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Information for MassHealth Providers

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  • New Medicaid Management Information System...Click to show or hide the child topics of New Medicaid Management Information System....
    • Need Additional Information or Training?
    • Using the POSC for the First Time
  • Electronic Health Records Incentive Payment Program
  • Preadmission Screening Resident Review (PASRR)

  • Information About National Health Care Reform (Affordable Care Act)

  • Provider Online Service Center

  • Medicaid Management Information System (MMIS) and the Provider Online Service Center (POSC)

    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.

  • Primary Care Payment Reform Initiative

  • ICD-10 Implementation

  • FAQs about MassHealth’s Electronic-Claims Policy

  • Electronic Health Records Incentive Payment Program

  • Nursing Facility Pay for Performance (NF P4P) Program Frequently Asked Questions (FAQs)

  • Tips for Completing the Electronic Funds Transfer (EFT) Form

  • Clinical Practice Guidelines for MassHealth Providers

  • Preadmission Screening Resident Review (PASRR)

  • Chart of MassHealth Covered Services

  • New MassHealth Dental Program

  • Fluoride Varnish Training for Health-Care Professionals

  • Provider Online Service Center Frequently Asked Questions

  • MassHealth Flu Vaccine Program

  • MassHealth and HIPAA

  • MassHealth Claims Submission

  • MassHealth Customer Service for Providers

  • MassHealth Guidelines for Medical Necessity Determination

  • MassHealth Provider Enrollment and Credentialing

  • MassHealth Provider Information Maintenance

  • MassHealth Provider Trainings

  • MassHealth Pharmacy Program

  • MassHealth Eligibility Verification System (EVS)

  • MassHealth Web Site Navigation Tips

  • How to Complete and Submit the PT-1 Online

  • Getting MassHealth Forms and Publications on the Web

  • MassHealth Provider Forms

  • MassHealth Tobacco Cessation Benefits

  • CMS Tamper-proof Rx FAQ

    Since this document was published, Congress passed the health care extender bill H.R. 3668 which, among other things, delays by six months the implementation of the tamper-resistant prescription law, scheduled to go into effect on October 1, 2007. Due to this new legislation, MassHealth will not require tamper-resistant prescriptions until the federal requirements become effective on April 1, 2008.

  • PCA Quality Home Care Workforce Council

  • National Drug Code (NDC) Requirements for Physician-Administered Medications

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