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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Open PDF file, 230.28 KB, Managed-Care Entity (MCE) job aid (English, PDF 230.28 KB)
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Open DOCX file, 24.47 KB, Managed-Care Entity (MCE) job aid (English, DOCX 24.47 KB)
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Open XLSM file, 236.98 KB, Recoupments Submission Form (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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Open PDF file, 146.08 KB, Reporting Multiple MassHealth IDs job aid (English, PDF 146.08 KB)
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Open DOC file, 60.5 KB, Reporting Multiple MassHealth IDs job aid (English, DOC 60.5 KB)