetermination, the 2024 Cost of Living Adjustment (COLA), MassHealth Continuous Eligibility (CE) coverage, MassHealth health plans, ACO, MCO, MassHealth pregnant members, MassHealth doula services program, report changes to MassHealth, Medicare Savings Program (MSP), Qualified Medicare Beneficiary (QMB), and Supplemental Nutrition Assistance Program (SNAP).

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Updates on Member Eligibility Redetermination, Ordering, Referring and Prescribing Resumption of Claim Denials, Provider Online Service Center (POSC) Primary and Subordinate User Access, and other important provider related updates, MassHealth Transportation PT-1, Long-Term Services and Supports (LTSS) Provider communications, MassHealth Doula Provider Program, e-signatures, Children’s Behavioral Health Initiative CANS tool, provider education, and provider bulletins.

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MassHealth Continuous Eligibility (CE), End of Year Tax Filing, MAhealthconnector.org system updates, Health Connector Special Enrollment Period (SEP) rules, Health Connector consumer resources, APTCs, free tax assistance, tax resources, Inflation Reduction Action, pilot ConnectorCare expansion and Simple Sign-Up processes.

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Overview on some Health Safety Net (HSN) eligibility requirements and updates rartial deductible reporting, Fiscal Year closing 2021, Special Circumstance application, updated portal agreements, FY23 outpatient claim adjustments, populations exempt from collection action, 2023 HSN Procedure Code lists, and HSN resources.

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Learn about the immigration requirements for those applying for health care coverage using the Massachusetts Application for Health and Dental Coverage and Help Paying Costs or ACA-3 application. Review coverage options and eligibility criteria, key immigration terms, and best practices.

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SHINE will provide new Medicare and insurance options for 2024, Medicare enrollment periods, Medigap, Medicare Advantage plans, Medicare Plan Finder, LINET program, pharmacy outreach program, Medicare resources, prescription drug benefits resulting from the Inflation Reduction Act, Medicare Savings Plan and Extra Help, and news relevant to the 65+ population with MassHealth.

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MassHealth Updates on MyServices Portal, Fair Hearing form, CommonHealth for non-working individuals over 65, Permission to Share (PSI) form, revised ACA-3 application, revised SACA-2 application, and MassHealth Health Plans.

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Updates on Member Eligibility Redetermination, Ordering Referring and Prescribing Resumption of Claim Denials, a review of the MassHealth Coordinating Aligned, Relationship-centered, Enhanced Support (CARES) for Kids Program, resumption of PCC and primary care ACO referral requirements, Long-Term Services and Supports provider communications, primary user policy, Payment and Care Delivery (PCDI) updates, Robotic Processing Automation (RPA) policy and provider bulletins.

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Updates on interim payments, monovalent covid procedure code updates, HSN eligibility, inpatient claims pricing at zero, partial deductible reporting, INET portal agreements and FY21 ending.

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The Health Connector team will provide an update on Open Enrollment for plan year 2024, Health Connector redeterminations and renewals, Advance Premium Tax Credits (APTC), dental plans, shopping tools, ConnectorCare expansion, newly available Health Insurance plans, shopping considerations for your community as well as payment and enrollment reminders.

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The MA Treasurer’s Office of Economic Empowerment will discuss BabySteps and the recent expansion that partners with SNAP. The BabySteps Savings Plan provides every Massachusetts infant with a free $50 seed deposit into a MEFA U.Fund 529 account.

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MassHealth and the Health Connector are dedicated to improving data collection including demographic data. Data collection helps MassHealth, and the Health Connector make informed policy and operational decisions to provide equitable access to health coverage for members and tailor services to meet members’ needs.

Topics include reasons for collecting RELD and SOGI data, definitions of race, ethnicity, and language as well as sexual orientation, and gender identity, collecting demographic information, and health equity.

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Comprehensive overview of the MA Senior Medicare Patrol (SMP) Program mission. Additionally, members will gain a better appreciation for the role they can have in activating consumers to become better engaged in their healthcare by keeping a personal healthcare journal, “My Health Care Tracker,” and documenting all medical encounters. Through case scenarios members will understand how healthcare errors, fraud, and abuse impacts individuals. Healthcare errors, fraud and abuse cost American taxpayers billions of dollars annually and can have devastating health related outcomes. We can all have a role in protecting beneficiaries.

