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Category: MassHealth

Optima Billing Services LLC > Provider News and Updates > MassHealth
Home Health Billing / MassHealth

Massachusetts Home Health Agencies – Important Regulatory Updates from MassHealth

MassHealth has released a draft of an updated Home Health Agency Manual that contains many significant changes. The draft is attached below. MassHealth previously conducted training on updates to the …

MassHealth / Medical Billing & Collections

All MassHealth Providers: Important Changes to the Retroactive Medicare Recovery Project (RMRP)

The Retroactive Medicare Recovery Project (RMRP) is an ongoing MassHealth project. Through the RMRP, MassHealth notifies providers of retroactive Medicare entitlement for dually eligible (Medicare/MassHealth) members for paid MassHealth claims …

Home Health Billing / MassHealth

Massachusetts Home Health Agencies: A Very Important MassHealth Update for 2022!

MassHealth has shared a critical update for home health agencies about regulatory changes which will become effective January 1, 2022. These are presented in detail in the PDF linked below. …

MassHealth

Critical MassHealth Update! Expanded Vaccine Mandate to Include Rest Homes, Assisted Living Residences, Hospice Programs and Home Care Workers

On August 4th, 2021, the Baker-Polito Administration announced a requirement that all nursing home staff demonstrate that they have received and are maintaining vaccination to protect against COVID-19. As part …

MassHealth / Medicaid / Medical Billing & Collections

MassHealth Adult Daycare Providers: Important COVID-19 Updates!

MassHealth has posted two important bulletins for all Adult Daycare Providers in Massachusetts. The first bulletin, available here, describes COVID-19 related flexibilities for MassHealth providers of adult foster care/group adult …

Home Health Billing / MassHealth

Massachusetts: CCA Home Care and Home Health Providers Must Submit their Attestation to Receive Increased Funding

An important notice from the Massachusetts Commonwealth Care Alliance (CCA) Contracting Department: CCA is following the guidance issued on January 22, 2021, by the Executive Office of Elder Affairs, for …

MassHealth

MassHealth: Revisions to the Eligibility Verification System (EVS) for All Providers

MassHealth has issued revisions to the Eligibility Verification System (EVS) message codes in Appendix Y of all provider manuals. The following changes were made: added codes related to the new …

News & Updates

  • The COVID-19 Public Health Emergency (PHE) Will End on May 11, 2023. Start Preparing Now!
  • Enrollment from New Customers on Healthcare.gov is Up Nearly 40% Over Last Year. Remember to Verify Your Patients’ Information!
  • November 2022 Updates to Medicare’s Care Compare for Hospice Providers
  • HHS Releases New National Guidelines for Improving Youth Mental Health Crisis Care
  • Important New Resources for the Expansion of the Home Health Value-Based Purchasing Model (HHVBP)!

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    • The COVID-19 Public Health Emergency (PHE) Will End on May 11, 2023. Start Preparing Now!
    • Enrollment from New Customers on Healthcare.gov is Up Nearly 40% Over Last Year. Remember to Verify Your Patients’ Information!
    • November 2022 Updates to Medicare’s Care Compare for Hospice Providers
    • HHS Releases New National Guidelines for Improving Youth Mental Health Crisis Care
    • Important New Resources for the Expansion of the Home Health Value-Based Purchasing Model (HHVBP)!
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