The document titled “Hospice Billing Tips for Room and Board Charges When a Member is in a Long-Term Care Facility” has been updated. See the updated document at https://tinyurl.com/52kcthut for… Continue Reading Updated Hospice Billing Tips for Room and Board Charges When a Member is in a Long-Term Care Facility
The home health agency Member Connection Form has been updated and is available at https://tinyurl.com/mphxpk87. Please view the form for guidance, including instructions for home health providers. If you have… Continue Reading Updated Home Health Agency Member Connection Form
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, February 2, 2025, from 4:00PM to… Continue Reading MMIS System Outage Notice – Sunday, February 2
MassHealth has completed the rate updates for the January 1, 2025, quarterly drug codes. The impacted claims will be reprocessed and/or adjusted and will appear on a future remittance advice.… Continue Reading Update for Quarterly Drug Code Rates Effective January 1, 2025
Medicare recently notified MassHealth that it will be adjusting certain End Stage Renal Disease (ESRD) claims for members in Medicare’s ESRD Treatment Choice Model. The adjustments start on January 20,… Continue Reading End Stage Renal Disease and Medicare Claim Adjustments
The Executive Office of Health and Human Services (EOHHS) Virtual Gateway (VG) is removing the Legacy Login option to access MassHealth systems on February 23, 2025. MassHealth is requiring all… Continue Reading Updated: Virtual Gateway Multi-Factor (VG) Authentication (MFA) Legacy Login Will Be Removed February 23, 2025
In 2023, MassHealth issued Home Health Agency Bulletin 87, which provides guidance for providing home health services via telehealth. Bulletin 87 also recognized telehealth face-to-face encounters as conforming face-to-face encounters… Continue Reading Continuation of Telehealth for Face-to-Face Visits and Certain Home Health Services After December 31, 2024
In accordance with Section 24 of Chapter 197 of the Acts of 2024 (the Long Term Care [LTC] Act), found at https://tinyurl.com/45rd4n99, payers are required to approved or deny, within… Continue Reading Implementation of Section 24 of Chapter 197 of the Acts of 2024 for Members Accessing Post-Acute Home Health 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)