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Updates on Member Eligibility Redetermination, Ordering Referring and Prescribing Resumption of Claim Denials, a review of the updated Prior Approval policy, New Automated ORP Revalidation process, data collection forms, Long-Term Services and Supports Provider communications, COVID-19 policy updates, and MassHealth provider bulletins

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Overview of the MassHealth Premium Assistance program. We will discuss the application process, standards for qualification, and the enrollment process if Premium Assistance has confirmed that a member has access to qualifying employer sponsored insurance. We will also discuss the HIRD initiative and how it is used to assist MassHealth in identifying members who may qualify for the Premium Assistance program.

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MassHealth and the Health Connector updates related to the MassHealth Renewals process, Health Connector Redeterminations and Renewals and system updates for the online application at MAhealthconnector.org.

Topics include Request for Information (RFI), MassHealth Initial Disability Reviews (IDR), MassHealth Continuous Disability Reviews (CDR), Race, Ethnicity, and Language questions, Sexual Orientation and Gender Identity (SOGI) questions, RAC option, identity proofing.

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Updates on MassHealth’s 2023-2024 Redetermination Updates, Electronic Signature Guidelines, the new MyServices Portal, auto renewals, pharmacy copay suspension, and MassHealth Member Advisory Committee (MAC).

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Updates on new inpatient bad debt claim requirements, an update on certain inpatient claims pricing at $0.00, reimbursable telehealth services, INET portal agreements, information related to Health Safety Net interim payments and claim reconciliations, and FY21 closure date.

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Understand the policies that guide the MassHealth and Health Connector programs for individuals younger than 65 and best practices to support applicants and members complete an application – online or on paper.

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New information on how the Inflation Reduction Act lowered insulin and drug costs for Medicare beneficiaries, the increased eligibility for the MassHealth Buy-In programs, new special enrollment periods, SNAP medical deductions and more.

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MassHealth Updates include information and updates to MassHealth’s 2023-2024 Redetermination, MassHealth’s ACA-3 and SACA-2 applications, CAC Recertification, MassHealth flexibilities, 2023 Income Standards and Federal Poverty Guide, and more.

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MassHealth and the Health Connector updates related to the MassHealth Renewals process, Health Connector Special Enrollment Period for those losing access to MassHealth coverage and best practices for helping people maintain access to care.

Topics include member scenarios, Health Connector communications, MassHealth redeterminations, and Health Connector premium hardship waivers.

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The Health Safety Net (HSN) updates will focus on the OnBase application, interim payments, acute outpatient hospital resweep, 2023 procedure code updates and claim waiver requests.

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Updates on Payment and Care Delivery Innovation (PCDI), ACO plans for 2023, member eligibility redetermination, Ordering Referring and Prescribing (ORP) resumption of claim denials, behavioral health expansion including community service partners, new automated ORP revalidation process, along with updates from the Office of Long-Term Services and Supports (OLTSS).

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MassHealth selected 17 healthcare organizations to participate in the MassHealth ACO program. Identify MassHealth’s new health plan options starting on April 1, 2023, understand the types of messages members may receive about their health plan enrollment, and how members can find a health plan or providers.

Topics include Continuity of Care, community partners, Eligibility Verification System (EVS), MassHealthChoices.com, MassHealth PCACO, PCC plan, FFS Health Plan Directory tool, and resources.

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Continuous coverage requirements end on April 1, 2023, and MassHealth will return to their standard annual eligibility renewal processes. MassHealth will describe the 2023-2024 redetermination process, identify key timelines and step for member action, explain how members can find supporting resources in the community, identify awareness and support materials for members, partners and stakeholders.

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Learn about the senior renewals and how to help individuals 65 years of age or older or any individual seeking long-term-care services renew their health care benefits.

Topics include MassHealth auto-renewals, Renewal Application for Certain Seniors Living in the Community, Renewal Application for Health Coverage for Seniors and People Needing Long-Term-Care Services, MassHealth Long-Term-Care Eligibility Review form, reporting income change, member notices, MassHealth 2023-2024 Redetermination, and best practices.

