Commonwealth of Massachusetts
Executive Office of Health and Human Services
Office of Medicaid
600 Washington Street
Boston, MA  02111
www.mass.gov/masshealth	
	MassHealth
	All Provider Bulletin 148
	October 2005

	TO:	All Providers Participating in MassHealth

	FROM:	Beth Waldman, Medicaid Director 

	RE:	Expanded REVS Eligibility History 

Background	MassHealth has implemented a change in its eligibility verification system that will significantly improve providers’ ability to manage MassHealth accounts.  Effective immediately, the Recipient Eligibility Verification System (REVS) includes 13 months of eligibility history, rather than the previously available six months. 

The current process for Uncompensated Care Pool (UCP) billing and eligibility is not impacted by this change.

Available REVS Access	To access the 13 months of eligibility history, providers can use any 
Methods	REVS access method, except for point-of-service (POS) devices. Available methods are:

•	The  WebREVS (Internet site)
•	PC software (high-speed Internet service provider (ISP) or dial-up modem connection)
•	Automated Voice Response (AVR) system
•	Eligibility Operator
•	third-party vendors

REVS Changes and	This change will help providers in several important ways: 
Providers	
•	The number of calls providers will need to make to the MassHealth Enrollment Centers (MECs) and the REVS Eligibility Operator will be significantly reduced, as will the amount of time to verify eligibility. 
•	With over one year of eligibility history on REVS, providers can more easily determine if a Medical Benefit Request application form needs to be completed for a potential new member.  This eliminates the need to call MECs for this information. 
	
						      continued on back

REVS Changes and		In situations where claims have not been properly resolved within 
Providers			a six-month period, the additional eligibility history on REVS offers
(cont.)		providers an enhanced resource to help address eligibility issues 
		associated with those claims.

Questions	Please call the REVS HelpDesk at 1-800-462-7738 with any questions.
.