Mission StatementTo improve the health outcomes of our diverse members, their families and their communities, by providing access to integrated health care services that sustainably promote health, well-being, independence, and quality of life.
Current members with temporary MassHealth coverage, including temporary MassHealth Limited, must submit a new application during the Open Enrollment period (November 15, 2014 – February 15, 2015). The above link provides more information on Open Enrollment and the next steps members with temporary MassHealth coverage must take.
- 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.
24/7 Self-Service Telephone Access for MassHealth Applicants and MembersMassHealth, 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.
Information on how the Health Care Reform legislation/1115 Demonstration Waiver Amendment will affect MassHealth members and providers
The MassHealth program maintains a list of providers who have been suspended or excluded from participating in the MassHealth program. This list reflects suspensions or exclusions effective on or after March 23, 2010.
- Information about the MassHealth Drug List and updates to the list. Sign up to receive e-mail notification of when updates to the MassHealth drug list are posted on the Web.
- Information on the Health Insurance Portability and Accountability Act (HIPAA) of 1996, and how it will affect MassHealth.