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System Modernization and Payments – Discussing system modernization updates, timelines, medical hardship, populations exempt from collection action, billing intermediaries and companies, and interim payments.

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Review highlights related to the End of Year Tax Filing and MAhealthconnector.org system updates. Health Connector staff will also review Special Enrollment Period (SEP) rules, Simple Sign-Up processes. MassHealth will review MassHealth member eligibility redeterminations communications toolkit, MassHealth Adult Disability, MassHealth’s 1115 Demonstration Waiver, Family Glitch, APTCs, free tax assistance, tax resources, and SNAP.

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Updates on Payment and Care Delivery Innovation (PCDI) ACO plan updates for 2023, Behavioral Health Expansion updates, Claims Reminders, Revalidation including updated process for ORP Revalidation coming in 2023, MassHealth eligibility redeterminations, Long-Term Services and Supports (LTSS), Non-OLTSS provider revalidation, transportation update, POSC, payment error rate measurement, telehealth policy, and provider bulletins.

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MassHealth Updates will include information on MassHealth’s ongoing response to COVID-19, the 2023 Cost of Living Adjustment (COLA), updates on Medicare Savings Program Expansion (MSP), CAC Certification Assessment/Recertification, MassHealth member eligibility redeterminations, end of year tax filing process, MassHealth health plans, MassHealth PSI form, and SNAP.

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Learn about the MassHealth coverage types for seniors and people of any age who need long-term-care services. Understand the MassHealth health plans and programs for eligible seniors.

Topics include SACA-2 application, assets, One Care, Program of All-inclusive Care for the Elderly (PACE), Senior Care Options (SCO), MassHealth Personal Care Attendant (PCA) program, MassHealth Home and Community Base Service (HCBS) Waiver programs, and resources.

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The Health Connector team will provide an update on Open Enrollment process for plan year 2023, including information about available Health Insurance plans, shopping considerations, payment, special considerations, ConnectorCare, member communications, dental plans, shopping tools, and enrollment reminders.

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Updates on Health Safety Net (HSN) interim payments, remittance posting and schedules, medical hardship, Community Health Center services, presumptive eligibility, FY22 closing, billing intermediaries and companies, HSN software update, and HSN housekeeping items.

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MassHealth Updates will include information on MassHealth’s ongoing response to COVID-19, enhancements to MAhealthconnector.org, the new e-submission option for SACA-2 renewals, MassHealth Premium Hardship Waiver, Ukrainian Humanitarian Parolee, Haitian/Cuban entrants, health equity, and MassHealth resources.

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SHINE will provide new Medicare enrollment periods, lower drug cost provisions, changes in Medicare Advantage and Drug Plans for 2023, Medigap, Medicare Plan Finder, Mass Options, My Ombudsman, pharmacy outreach program, and Medicare resources.

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Updates on Behavioral Health updates, Updates to Developmental and Behavioral Health Screening Tools and Codes in Pediatric Primary Care, Office of Long-Term Services and Supports Updates, MassHealth Robotics Processing Automation (RPA) Policy, Telehealth, Payment and Care Delivery Innovation (PCDI) year 5, Payment Error Rate Measurement (PERM) RY23, and the Medicaid and Chip Managed Care Final Rule Updates. Additional provider related updates and resources.

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Learn who can use the Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) and the MassHealth Buy-In for people who are eligible for Medicare. Help individuals 65 years of age or older or any individual seeking long-term-care services apply for health care benefits.

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Are you worried about rising health care costs? What should you ask when buying health insurance? What are your rights? You will learn about ways to lower drug costs, avoid penalties, and about the federal and state programs that can help you or a friend pay for health insurance and prescriptions.

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MassHealth and the Health Connector updates related to the most recent system updates made to the online application at MAhealthconnector.org. In addition, the Health Connector will review its annual Redeterminations and Renewals process.

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MassHealth Updates will include information on MassHealth’s ongoing response to COVID-19, the latest updates to the ACA-3, and SACA-2 application, MassHealth retroactive eligibility, MassHealth Personal Care Attendant (PCA) program, MassHealth CommonHealth, Frail Elder Waiver, and MassHealth Standard.

