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
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
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
The Executive Office of Health and Human Services (EOHHS) is holding a public hearing on the proposed amendments to 101 CMR 339.00: Rates for Restorative Services. If you wish, you… Continue Reading Notice of Public Hearing for 101 CMR 339:00: Rates for Restorative Services
MassHealth will migrate its Medicaid Management Information System (MMIS) base application and Provider Online Service Center (POSC) to an Amazon Web Services (AWS) data center in early December. The migration… Continue Reading MassHealth MMIS POSC AWS Migration
This message serves as a reminder to providers about the standard RMRP process. In accordance with 130 CMR 450.316(A)(6) and 130 CMR 450.316(F), RMRP will recover MassHealth claim payments for… Continue Reading Retroactive Medicare Recovery Project (RMRP)
