Resource Library

Understand the citizenship and immigration policies that guide the MassHealth and Health Connector programs for individuals younger than 65 and best practices to support applicants and members in completing an application – online or on paper.  This session will review scenarios and the application.

Topics: citizens, noncitizens, immigration document types, coverage options, eligibility, identity proofing (IDP), immigration resources

Understanding Immigration Requirements and Application Completion for Health Insurance Coverage in Massachusetts: Part 2 presentation transcription.

In September of 2022, the Centers for Medicare & Medicaid Services (CMS) approved MassHealth’s 1115 demonstration waiver renewal, which included re-authorization of and changes to both Flexible Services Program (FSP) and Specialized Community Supports Program (CSP) for Accountable Care Organization (ACO) Enrollees only.

As approved in this waiver FSP will be ending on 12/31/2024. As of January 2025, there will be two categories of services that address HRSNs (i.e., HRSN Services) for ACO Enrollees – Required Services and Supplemental Services. HRSN Required Services must be offered and provided to any eligible ACO Enrollee. HRSN Supplemental Services are chosen by the ACO. The ACO must then offer and provide such services to any eligible ACO Enrollee.

Learn about current and future state Housing and Nutrition Services, member eligibility, and changes that impact members.

List of frequently used acronyms in MTF quarterly presentations. This document is updated following each MTF quarterly session.

Medicare in 2025 presentation transcription.

Medicare in 2025 presentation recording.

MassHealth and Health Safety Net Updates presentation transcription.

MassHealth and Health Safety Net Updates presentation recording.

MA Health Care Learning Series presentation recording.

Health Connector Open Enrollment 2025 timeline, special considerations, available health and dental plans, and policy updates. MassHealth redetermination and renewal updates.

Topics: DACA status, online shopping tools, preliminary eligibility notices, failure to reconcile, mixed households, ConnectorCare, Qualified Health plans, unsubsidized, APTC, Identity Proofing Documents (IDP)

MA Health Care Learning Series presentation transcription.

Health Safety Net question answered following the live presentation.

Overview of MassHealth disability evaluation process.

Topics: MassHealth application process, determination of disability, MassHealth Continuing Disability Reviews (CDRs), Disability Evaluation Services (DES), Adult and Child Disability Supplements, disability resources

Plan and provider changes coming January 2025, along with updates from the Office of Long-Term Services and Supports (OLTSS). Additional topics will be subordinate user maintenance, transportation, dental plan updates, provider revalidation automation tools, and additional self-service tools for providers that are in development.

Topics: ACO, primary user and subordinate user roles, Virtual Gateway, Provider Online Service Center (POSC), provider revalidation automation, third party dental administrator vendor, transportation PT-1

New information on Medicare in 2025, new regulations due to the Inflation Reduction Act, important things to consider when choosing a plan(s), and the importance of reviewing your options during the Medicare Open Enrollment.

Topics:  Enrollment Periods, Coverage Options, Medigap, Medicare Advantage, Prescription Drugs, Plan Finder, Prescription Payment Plan, Senior Medicare Patrol, My Ombudsman, Pharmacy Outreach Program, Mass Options

MassHealth’s redetermination and renewal, MassHealth health plans, new MassHealth premium billing provider, and MassHealth covered benefits. Health Safety Net resweeps of procedure codes, August 2024 remittance advice corrections, DRG Inpatient rate pricing at zero, and special circumstance application information.

Topics: ACO hospital network, continuity of care period, plan selection and fixed enrollment period, health related social needs services, remote patient monitoring, non-emergent medical transport, MBTA’s income-eligible reduced fare program

Updates to the mass.gov website, multi-factor authentication, Provider Revalidation, Call Center Improvement Initiatives, Ordering, Referring and Prescribing (ORP) updates, and other vital provider-related resources and updates.

Topics: MassHealth Robotics Processing Automation (RPA), Provider Revalidation Automation Pilot, sterilization form, provider bulletins, Long-Term Services and Supports Services (LTSS) Provider Directory, Non-LTSS provider training, Virtual Gateway

MA Health Care Learning Series presentation transcription.

Updates related to the Health Connector’s Redeterminations and Renewals and system updates for the online application at MAhealthconnector.org.

Topics: ConnectorCare Premium Hardship Waiver process, Employer Sponsored Insurance (ESI) Verification process, ESI verification notices, income verification forms

Health Safety Net and MassHealth Updates presentation trasncription.

Latest updates and information related to MassHealth applicants and members including system enhancement to the online ACA-3 application at MAhealthconnect.org.  Health Safety Net (HSN) billing and system updates which will include specific CPT code updates as well as resweeping past codes that may have processed at incorrectly.

Topics: cybersecurity attack, Telehealth policy, HPV vaccine, Pharmacy remits, CommonHealth Plus Medicare Savings Program (MSP), new Hardship Waiver for a Period of Ineligibility

MA Health Care Learning Series presentation recording.