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Health Safety Net (HSN) will be educating on and defining the Health Safety Net’s Role in healthcare delivery. Topics include types of HSN reimbursement, HSN services, FY20 closing, and HSN resources.

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Updates on Behavioral Health Expansion, claims reminders, telehealth, revalidation, transportation updates, Robotics Processing Automation (RPA), Medicaid and CHIP Managed Care Final Rule, POSC, Covid-19 flexibilities, Gender-Affirming Care for MassHealth members, and provider bulletins.

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MassHealth and the Health Connector will provide the most recent system updates made to the online application at MAhealthconnector.org.

Topics include reasonable compatibility update, citizenship and immigration option, and Health Connector auto-enrollment.

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Provider Services updates include Business Services and Supports (BSS) and the Provider Learning Management System, Office of Long-Term Services and Supports Updates, Provider Revalidation, COVID-19, Transportation Customer Web Portal (CWP) changes, telehealth, Provider Online Service Center (POSC), Eligibility Verification System (EVS), Payment Error Rate Measurement (PERM) RY2023, ORP status update, MCE Final Rule, and provider bulletins.

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MassHealth will provide updates on the ongoing response to COVID-19, the 2022 Income Standards and Federal Poverty Guideline, MassHealth’s Transportation (PT-1) program update, and more.

Health Safety Net will provide information related to the end of HRSA reimbursement for COVID-19 testing, treatment, and vaccination; HSN Special Circumstance overview; G2025 billing; CHC covered services; and the FY2020 closure date.

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EOHHS will provide an overview of the three integrated care programs and explaining the objectives of Integrated Care and how these programs integrate Medicaid and Medicare’s programming and financing.

SHINE will describe the SHINE Program, its mission, and the assistance available to help consumers understand their options and opportunities to change Medicare and MassHealth programs.

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Provider Services updates include Business Services and Supports (BSS), Office of Long-Term Services and Supports Updates, COVID-19, Provider Access Improvement Grant Program (PAIGP), Payment Error Rate Measurement (PERM) RY2023, ORP status update, Medicaid and CHIP Managed Care Final Rule, POSC, EVS, Urgent Care and Acupuncture services, and provider bulletins.

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MassHealth will provide updates on the ongoing response to COVID-19, end of year tax filing, system updates for MAhealthconnector.org, health plan updates, immigration, 2022 Social Security Cost of Living Adjustment (COLA), Medicare Savings Program Expansion: Phase 2, and MassHealth Customer Service.

Health Safety Net (HSN) will provide updates on code and billing:  New covered code list format, HSN hospital rate setting and general billing information.

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The Health Connector team will review closed enrollment rules, Special Enrollment Period (SEP), member responsibilities for end of year tax filing, free tax assistance resources and the new Health Connector “Simple Sign Up” checkbox available now on DOR’s Schedule HC.

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Updates on COVID-19, Office of Long-Term Services and Supports, Business Services and Supports (BSS), Provider Support Operational changes, Transhealth Service, Gender Affirming Care Coverage, Medicaid and CHIP Managed Care Final Rule, Payment Error Rate Measurement (PERM) RY2023, urgent care, acupuncture, and the introduction of two new provider types.

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Kinship Navigator is a program of the Commonwealth of Massachusetts that helps all kinship caregivers (grandparents and other relatives) access services for themselves and the children they are raising.

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The Office of Economic Empowerment will present an overview of the BabySteps Savings Plan Program. BabySteps is a program that provides an incentive for opening a savings account for post-secondary education or vocational training. The presentation will cover the ins and outs of CSA programs, significant geographical enrollment trends across Massachusetts, and the role healthcare providers can play in advocating for economic empowerment among their patients.

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This presentation will describe the SHINE Program, Open Enrollment and why it’s so important, Medicare changes or flexibilities starting January 2022, Medicare Advantage or drug plan options, the revised Medicare Plan Finder tool, and programs to help pay for Medicare.

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The Health Connector team will provide an update on Open Enrollment for plan year 2022, including information about available Health Insurance health and dental plans, shopping tools, payment, Health Connector renewals, special considerations, ConnectorCare and enrollment reminders.

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MassHealth Updates will include information on MassHealth’s ongoing response to COVID-19, Gender Affirming Care coverage & policies, Afghan immigrant evacuees, MassHealth Family Assistance, MassHealth health plans, and Health Equity for Data.

