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MassHealthProvider Services UpdateExecutive Office of Health & HumanServicesOctober 2017
Agenda Payment and Care Delivery Innovation- ProviderCommunication Phase I : Awareness Plan Mass.Gov Redesign MassHealth Updates2
Payment and Care Delivery InnovationPhase I: Awareness3
Payment and Care Delivery Innovation:Provider Communication and Education Schedule2017Category2018Method of DeliveryOctNovDecJanFebMarWebinarsOutreach andEducationCoordination with Provider Associations for additionalmessaging and outreachMessage text through the Provider Online Service Center(POSC)One Pager -Fact sheets; FAQsSupport MaterialsProvider BulletinsMassHealth Website enhancementsEnhanced Call Center StaffCustomer ServiceProactive outbound calls from MassHealth To register for upcoming webinars please visit www.masshealthtraining.com4
Payment and Care DeliveryInnovation Webinar Schedule MAXIMUS Provider Relations will conduct webinars for providersbeginning October 2017 Providers will be notified of these opportunities via the MassHealthwebsite, Message Text (POSC), and targeted email blasts Webinars will be held on Tuesdays and ThursdaysWebinar PhasesDatesPhase 1: AwarenessOctober 31st – December 22nd, 2017Phase 2: OperationsJanuary 4th – March 30th, 2018Phase 3: Community PartnersApril 1st – May 31st, 20185
PCDI Phase 1 – Awareness1October 24 – December 22, 2017This is the first in a series of webinars related to PCDI which becomes effective 3/1/18.The objectives of Phase 1 webinar sessions are to provide all attendees with anunderstanding of the MassHealth PCDI initiative and its impact on providers andmembers.Training ModuleWebinar GoalOverview of MassHealthPayment and Care DeliveryInnovationsProvide a summary of the MassHealth ACO/MCO structure anddefine the role of a PCC, PCP and SpecialistKey Terms and ConceptsEducate providers on frequently used terms, acronyms, andprovide glossary of those terms for easy referenceMember NoticesInform providers of Special Assignment and Auto-AssignmentnoticesMassHealth ChoicesInform providers of the MassHealth Choices website launch andwhen it will become availableEligibility and Claim SubmissionInform providers of upcoming changes that will be happening withthe Eligibility Verification System (EVS) and orient providers aroundthe Claim Submission and Payment table (All Provider Bulletin)Provider ResourcesEducate providers on the following resources available:- Fact Sheets (Specialists, Behavior Health, PCP, and Hospitals)- All Provider Bulletin- FAQs6
New Payment and Care DeliveryInnovation FeatureMassHealthChoices.com MassHealthChoices.com isan online provider directoryused to help members learn,compare, and enroll in a newMassHealth health plan. MassHealthChoices.comincludes information abouthealth plans available forenrollment on March 1,2018.www.MassHealthChoices.com7
Enhanced System FeatureEligibility Verification SystemEnhancements to EVS Plan names areclearly displayed. Phone number tocontact the plan ifyou have questions islisted. Restrictive messageswill include plancontact numbers forplan services such asmedical, behavioralhealth, and claims,policy or billingquestions.8
PCDI Provider Communication –Webinar Information To assist providers during Phase I : Awareness of the Payment and CareDelivery Innovation, MassHealth will be hosting a series of webinar sessionson the following dates:Tuesdays and Thursdays October 2017: 31st November 2017: 7th thru 28th December 2017 : 5th thru 22nd To register for one of these webinars please visit www.masshealthtraining.com For questions, please contact the MassHealth Customer Service Center by email at providersupport@mahealth.net or by phone at 1-800-841-2900.9
Mass.gov RedesignandMassHealth Updates10
Coming Soon: Mass.gov RedesignMaking Mass.gov Better On January 1st, 2018,Mass.gov will be launching itsnew and improved website Mass.gov aims to improvefindability for top services andthe user experience We re-evaluated content tostructure our data moreefficiently New improvements to thesystem will allow us to updateinformation on the websiteand automatically update thatspecified content throughout Users will be able to utilizeenhancement features thatwere not available on theclassic site11
Provider Online Service Center –Manage Batch Upload Change The Manage BatchFiles function will beadded over theweekend The file upload anddownload functionunder each businessarea has beenconsolidated underManage Batch Files All other locationswhere the sameUpload/Downloadpanel is defined onthe navigation menucould be removed12
All Provider Bulletin 271RE: New Mailing Address for MassHealth Provider and Claims DocumentsEffective immediately, MassHealth has established two new Post Office (P.O.) boxes that MassHealthproviders must use for mail correspondence. These providers include nonbilling providers who order,refer, and prescribe services.What Is Changing: New Post Office Boxes MassHealth Provider Enrollment and CredentialingMassHealth ClaimsMassHealth will continue to receive and process documentation mailed to the previous post office boxesin Canton, MA until February 1, 2018. We encourage all providers and applicants to start using the newaddress.What Is Not Changing: Long Term Services and Supports (LTSS) and Dental Providers Long term services and supports (LTSS) providers will continue to use the addresses outlined forLTSS correspondence. The addresses and the full list of LTSS providers can be found in AllProvider Bulletin 270. The only exception is LTSS providers approved to submit paper claims.These providers should use the new Claims P.O. BoxDental providers will continue to use the addresses for enrollment and claims outlined in theMassHealth Dental Program Reference Manual. The DentaQuest provider manual contains a quickreference directory for all addressesAll Provider Bulletin 271 link: 7/all-271.pdf13
Questions?14
The only exception is LTSS providers approved to submit paper claims. These providers should use the new Claims P.O. Box Dental providers will continue to use the addresses for enrollment and claims outlined in the MassHealth Dental Program Reference Manual. The DentaQuest provider manu