Health Safety Net and MassHealth Updates presentation recording.

Learn about how to apply for long-term-care services for an applicant going to a nursing facility.  We will review the eligibility criteria, how to complete the application and what to expect from MassHealth throughout the process.

Topics: eligibility criteria, LTC intake application, LTC conversion, LTC supplement, Family Assistance expansion, LTC Renewal, real estate liens, estate recovery, best practices

Going to a Nursing Facility? How to Apply for Long-Term-Care presentation recording.

Going to a Nursing Facility? How to Apply for Long-Term-Care questions answered following the live presentation.

Going to a Nursing Facility? How to Apply for Long-Term-Care presentation transcription

MA Health Care Learning Series presentation recording.

Health Safety Net Updates presentation recording.

MassHealth Updates presentation recording.

MassHealth updates on the 2023-2024 Redetermination Updates, Expansion of the Medicare Savings Program (formerly MassHealth Buy-In Program) effective 3/1/2024, and others.

Topics: 2024 Income Standards and Federal Poverty Guide, MassHealth Language Access Plan, citizenship, immigration, 2024 CAC recertification, application tips

Upcoming Provider Online Service Center (POSC) security change, and updates on Primary and Subordinate User Access. The session will also include a review of current trends in claim denials and ways to avoid them along with other important provider related updates and resources.

Topics: Change Healthcare Incident Response, Virtual Gateway multifactor authentication, Long-Term Services and Supports Provider communications, Fee-for-Service (FFS) Providers & Accountable Care Organization (ACO) Primary Care Exclusivity, Ordering, Referring and Prescribing (ORP), provider bulletins

Updates on MassHealth’s 2023-2024 renewal process and how regular renewals will take place on an ongoing basis.  Health Connector will discuss how to continue to support those transitioning from MassHealth or others in your community still in need of health coverage.

Topics: citizenship, immigration, MassHealth redeterminations, Health Connector Special Enrollment Period (SEP), zero cost medications, ConnectorCare Card to Culture

Updates to new procedure codes and pricing as well as a timeline for the transitioning to the new billing system.

Topics: inpatient claims pricing at zero, partial deductible reporting, Health Safety Net (HSN) eligibility, Medical Hardship assistance, bad debt, OnBase system, HSN resources

MassHealth Continuous Eligibility Coverage questions answered following the live MassHealth Updates presentation.

Introduction to Medicare Savings Program (MSP) – the programs and its income limits, how to apply, and benefits for members.

Topics: Medicare beneficiaries, Extra Help eligibility, LIS eligibility, best practices, application tips, MSP expansions, resources

Understanding Medicare Savings Program presentation recording.

Understanding Medicare Savings Program (MSP) presentation transcription.

MA Health Care Learning Series questions answered following the live presentation.

Topics: Medicare, employer insurance, data checks, MassHealth Continuous Eligibility (CE) coverage

Health Safety Net Updates presentation recording.

MA Health Care Learning Series presentation recording.

MassHealth Updates presentation recording.

MassHealth Updates on MassHealth’s 2023-2024 Redetermination, the 2024 Cost of Living Adjustment (COLA), and more.

Topics: MassHealth Continuous Eligibility (CE) coverage, MassHealth health plans, ACO, MCO, MassHealth pregnant members, MassHealth doula services program, report changes to MassHealth, Medicare Savings Program (MSP), Qualified Medicare Beneficiary (QMB), Supplemental Nutrition Assistance Program (SNAP)

Updates on Member Eligibility Redetermination, Important updates on Ordering, Referring and Prescribing Resumption of Claim Denials, Provider Online Service Center (POSC) Primary and Subordinate User Access, and other important provider related updates and resources.

Topics: MassHealth Transportation PT-1, Long-Term Services and Supports (LTSS) Provider communications, MassHealth Doula Provider Program, e-signatures, Childrens Behavioral Health Initiative CANS tool, provider education, provider bulletins

Review highlights related to the End of Year Tax Filing and MAhealthconnector.org system updates. Health Connector staff will also review Special Enrollment Period (SEP) rules and Simple Sign-Up processes.

Topics: MassHealth Continuous Eligibility (CE), Health Connector consumer resources, APTCs, free tax assistance, tax resources, Inflation Reduction Action, pilot ConnectorCare expansion

Overview on some HSN Eligibility Requirements and updates on claim processing.

Topics: Partial deductible reporting, Fiscal Year closing 2021, Special Circumstance application, updated portal agreements, FY23 outpatient claim adjustments, populations exempt from collection action, 2023 HSN Procedure Code lists, HSN resources

Understanding Immigration Requirements and Application Completion for Health Insurance Coverage in Massachusetts: Part 1 presentation recording.

