MassHealth 5010 
Trading Partner Testing 
TPT Broadcast Message 
Send: 9/15/11


Trading Partner Testing

The Centers for Medicare & Medicaid Services (CMS) has mandated that on 
January 1, 2012, the standards for electronic health care transactions must 
change from version 4010/4010A1 to version 5010. All electronic health care 
transactions currently submitted to, or returned from, MassHealth are 
affected. Please see All Provider Bulletin 205 for further details.

MassHealth providers who intend to submit HIPAA batch transactions after 
January 1, 2012 must coordinate with their software vendors, billing 
intermediaries, or their own internal technical staff to modify their systems 
as needed. Further details are available at www.mass.gov/masshealth/5010.

To ensure that trading partner transactions are tested before implementation 
in a timely and efficient manner, MassHealth has developed the following 
testing schedule.

Date	Event

08/16/2011        Began testing with software vendors and billing
	intermediaries
10/03/2011        Begin testing with all trading partners
11/23/2011        Last day trading partners can submit an initial test file 
to MassHealth
12/12/2011        Last day MassHealth will accept 5010 HIPAA test files
	before implementation
12/23/2011  	The last day MassHealth will approve a test file for 5010

Please note that if you do not submit a test file to MassHealth by the dates 
listed above, there is no guarantee that you will receive approval to submit 
files to MassHealth as of January 1, 2012. Also note that 5010 testing will 
not resume until January 3, 2012.

To avoid impact to your claims billing and payment process, you should have 
either heard from your software vendor or billing intermediary on the status 
of their testing with MassHealth at this time. You can also validate if your 
software vendor or billing intermediary has begun testing with MassHealth by 
going to our 5010 website at www.mass.gov/masshealth/5010.

If you do not use a software vendor or billing intermediary and submit 
directly to MassHealth,  and have not received a phone call regarding 
coordination of testing, please call us at 855-253-7717 or email us at 
edi@mahealth.net.