Adjustment of Claims Reporting Casualty Payer Adjudication Information

MassHealth identified an issue with the distribution of casualty payer paid amounts to the appropriate claim detail lines. MMIS system updates were implemented on 6/9/24 to correct the issue. The adjusted casualty payer claims include dates of service from August 2021 through June 2024 and will appear on subsequent remittance advices. Please note MassHealth will continue adjudicating claims reporting casualty payers in accordance with MassHealth TPL requirements.

As a reminder, providers must report the casualty payer adjudication information (payment or exhausted) at the claim header level only and should not repeat this information at the service detail line level.

If you have questions regarding this message, please contact MassHealth at provider@masshealthquestions.com or (800) 841-2900. LTSS providers should contact the LTSS Provider Service Center at (844) 368-5184 or support@masshealthltss.com.