Understanding Immigration Requirements and Application Completion for Health Insurance Coverage in Massachusetts: Part 1 presentation transcription.

Learn about the immigration requirements for those applying for health care coverage using the Massachusetts Application for Health and Dental Coverage and Help Paying Costs or ACA-3 application. Review coverage options and eligibility criteria, key immigration terms, and best practices.

Topics: citizens, noncitizens, application completion best practices, immigration resources

BabySteps Savings Plan Program presentation recording.

What’s New in the Medicare World in 2024? presentation recording.

Health Safety Net Updates presentation recording.

Health Connector Open Enrollment 2024 presentation recording.

MassHealth Updates presentation recording.

SHINE will provide new Medicare and insurance options for 2024, prescription drug benefits resulting from the Inflation Reduction Act, Medicare Savings Plan and Extra Help, and news relevant to the 65+ population with MassHealth.

Topics: Medicare enrollment periods, Medigap, Medicare Advantage plans, Medicare Plan Finder, LINET program, pharmacy outreach program, Medicare resources

MassHealth Updates on the latest operational and program updates.

Topics: MyServices Portal, Fair Hearing form, CommonHealth for non-working individuals over 65, Permission to Share (PSI) form, revised ACA-3 application, revised SACA-2 application, MassHealth Health Plans

Updates on Member Eligibility Redetermination, Important updates on Ordering Referring and Prescribing Resumption of Claim Denials, a review of the MassHealth Coordinating Aligned, Relationship-centered, Enhanced Support (CARES) for Kids Program, and an update on the Robotic Processing Automation (RPA) policy.

Topics: resumption of PCC and primary care ACO referral requirements, Long-Term Services and Supports provider communications, primary user policy, Payment and Care Delivery (PCDI) updates, MassHealth provider bulletins

Updates on interim payments, monovalent covid procedure code updates, HSN eligibility, and FY21 ending.

Topics: inpatient claims pricing at zero, partial deductible reporting, INET portal agreements

The Health Connector team will provide an update on Open Enrollment for plan year 2024. This presentation will include information about the ConnectorCare expansion, newly available Health Insurance plans, shopping considerations for your community as well as payment and enrollment reminders.

Topics: Health Connector redeterminations and renewals, Advance Premium Tax Credits (APTC), dental plans, shopping tools, resources

The MA Treasurer’s Office of Economic Empowerment will discuss BabySteps and the recent expansion that partners with SNAP. The BabySteps Savings Plan provides every Massachusetts infant with a free $50 seed deposit into a MEFA U.Fund 529 account.

Collecting Race, Ethnicity, Language, Disability, Sexual Orientation, and Gender Identity Data (RELD and SOGI Data) presentation recording.

MassHealth and the Health Connector are dedicated to improving data collection including demographic data. Data collection helps MassHealth, and the Health Connector make informed policy and operational decisions to provide equitable access to health coverage for members and tailor services to meet members’ needs.

Topics: reasons for collecting RELD and SOGI data, definitions of race, ethnicity, and language as well as sexual orientation, and gender identity, collecting demographic information, health equity

Comprehensive overview of the MA SMP Program mission to MTF members. Additionally, members will gain a better appreciation for the role they can have in activating consumers to become better engaged in their healthcare by keeping a personal healthcare journal, “My Health Care Tracker,” and documenting all medical encounters. Through case scenarios members will understand how healthcare errors, fraud, and abuse impacts individuals. Healthcare errors, fraud and abuse cost American taxpayers billions of dollars annually and can have devastating health related outcomes. We can all have a role in protecting beneficiaries.

Protecting Beneficiaries from Becoming Victims of Healthcare Errors, Fraud and Abuse presentation recording.

Updates on Member Eligibility Redetermination, Ordering Referring and Prescribing Resumption of Claim Denials, a review of the updated Prior Approval policy, New Automated ORP Revalidation process, and other important provider related updates and resources.

Topics: data collection forms, Long-Term Services and Supports Provider communications, COVID-19 policy updates, MassHealth provider bulletins

Overview of the MassHealth Premium Assistance program. We will discuss the application process, standards for qualification, and the enrollment process if Premium Assistance has confirmed that a member has access to qualifying employer sponsored insurance. We will also discuss the HIRD initiative and how it is used to assist MassHealth in identifying members who may qualify for the Premium Assistance program.

MassHealth Premium Assistance Program presentation recording.

MassHealth and the Health Connector updates related to the MassHealth Renewals process, Health Connector Redeterminations and Renewals and system updates for the online application at MAhealthconnector.org.

Topics: Request for Information (RFI), MassHealth Initial Disability Reviews (IDR), MassHealth Continuous Disability Reviews (CDR), Race, Ethnicity, and Language questions, Sexual Orientation and Gender Identity (SOGI) questions, RAC option, identity proofing

MA Health Care Learning Series presentation recording.