Health Safety Net will review the latest updates and information related to fiscal year closure, code updates, and more.

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Updates on COVID-19 Vaccine Updates, Office of Long-Term Services and Supports, Ordering, Referring and Prescribing (ORP), Medicaid and CHIP Managed Care Final Rule, urgent care, acupuncture, Operating, Supervising, and Attending Physician claim requirements, Cost Sharing/HIPAA Health Care Benefit Response Update, and provider bulletins

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Department of Housing and Community Development (DHCD) will provide an overview of the new Emergency Rental Assistance Program (ERAP), which leverages new federal funding for eligible low-income tenants who need financial assistance. The overview will also cover other resources available to renters and landlords as part of the Eviction Diversion Initiative (EDI).

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My Ombudsman will provide an overview of the program including information about who they serve, what they do, what kinds of problems can they help and how to contact them.

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The Health Connector will provide updates on the implementation of the American Rescue Plan, Health Connector redetermination and renewal process, special considerations, closed enrollment and special enrollment periods, and preview Open Enrollment 2022.

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MassHealth Updates will include information on MassHealth’s response to COVID-19, MassHealth renewals, MassHealth health plans, the latest updates to the ACA-3, and SACA-2 application, Compact of Free Association (COFA) migrants, and MassHealth cost sharing policy.

Health Safety Net (HSN) will provide the latest updates and information related to HSN’s response to COVID-19, HSN waiver requests, and billing intermediaries.

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MassHealth is making changes to limit the amount of cost sharing members pay. You will learn how MassHealth will calculate copays, new terms members should be familiar with, view new copay notices, and the new premium hardship waivers.

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Updates on COVID-19 Vaccine Updates, Office of Long-Term Services and Supports, Medicaid and CHIP Managed Care Final Rule, Payment and Care Delivery Innovation (PCDI) Year 4, Cost Sharing/HIPAA Health Care Benefit Response Update, Ordering, Referring and Prescribing (ORP), Mass Human Service Transportation Brokerage, MassHealth Provider Request for Transportation (PT-1), revalidation, acupuncture, and provider bulletins.

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MassHealth Updates will provide information on Covid-19, MassHealth Health Plans, MassHealth limited patients, MassHealth Income Standards and Federal Poverty Guide 2021, MassHealth cost sharing policy, Public Charge Rule change, and Estate Recovery.

Health Safety Net staff will provide updates on Covid-19 vaccine, HSN patients, and billing.

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The Health Connector will provide information on how the new American Rescue Plan will benefit Health Connector members.

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MassHealth will review updates on Covid-19, MassHealth’s cost sharing policy, Medicare Savings Program (MSP), ACA and SACA application, MassHealth renewals, IRS Economic Impact Payments for non-filers, Race, Ethnicity and Language (REaL) Initiative, Authorized Representative Designation (ARD), and Permission to Share Information (PSI).

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Updates on Notification of Birth, COVID-19 provider, Electronic Claims HIPAA file, Provider Online Service Center (POSC) Updates, Ordering, Referring and Prescribing (ORP), Payment and Care Delivery Innovation (PCDI) Year 4, Provider Access Improvement Grant Program (PAIGP) Update, interpreter services, 270/271 changes, acupuncture, and provider bulletins.

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SHINE will present on Medicare – recent cases and issue resolution, Medicare Advantage Open Enrollment, and new flexibilities. Also, will present “Concerned about Medicare Costs” chart, Medicare Savings Plan outreach materials in numerous languages and update on One Care.

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Health Safety Net updates will include COVID Vaccines, Claim Reprocessing including CHC Over/Under payments (scheduled for Jan 2021) and Price adjustment for certain family planning codes (scheduled by March 2021), System updates related to CHC Claim Pricing, Fiscal Year 20 Closing Reminder and HSN regulation update.

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Health Connector closed enrollment rules, extension of Open Enrollment, extension of Coronavirus Relief Funds, and member responsibilities for end of year tax filing will be reviewed.

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MassHealth will review updates to the notice of birth process, the 2021 Cost of Living Adjustment (COLA), Covid-19, end of year tax filing, One Care, and MassHealth Customer Service Center.

