Incorrect Payments for 90-Day Supply of CPAP Codes on Crossover Claims
December 9, 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 system updates to ensure alignment with Medicare’s provision permitting supplies to be provided up to 10 days prior to the expected end of the current supply. The impacted crossover claims have been adjusted and will appear on a subsequent remittance advice.
If you have questions regarding this message, please contact the LTSS Provider Service Center at (844) 368-5184 or support@masshealthltss.com.