Updates on MassHealth’s 2023-2024 Redetermination Updates, Electronic Signature Guidelines, the new MyServices Portal, and more.

Topics: MassHealth auto renewals, pharmacy copay suspension, MassHealth Member Advisory Committee (MAC)

MassHealth Updates presentation recording.

Health Safety Net Updates presentation recording.

Updates on new inpatient bad debt claim requirements, an update on certain inpatient claims pricing at $0.00, information related to Health Safety Net interim payments and claim reconciliations, and FY21 closure date.

Topics: reimbursable telehealth services, INET portal agreements, HSN resources

Understand the policies that guide the MassHealth and Health Connector programs for individuals younger than 65 and best practices to support applicants and members complete an application – online or on paper.

Topics: MassHeath eligibility, Health Connector eligibility, MassHealth programs, Health Connector plans, application best practices

Learn How to Apply for Help Paying for Health and Dental Coverage in Massachusetts presentation recording.

New information on how the Inflation Reduction Act lowered insulin and drug costs for Medicare beneficiaries, the increased eligibility for the MassHealth Buy-In programs, new special enrollment periods, SNAP medical deductions and more.

Changes in the Medicare World in 2023 presentation recording.

MassHealth Updates presentation recording.

Health Safety Net Updates presentation recording.

MA Health Care Learning Series presentation recording.

MassHealth Updates include information and updates to MassHealth’s 2023-2024 Redetermination, MassHealth’s ACA-3 and SACA-2 applications, CAC Recertification, and more.

Topics: MassHealth flexibilities, 2023 Income Standards and Federal Poverty Guide

MassHealth and the Health Connector updates related to the MassHealth Renewals process, Health Connector Special Enrollment Period for those losing access to MassHealth coverage and best practices for helping people maintain access to care.

Topics: member scenarios, Health Connector communications, MassHealth redeterminations, Health Connector premium hardship waivers

The Health Safety Net (HSN) updates will focus on the OnBase application; 2023 procedure code updates and claim waiver requests.

Topics: interim payments, acute outpatient hospital resweep, HSN resources

MassHealth Health Plan Updates: Relaunch of ACO programs presentation recording.

MassHealth selected 17 healthcare organizations to participate in the MassHealth ACO program. Identify MassHealth’s new health plan options starting on April 1, 2023, understand the types of messages members may receive about their health plan enrollment, and how members can find a health plan or providers.

Topics: Continuity of Care, community partners, Eligibility Verification System (EVS), MassHealthChoices.com, MassHealth PCACO, PCC plan, FFS Health Plan Directory tool, resources

MassHealth 2023-2024 Member Eligibility Redetermination and Renewals Update presentation recording.

MassHealth 2023-2024 Member Eligibility Redetermination and Renewals Update questions answered following the live presentation.

Continuous coverage requirements end on April 1, 2023, and MassHealth will return to their standard annual eligibility renewal processes. MassHealth will describe the 2023-2024 redetermination process, identify key timelines and step for member action, explain how members can find supporting resources in the community, identify awareness and support materials for members, partners and stakeholders.

MassHealth for Seniors and Individuals Seeking Long-Term-Care Services Part 3: Renewal presentation recording.

Learn about the senior renewals and how to help individuals 65 years of age or older or any individual seeking long-term-care services renew their health care benefits.

Topics: MassHealth auto-renewals, Renewal Application for Certain Seniors Living in the Community, Renewal Application for Health Coverage for Seniors and People Needing Long-Term-Care Services, MassHealth Long-Term-Care Eligibility Review form, reporting income change, member notices, MassHealth 2023-2024 Redetermination, best practices

System Modernization and Payments – Discussing system modernization updates, timelines, and interim payments.

Topics: medical hardship, populations exempt from collection action, billing intermediaries and companies, HSN resources

Review highlights related to the End of Year Tax Filing and MAhealthconnector.org system updates. Health Connector staff will also review Special Enrollment Period (SEP) rules and Simple Sign-Up processes.

Topics: MassHealth member eligibility redeterminations communications toolkit, MassHealth Adult Disability, MassHealth’s 1115 Demonstration Waiver, Family Glitch, APTCs, free tax assistance, tax resources, SNAP

Updates on Payment and Care Delivery Innovation (PCDI) ACO plan updates for 2023, Behavioral Health Expansion updates, Claims Reminders, Revalidation including updated process for ORP Revalidation coming in 2023, and other provider related updates and resources.

Topics: MassHealth eligibility redeterminations, Long-Term Services and Supports (LTSS), Non-OLTSS provider revalidation, transportation update, POSC, payment error rate measurement, telehealth policy, provider bulletins

MassHealth Updates will include information on MassHealth’s ongoing response to COVID-19, the 2023 Cost of Living Adjustment (COLA), updates on Medicare Savings Program Expansion (MSP), CAC Certification Assessment/Recertification, and more.

