Provider Process for Recoupments –Managed-Care Entity (MCE)
This job aid outlines how MassHealth reimburses providers when managed-care claim payments are retroactive y recouped from the managed-care entity.
Additional Resources
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Managed-Care Entity (MCE) job aid, Open PDF file, 230.28 KB (English, PDF 230.28 KB)
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Managed-Care Entity (MCE) job aid, Open DOCX file, 24.47 KB (English, DOCX 24.47 KB)
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Recoupments Submission Form, Open XLSM file, 236.98 KB (English, XLSM 236.98 KB)
Provider Process for Recoupments – Reporting Multiple MassHealth IDs
This job aid instructs providers on what to do after determining that a member has more than one MassHealth ID.
Additional Resources
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Reporting Multiple MassHealth IDs job aid, Open PDF file, 146.08 KB (English, PDF 146.08 KB)
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Reporting Multiple MassHealth IDs job aid, Open DOC file, 60.5 KB (English, DOC 60.5 KB)