Message Text – May 2023

The messages listed below may be general All Provider messages, applicable to several provider types or services, or provider specific. 

You can request a copy of a prior message by:

• Emailing [e-mail]
• Sending a letter to

  MassHealth Customer Service
  P.O. Box 278
  Quincy, MA 02171

• Calling MassHealth Customer Services at [phone],
  Hours: Monday through Friday 8 a.m. to 5 p.m.

05/30/2023

Adjustment and Reprocessing of Crossover Claims for Mental Health services

MassHealth has identified Medicare crossover claims with incorrect payments or denials for dates of service from January through March 2023. The impacted crossover claims for psychologists, licensed independent clinical social workers and mental health centers have been reprocessed/adjusted and will appear on this and subsequent remittance advices.

If you have questions regarding this message, please contact MassHealth at [e-mail] or [phone].

05/16/23

CORRECTION ON RATE FOR CODE 58300

Amendments to 101 CMR 316.00: Rates for Surgery and Anesthesia Services were adopted on an emergency basis, effective 1/1/2023. Due to a clerical error, the facility rate for procedure code 58300 was erroneously listed as $256.76 in the emergency adoption. The facility rate will be correctly listed as $248.71 in the final adoption of the regulation, which is effective 5/12/2023. Therefore, facility claims for code 58300 for dates of service during the period of 1/1/2023 through 5/11/2023 will be paid at $256.76 and claims for dates of service on or after 5/12/2023 will be paid at $248.71.

If you have questions, please contact MassHealth at [e-mail] or [phone].

05/09/23

UPDATE FOR QUARTERLY DRUG CODE RATES EFFECTIVE APRIL 1, 2023

MassHealth has completed the rate updates for the April 1, 2023 Quarterly Drug codes. The impacted claims will be reprocessed and/or adjusted and will appear on a future remittance advice.

If you have questions, please contact MassHealth at [e-mail] or [phone].

05/02/23

UPDATE FOR QUARTERLY DRUG CODE RATES EFFECTIVE JANUARY 1, 2023

MassHealth has completed the rate updates for the January 1, 2023 Quarterly Drug codes. The impacted claims will be reprocessed and/or adjusted and will appear on a future remittance advice.

If you have questions, please contact MassHealth at [e-mail] or [phone].

Date published:	May 15, 2023
Last updated:	May 30, 2023