Topics: MassHealth member eligibility redeterminations, end of year tax filing process, MassHealth health plans, MassHealth PSI form, SNAP

MA Health Care Learning Series presentation recording.

Health Safety Net Updates presentation recording.

MassHealth Updates presentation recording.

MassHealth for Seniors and Individuals Seeking Long-Term-Care Services Part 2 presentation recording.

Learn about the MassHealth coverage types for seniors and people of any age who need long-term-care services. Understand the MassHealth health plans and programs for eligible seniors.

Topics: SACA-2 application, assets, One Care, Program of All-inclusive Care for the Elderly (PACE), Senior Care Options (SCO), MassHealth Personal Care Attendant (PCA) program, MassHealth Home and Community Base Service (HCBS) Waiver programs, resources

Health Connector questions answered following the live presentation.

Health Safety Net questions answered following the live presentation.

The Health Connector team will provide an update on Open Enrollment process for plan year 2023, including information about available Health Insurance plans, shopping considerations, payment, and enrollment reminders.

Topics: special considerations, ConnectorCare, member communications, dental plans, shopping tools, resources

Updates on Health Safety Net (HSN) interim payments, HSN software update, and HSN housekeeping items.

Topics: remittance posting and schedules, medical hardship, Community Health Center services, presumptive eligibility, FY22 closing, billing intermediaries and companies

MassHealth Updates will include information on MassHealth’s ongoing response to COVID-19, enhancements to MAhealthconnector.org, the new e-submission option for SACA-2 renewals, and more.

Topics: MassHealth Premium Hardship Waiver, Ukrainian Humanitarian Parolee, Haitian/Cuban entrants, health equity, MassHealth resources

SHINE will provide new Medicare enrollment periods, lower drug cost provisions, and changes in Medicare Advantage and Drug Plans for 2023.

Topics: Medigap, Medicare Plan Finder, Mass Options, My Ombudsman, pharmacy outreach program, Medicare resources

Updates on Behavioral Health updates, Updates to Developmental and Behavioral Health Screening Tools and Codes in Pediatric Primary Care, Office of Long-Term Services and Supports Updates, MassHealth Robotics Processing Automation (RPA) Policy, Telehealth, Payment and Care Delivery Innovation (PCDI) year 5, Payment Error Rate Measurement (PERM) RY23, and the Medicaid and Chip Managed Care Final Rule Updates. Additional provider related updates and resources.

Medicare Open Enrollment 2022: What You need to Know presentation recording.

Health Safety Net Updates presentation recording.

Health Connector Updates presentation recording.

MassHealth Updates presentation recording.

MassHealth for Seniors and Individuals Seeking Long-Term-Care Services Part 1 presentation recording.

Learn who can use the Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) and the MassHealth Buy-In for people who are eligible for Medicare. Help individuals 65 years of age or older or any individual seeking long-term-care services apply for health care benefits.

Topics: eligibility requirements, complete SACA-2 application, required documents, best practices

Cost-Savings Strategies for Medicare Beneficiaries questions answered following the live presentation.

Introduction to Health Safety Net and Related Matters questions answered following the live presentation.

Are you worried about rising health care costs? What should you ask when buying health insurance? What are your rights? You will learn about ways to lower drug costs, avoid penalties, and about the federal and state programs that can help you or a friend pay for health insurance and prescriptions.

MassHealth and the Health Connector updates related to the most recent system updates made to the online application at MAhealthconnector.org. In addition, the Health Connector will review its annual Redeterminations and Renewals process.

MassHealth Updates will include information on MassHealth’s ongoing response to COVID-19, the latest updates to the ACA-3, and SACA-2 application, MassHealth retroactive eligibility, and more.

Topics: MassHealth Personal Care Attendant (PCA) program, MassHealth CommonHealth, Frail Elder Waiver, MassHealth Standard

Health Safety Net (HSN) will be educating on and defining the Health Safety Net’s Role in healthcare delivery.

Topics: types of HSN reimbursement, HSN services, FY20 closing, HSN resources

Updates on Behavioral Health Expansion, claims reminders, telehealth, revalidation and other provider related updates and resources will also be discussed.

Topics: transportation updates, Robotics Processing Automation (RPA), Medicaid and CHIP Managed Care Final Rule, POSC, Covid-19 flexibilities, Gender-Affirming Care for MassHealth members, provider bulletins

Cost-Savings Strategies for Medicare Beneficiaries presentation recording.

MA Health Care Learning Series presentation recording.

Introduction to Health Safety Net and Related Matters presentation recording.

MassHealth Updates presentation recording.

MassHealth and the Health Connector will provide the most recent system updates made to the online application at MAhealthconnector.org.

