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.
To allow for system maintenance, the MMIS POSC, Provider Portal, HTS transactions, internal MMIS application, EVS and all eligibility services will be unavailable on Sunday, January 5, 2025, from 4:00PM –… Continue Reading MMIS System Outage Notice – Sunday, 1/5/25
The Centers for Medicare & Medicaid Services (CMS) have published the HCPCS codes for July 2024. MassHealth has revised the rate for procedure code E2298 and its applicable modifiers to… Continue Reading Adjustment and Reprocessing of Claims for Procedure Code E2298
The Enrollment and Payment Deadline for Health Connector Coverage that Starts on January 1st is Monday, December 23rd. If members have questions about their January 1st enrollment, need help reporting… Continue Reading Health Connector Enrollment and Payment Deadline Approaching
Background Starting November 1, people who are in the Deferred Action for Childhood Arrivals (DACA) program became eligible for Affordable Care Act coverage through the Health Connector. These individuals are… Continue Reading Health Connector Coverage for DACA Recipients Update
MassHealth has identified an issue that resulted in payments for the claims that were incorrectly billed to the MassHealth Fee-For-Service program despite member enrollment in the Massachusetts Behavioral Health Partnership… Continue Reading Reprocessing of Claims Submitted with HCPCS Code S9485
On May 19, 2024, the Executive Office of Health and Human Services (EOHHS) Virtual Gateway (VG) implemented Multi-Factor Authentication (MFA). At that time, the VG enabled a Legacy option to… Continue Reading Virtual Gateway (VG) Multifactor Authentication (MFA) Legacy Login Will Be Removed in February 2025
MassHealth has updated the prior authorization (PA) age restriction for CPT codes 96380 and 96381 effective January 1, 2024. The impacted claims will be reprocessed and/or adjusted and will appear… Continue Reading PA Requirement Update for CPT Codes 96380 and 96381 Effective January 1, 2024
MassHealth has identified a pricing issue affecting Medicare crossover claims that are billed with the CPAP procedure codes (A7031, A7032, A7033, A7038) for a 90-day period. MassHealth has implemented MMIS… Continue Reading Incorrect Payments for 90-Day Supply of CPAP Codes on Crossover Claims
The Health Connector has newly updated promotional materials, online shopping tools and downloadable member resources – in more languages – to help people make decisions about their health insurance coverage… Continue Reading Open Enrollment Promotion, Health Connector Shopping Tools and Member Resources
MassHealth will migrate its Medicaid Management Information System (MMIS) and Provider Online Service Center (POSC) to an Amazon Web Services (AWS) data center Friday afternoon 12/6/2024 through Monday morning 12/9/2024.… Continue Reading Updated: MassHealth MMIS POSC AWS Migration – Claim Submission and Processing Changes
