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