Topics: reasonable compatibility update, citizenship and immigration option, Health Connector auto-enrollment

Provider Services updates include Business Services and Supports (BSS) and the Provider Learning Management System, Office of Long-Term Services and Supports Updates, Provider Revalidation, COVID-19, Transportation Customer Web Portal (CWP) changes, and additional provider related updates and resources.

Topics: telehealth, Provider Online Service Center (POSC), Eligibility Verification System (EVS), Payment Error Rate Measurement (PERM) RY2023, ORP status update, MCE Final Rule, provider bulletins

MassHealth will provide updates on the ongoing response to COVID-19, the 2022 Income Standards and Federal Poverty Guideline, MassHealth’s Transportation (PT-1) program update, and more.

Health Safety Net will provide information related to the end of HRSA reimbursement for COVID-19 testing, treatment, and vaccination; HSN Special Circumstance overview; G2025 billing; CHC covered services; and the FY2020 closure date.

MassHealth and Health Safety Net Updates presentation recording.

MA Health Care Learning Series presentation recording.

EOHHS will provide an overview of the three integrated care programs and explaining the objectives of Integrated Care and how these programs integrate Medicaid and Medicare’s programming and financing.

SHINE will describe the SHINE Program, its mission, and the assistance available to help consumers understand their options and opportunities to change Medicare and MassHealth programs.

Integrated Care Overview: One Care, PACE, and SCO / SHINE Assistance to Compare Options presentation recording.

Provider Services updates include Business Services and Supports (BSS), Office of Long-Term Services and Supports Updates, COVID-19, Urgent Care and Acupuncture services.

Topics: Provider Access Improvement Grant Program (PAIGP), Payment Error Rate Measurement (PERM) RY2023, ORP status update, Medicaid and CHIP Managed Care Final Rule, POSC, EVS, provider bulletins

MassHealth will provide updates on the ongoing response to COVID-19, end of year tax filing, system updates for MAhealthconnector.org, health plan updates, and more.

Health Safety Net (HSN)will provide updates on code and billing:  New covered code list format and general billing information.

Topics: HSN hospital rate setting, immigration, 2022 Social Security Cost of Living Adjustment (COLA), Medicare Savings Program Expansion: Phase 2, MassHealth Customer Service

MassHealth and Health Safety Net Updates presentation recording.

The Health Connector team will review closed enrollment rules, processes, and member responsibilities for end of year tax filing and the new Health Connector “Simple Sign Up” checkbox available now on DOR’s Schedule HC.

Topics: Special Enrollment Period (SEP), free tax assistance resources

Health Connector Updates presentation recording.

Updates on COVID-19, Office of Long-Term Services and Supports, Business Services and Supports (BSS), Provider Support Operational changes, Transhealth Service, and the introduction of two new provider types. Additional provider related updates and resources.

Topics: Gender Affirming Care Coverage, Medicaid and CHIP Managed Care Final Rule, Payment Error Rate Measurement (PERM) RY2023, urgent care, acupuncture

Kinship Navigator is a program of the Commonwealth of Massachusetts that helps all kinship caregivers (grandparents and other relatives) access services for themselves and the children they are raising.

The Office of Economic Empowerment will present an overview of the BabySteps Savings Plan Program. BabySteps is a program that provides an incentive for opening a savings account for post-secondary education or vocational training. The presentation will cover the ins and outs of CSA programs, significant geographical enrollment trends across Massachusetts, and the role healthcare providers can play in advocating for economic empowerment among their patients.

This presentation will describe the SHINE Program, Open Enrollment and why it’s so important, Medicare changes or flexibilities starting January 2022, Medicare Advantage or drug plan options, the revised Medicare Plan Finder tool, and programs to help pay for Medicare.

The Health Connector team will provide an update on Open Enrollment for plan year 2022, including information about available Health Insurance plans, shopping, payment and enrollment reminders.

Topics: Health Connector renewals, special considerations, ConnectorCare, health plans, dental plans, shopping tools, resources

MassHealth Updates will include information on MassHealth’s ongoing response to COVID-19, Gender Affirming Care coverage & policies, and more.
Health Safety Net will review the latest updates and information related to fiscal year closure, code updates, and more.

Topics: Afghan immigrant evacuees, MassHealth Family Assistance, MassHealth health plans, Health Equity for Data

Medicare Open Enrollment 2021 presentation recording.

Kinship Navigation Program presentation recording.

Health Connector Updates presentation recording.

BabySteps Savings Plan Program presentation recording.

MassHealth and Health Safety Net Updates presentation recording.

Department of Housing and Community Development questions answered following the live presentation.

Health Safety Net Updates questions answered following the live presentation.

Updates on COVID-19 Vaccine Updates, Office of Long-Term Services and Supports, and Cost Sharing/HIPAA Health Care Benefit Response Update. Additional provider related updates and resources will also be discussed.

