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The MassHealth program provides comprehensive health insurance — or help in paying for private health insurance — to more than one million Massachusetts children, families, seniors, and people with disabilities.
Mission Statement
To help the financially needy obtain high-quality health care that is affordable, promotes independence, and provides customer satisfaction.
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The POSC opened on May 26, 2009. It offers a Web-based environment that automates functions such as member eligibility verification, claim submission and status, claims processing, prior authorization, referrals, preadmission screening, online remittance advices, and reports.
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MassHealth, Commonwealth Care and Health Safety Net applicants and members can now hear details about their application or case over the phone 24 hours a day, seven days a week. They can use this new feature to find information such as case status (approved, closed, etc.), key eligibility dates (i.e., next review date) and items still needed by MassHealth to process their case.
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Information on how the Health Care Reform legislation/1115 Demonstration Waiver Amendment will affect MassHealth members and providers
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The MassHealth Drug List is an alphabetical list of commonly prescribed drugs and therapeutic class tables. The List specifies which drugs need prior authorization (PA) when prescribed for MassHealth members and also specifies the generic over-the-counter drugs that are payable under MassHealth.
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Information on the Health Insurance Portability and Accountability Act (HIPAA) of 1996, and how it will affect MassHealth.
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