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The Department of Transitional Assistance will present a brief overview of the Supplemental Nutrition Assistance Program (SNAP), including information about how to become a SNAP Outreach partner.

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Updates on COVID-19, Payment and Care Delivery Innovation (PCDI) Year 4, Ordering, Referring and Prescribing (ORP), Electronic Claims HIPAA File, Provider Online Service Center (POSC), cost sharing, Notification of Birth (NOB), CMS flexibility, and provider bulletins.

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SHINE will present the program, Open Enrollment, Medicare Plan Finder and plan changes for 2021. We will talk about special enrollment periods and how to find a SHINE counselor or additional resources.

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Health Safety Net updates on our response to the COVID-19 public health emergency, hospital rate setting, regulation updates, 340B pharmacy changes, Shingles Vaccine Update, CHC reprocessing, and interim payment recoveries.

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The Health Connector will review Open Enrollment for the 2021 plan year, Health Connector renewals, ConnectorCare, Health Insurance plans plus shopping, payments and enrollment reminders.

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MassHealth will review updates on Covid-19, notice of birth process, Family Assistance covered service expansion, Home and Community Based Service Waiver (HCBS), Medicare Savings Program (MSP) for Home and Community Based Service Waiver (HCBS), MassHealth renewals, reporting income change, and IRS Economic Impact Payments for non-filers.

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SHINE will provide you with the ability to identify rules and regulations that were modified to allow better access to benefits, ways SHINE Program counselors have adapted and plan to counsel through fall Medicare Open Enrollment, specific partnerships that have benefitted consumers and challenges consumers still face.

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Health Safety Net updates on our response to the COVID-19 public health emergency, changes to certain CHC rates, and claims reprocessing efforts.

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The Health Connector will review updates on their Member Portal available through MAhealthconnector.org. In addition, we will review the Health Connector’s Redetermination and Renewals process for Open Enrollment 2021.

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Updates on COVID-19, Office of Long-Term Services and Supports (OLTSS), Ordering, Referring and Prescribing (ORP), cost sharing, HIPAA EDI File update – 270/271, CMS flexibility, and provider bulletins.

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MassHealth will review Covid-19 information, MassHealth self-attestation for eligibility, Hospital-Determined Presumptive Eligibility (HPE) extensions, long-term care, MassHealth hardship waiver, tools and resources.

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The Health Connector will review response to Covid-19 and Customer Service updates.

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Updates on MassHealth’s Covid-19 response, Hospital-Determined Presumptive Eligibility (HPE), Prior Authorizations (PA), Primary Care Clinician (PCC) Plan and Primary Care ACO Referrals, Office of Long-Term Services and Supports (OLTSS), and Telehealth Network Provider, home visits, pharmacy, and laboratory diagnostic services.

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Health Safety Net updates on our response to the COVID-19 public health emergency, interim payments, eligibility, billing updates and reminders.

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Mass Cultural Council ConnectorCare Card to Culture program features for ConnectorCare members.

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MassHealth and Health Connector staff will be providing updates on the new Automated Voter Registration Functionality and End of Year Tax Filing Process.

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Overview of the MassHealth Premium Assistance program. We will discuss the application process, standards for qualification, and the enrollment process if Premium Assistance has confirmed that a member has access to qualifying employer sponsored insurance. We will also discuss the HIRD initiative and how this relates to Premium Assistance and confirmed access moving forward.

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MassHealth Provider Services will provide updates on Payment & Care Delivery Innovation (PCDI), Ordering, Referring and Prescribing Requirements (ORP), Technical Refresh Phase II, an overview of Optum’s role for MassHealth’s Office of Long-Term Services and Support (OLTSS), and Provider Resources.

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Health Safety Net (HSN) will provide updates on carrier code and partial claim requirements, regulation changes, and FY18 closing.

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The Health Connector will review its closed enrollment rules and share details about ConnectorCare Card to Culture – a Partnership with Mass Cultural Council.

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MassHealth will provide updates on Medicare Savings Program Expansion (MSP), Reminder: CAC Certification Extension Assessment/Recertification, the Flex Services Program (FSP) and MassHealth Health Plans.

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