Topics: Ordering, Referring and Prescribing (ORP), Medicaid and CHIP Managed Care Final Rule, urgent care, acupuncture, Operating, Supervising, and Attending Physician claim requirements, provider bulletins

Department of Housing and Community Development (DHCD) will provide an overview of the new Emergency Rental Assistance Program (ERAP), which leverages new federal funding for eligible low-income tenants who need financial assistance. The overview will also cover other resources available to renters and landlords as part of the Eviction Diversion Initiative (EDI).

My Ombudsman will provide an overview of the program including information about who they serve, what they do, what kinds of problems can they help and how to contact them.

The Health Connector will provide updates on the implementation of the American Rescue Plan, discuss closed enrollment and special enrollment periods along with a preview of Open Enrollment 2022.

Topics: Health Connector redetermination and renewal process, special considerations

MassHealth Updates will include information on MassHealth’s response to COVID-19, MassHealth renewals, MassHealth health plans, the latest updates to the ACA-3, and SACA-2 application, and more.
Health Safety Net (HSN) will provide the latest updates and information related to HSN’s response to COVID-19.

Topics: HSN waiver requests, billing intermediaries, Compact of Free Association (COFA) migrants, MassHealth cost sharing policy

Department of Housing and Community Development (DHCD) presentation recording.

My Ombudsman presentation recording.

Health Connector Updates presentation recording.

MassHealth and Health Safety Net Updates presentation recording.

MassHealth is making changes to limit the amount of cost sharing members pay. You will learn how MassHealth will calculate copays, new terms members should be familiar with, view new copay notices, and the new premium hardship waivers.

Topics: new member notices and resources

Health Safety Net Updates questions answered following the live presentation.

Updates on COVID-19 Vaccine Updates, Office of Long-Term Services and Supports, Medicaid and CHIP Managed Care Final Rule, Payment and Care Delivery Innovation (PCDI) Year 4, and Cost Sharing/HIPAA Health Care Benefit Response Update.

Topics: Ordering, Referring and Prescribing (ORP), Mass Human Service Transportation Brokerage, MassHealth Provider Request for Transportation (PT-1), revalidation, acupuncture, provider bulletins

Health Safety Net staff will provide updates on Covid-19 vaccine and billing.
MassHealth Updates will provide information on Covid-19, MassHealth Health Plans, Estate Recovery, and more.

Topics: HSN patients, MassHealth limited patients, MassHealth Income Standards and Federal Poverty Guide 2021, MassHealth cost sharing policy, Public Charge Rule change

The Health Connector will provide information on how the new American Rescue Plan will benefit Health Connector members.

Health Connector Updates presentation recording.

MassHealth and Health Safety Net Updates presentation recording.

MassHealth will review updates on Covid-19, MassHealth’s cost sharing policy, Medicare Savings Program (MSP), ACA and SACA application, and more.

Topics: MassHealth renewals, IRS Economic Impact Payments for non-filers, Race, Ethnicity and Language (REaL) Initiative, Authorized Representative Designation (ARD), Permission to Share Information (PSI)

MassHealth Updates questions answered following the live presentation.

Medicare in 2021 questions answered following the live presentation.

Health Safety Net questions answered following the live presentation.

Medicare in 2021 presentation recording.

Updates on Notification of Birth, COVID-19 provider, and Electronic Claims HIPAA file and Provider Online Service Center (POSC) Updates.

Topics: Ordering, Referring and Prescribing (ORP), Payment and Care Delivery Innovation (PCDI) Year 4, Provider Access Improvement Grant Program (PAIGP) Update, interpreter services, 270/271 changes, acupuncture, provider bulletins

SHINE will present on Medicare – recent cases and issue resolution, Medicare Advantage Open Enrollment, and new flexibilities. Also, will present “Concerned about Medicare Costs” chart, Medicare Savings Plan outreach materials in numerous languages and update on One Care.

Health Safety Net updates will include COVID Vaccines, Claim Reprocessing including CHC Over/Under payments (scheduled for Jan 2021) and Price adjustment for certain family planning codes (scheduled by March 2021), System updates related to CHC Claim Pricing, Fiscal Year 20 Closing Reminder and HSN regulation update.

Health Connector closed enrollment rules and the processes and member responsibilities for end of year tax filing will be reviewed.

Topics: extension of Open Enrollment, extension of Coronavirus Relief Funds

MassHealth will review updates to the notice of birth process, the 2021 cost of living adjustment, and more.

Topics: Covid-19, end of year tax filing, One Care, MassHealth Customer Service Center

MassHealth Updates presentation recording.

Health Safety Net Updates presentation recording.

Health Connector Updates presentation recording.

Supplemental Nutrition Assistance Program (SNAP) questions answered following the live presentation.

MassHealth Updates questions answered following the live presentation.

Health Connector questions answered following the live presentation.

Health Safety Net questions answered following the live presentation.

The Department of Transitional Assistance will present a brief overview of the Supplemental Nutrition Assistance Program (SNAP), including information about how to become a SNAP Outreach partner.

