Masshealth - PowerPoint PPT Presentation


MassHealth ACO Tiering Updates and Requirements for 2024

Explore the latest updates and requirements for MassHealth ACO tiering in 2024. Get insights on tiering timelines, reattestation guidelines, and important deadlines for practices. Stay informed about potential audits and changes in tier designations to ensure compliance with MassHealth guidelines.

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Advocacy Tips for Retaining MassHealth for Older Adults

Learn important advocacy tips for helping older adults in the community retain MassHealth, focusing on eligibility rules, key points to consider during renewal, and managing bank accounts effectively. Discover pathways to eligibility, asset and income counting rules, and considerations for clients a

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MassHealth Billing Timelines and Appeal Process Overview

This module provides an overview of MassHealth billing timelines and appeal procedures, focusing on timely filing of claims. It covers the 90-day deadline for claim submissions, exceptions for waiver requests, and important timelines for claim processing. Providers learn how to submit a 90-day Waive

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New Process for Escalated Requests Handling by MassHealth SSU

MassHealth has established the Service Solution Unit (SSU) to manage escalated requests, replacing Maximus. The SSU team, led by Rosana Senise & Kenya Taylor, prioritizes and resolves cases efficiently. Learn how to escalate cases to SSU using the provided email template for effective communication.

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Monthly MA APCD Case Mix User Workgroup Webinar (Sept. 29, 2015)

This webinar covered various topics including Enrollment Trends, MA APCD Release 4.0 updates, MassHealth Enhanced Eligibility data, changes in APCD requests fulfillment, and recall issues with the current process. It highlighted the availability of SQL/SAS code for Enrollment Trends and the launch o

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