09/26/17

BROWSER REMINDER FOR POSC CONNECTION

Providers are reminded to use one of the recommended browsers; Chrome v48, Firefox v43 or Internet Explorer v11 when connecting with the MassHealth Provider Online Service Center (POSC). Upcoming system changes that will start on September 24, 2017 could result in connection issues for any providers who are not using the recommended browsers. If you are currently not using one of these browsers we ask that you contact your system administrator to avoid any future connection issues.

If you have any questions, please contact the MassHealth Customer Service Center at 1-800-841-2900 or e-mail providersupport@mahealth.net.

 

CHANGES TO BATCH FILE FUNCTIONALITY ON THE POSC

Effective Monday, September 25, 2017, MassHealth has simplified the batch file functionality on the Provider Online Service Center (POSC). Rather than providers submitting files in many different locations on the POSC (for example, claim files in the Manage Claims and Payment area), providers can now complete all batch functionality under a new location titled Manage Batch Files. This new location is found on the left navigation bar on the POSC. Please select the drop down menu from the Transaction Type to choose your function. 

If you have any questions, please contact the MassHealth Customer Service Center at 1-800-841-2900 or e-mail providersupport@mahealth.net.

 

 


09/19/17

To Home Health Agency Providers

In July 2017, MassHealth released Transmittal Letter All-222 (TL All-222) which outlines the changes to the MassHealth regulations 130 CMR 450.000 and 130 CMR 433.000. The changes have expanded the types of licensed practitioners that can enroll as MassHealth providers, including all advanced practice registered nurses.  In addition, the changes allow designated mid-level medical practitioners to serve as a member’s primary care clinician.  These changes were effective as of August 1, 2017.

Providers participating in MassHealth’s Home Health program should continue to follow their provider specific regulations, 130 CMR 403.000, regarding medical practitioners allowed to order home health services and sign a member’s plan of care.

The MassHealth LTSS Provider Service Center is open 8 am to 6 pm ET, Monday through Friday, excluding holidays. LTSS providers should direct their questions about these changes or other MassHealth LTSS provider questions to the LTSS Third Party Administrator (TPA) as follows:

Phone: Toll-free 1-844-368-5184
Email: support@masshealthltss.com
Mail: MassHealth LTSS, PO Box 159108, Boston, MA 02215
Fax: 1-888-832-3006
LTSS Provider Portal: Trainings, general information, and future enhancements will be available at www.MassHealthLTSS.com.

 


09/12/17

EDIT 4814 – INPATIENT CLAIM UNDER REVIEW

Effective September of 2017 MassHealth will begin suspending acute inpatient hospital claims for newborn members in order to ensure that claims are processed under the correct benefit plan, including Managed Care Organizations.  The claims will suspend for Edit 4814 – INPATIENT CLAIM UNDER REVIEW.  These claims will be manually reviewed and adjudicated within thirty days of receipt.  MassHealth expects that this new claim process will reduce the administrative burden on providers by ensuring that the correct payer reimburses hospitals for these services.  MassHealth expects that the processing time for these claims will not be affected. 

If you have any questions, please contact the MassHealth Customer Service Center at 1-800-841-2900 or e-mail providersupport@mahealth.net.

 


09/05/17

TO HOME HEALTH AGENCY PROVIDERS

On July 14, 2017, MassHealth promulgated 101 CMR 350.00: Home Health Services, which increased the reimbursement rates for the codes below.

Code: G0299
Rate: $89.21
Unit: Per Visit
Service: Services of an RN in home health setting (one through 30 calendar days)

Code: G0300
Rate: $89.21
Unit: Per Visit
Service: Services of an LPN in home health setting (one through 30 calendar days)

Some MassHealth providers who submitted claims for services provided on or after July 14, 2017 were reimbursed their previous rate in error. MassHealth has identified and adjusted these claims systematically. Providers will receive payment and see these claims on remits in the coming weeks.

If you have any questions regarding these changes, please contact the LTSS Provider Service Center at support@masshealthltss.com or call 1-844-368-5184.

 

UPDATE TO ORT/PRT PAYMENT & COVERAGE GUIDELINE TOOL

Please be advised that the following procedure codes have been removed from the MassHealth Orthotics and Prosthetics Payment and Coverage Guidelines Tool: L6025, L7260 and L7261.

To confirm that you are using the most recent version of the applicable Tool, go to www.mass.gov/masshealth, click on “Provider Library” and then on “MassHealth Payment and Coverage Guideline Tools”.

If you have any questions regarding this change, please contact the LTSS Provider Service Center at support@masshealthltss.com or call 1-844-368-5184.


This information is provided by MassHealth.