Updates on COVID-19, Payment and Care Delivery Innovation (PCDI) Year 4, Ordering, Referring and Prescribing (ORP), and Electronic Claims HIPAA File and Provider Online Service Center (POSC). Additional provider related updates and resources.

Topics: cost sharing, Notification of Birth (NOB), CMS flexibility, provider bulletins

SHINE will present the program, Open Enrollment, Medicare Plan Finder and plan changes for 2021. We will talk about special enrollment periods and how to find a SHINE counselor or additional resources.

Health Safety Net updates on our response to the COVID-19 public health emergency, hospital rate setting, regulation updates, 340B pharmacy changes, Shingles Vaccine Update, CHC reprocessing, and interim payment recoveries.

The Health Connector will review Open Enrollment for the 2021 plan year, including information about available Health Insurance plans plus shopping, payments and enrollment reminders.

Topics: Health Connector renewals, ConnectorCare

MassHealth will review updates on Covid-19, notice of birth process, Family Assistance covered service expansion, Home and Community Based Service Waiver (HCBS), and more.

Topics: Medicare Savings Program (MSP) for Home and Community Based Service Waiver (HCBS), MassHealth renewals, reporting income change, IRS Economic Impact Payments for non-filers

Supplemental Nutrition Assistance Program (SNAP) presentation recording.

Health Safety Net Updates presentation recording.

Medicare Open Enrollment 2020 presentation recording.

Health Connector Updates presentation recording.

MassHealth Updates presentation recording.

SHINE will provide you with the ability to identify rules and regulations that were modified to allow better access to benefits, ways SHINE Program counselors have adapted and plan to counsel through fall Medicare Open Enrollment, specific partnerships that have benefitted consumers and challenges consumers still face.

Health Safety Net updates on our response to the COVID-19 public health emergency, changes to certain CHC rates, and claims reprocessing efforts.

The Health Connector will review updates on their Member Portal available through MAhealthconnector.org. In addition, we will review the Health Connector’s Redetermination and Renewals process for Open Enrollment 2021.

Updates on COVID-19, Office of Long Term Services and Supports (OLTSS), Ordering, Referring and Prescribing (ORP), and cost sharing. Additional provider related updates and resources.

Topics: HIPAA EDI File update – 270/271, CMS flexibility, provider bulletins

Changes to Medicare and Benefits Eligibility Under Covid-19 questions answered following the live presentation.

Health Safety Net questions answered following the live presentation.

Changes to Medicare and Benefits Eligibility Under Covid-19 presentation recording.

Health Safety Net Updates presentation recording.

Health Connector Updates presentation recording.

MassHealth Updates presentation recording.

MassHealth will review Covid-19 information, program updates, tools and resources.

Topics: MassHealth self-attestation for eligibility, Hospital-Determined Presumptive Eligibility (HPE) extensions, long-term care, MassHealth hardship waiver

The Health Connector will review response to Covid-19 and Customer Service updates.

Updates on MassHealth’s Covid-19 response, Hospital-Determined Presumptive Eligibility (HPE), Prior Authorizations (PA), Primary Care Clinician (PCC) Plan and Primary Care ACO Referrals, Office of Long Term Services and Supports (OLTSS), and Telehealth Network Provider. Additional provider related updates and resources.

Topics: home visits, pharmacy, laboratory diagnostic services

Health Safety Net updates on our response to the COVID-19 public health emergency, interim payments, eligibility, billing updates and reminders.

Health Connector questions answered following the live presentation.

Health Safety Net questions answered following the live presentation.

Mass Cultural Council ConnectorCare Card to Culture program features for ConnectorCare members.

MassHealth and Health Connector staff will be providing updates on the new Automated Voter Registration Functionality and End of Year Tax Filing Process.

Overview of the MassHealth Premium Assistance program. We will discuss the application process, standards for qualification, and the enrollment process if Premium Assistance has confirmed that a member has access to qualifying employer sponsored insurance. We will also discuss the HIRD initiative and how this relates to Premium Assistance and confirmed access moving forward.

MassHealth Provider Services will provide updates on Payment & Care Delivery Innovation (PCDI), Ordering, Referring and Prescribing Requirements (ORP), Technical Refresh Phase II, an overview of Optum’s role for MassHealth’s Office of Long Term Services and Support (OLTSS), and Provider Resources.

Health Safety Net (HSN) will provide updates on carrier code and partial claim requirements, regulation changes, and FY18 closing.

The Health Connector will review its closed enrollment rules and share details about ConnectorCare Card to Culture – a Partnership with Mass Cultural Council.

MassHealth will provide updates on Medicare Savings Program Expansion (MSP), Reminder: CAC Certification Extension Assessment/Recertification, the Flex Services Program (FSP) and MassHealth Health Plans.