The Massachusetts Health Care Training Forum (MTF) sends out regular email updates on current program and policy information, meeting notices, learning opportunities and other relevant information and resources.
For more information about the Provider Services notices (manage claims and payment information), please visit MassHealth Provider Remittance Advice Message Text.
Winter 2026 Know Your Rights Presentation 3.0
Presented by the MA Office for Refugees and Immigrants (ORI) Know Your Rights 3.0 is an in-depth and comprehensive review of rules regarding ICE enforcement beyond basic warrant requirements. Learning Objectives: It will include topics such as (1) understanding when ICE may be required to show a warrant, (2) overview of the rules regarding when ICE… Continue Reading Winter 2026 Know Your Rights Presentation 3.0
Edit 2016 Updated Error Message Description
Error message for edit 2016 has been updated to clarify denied claims where a member is enrolled in PACE/SCO. The updated message is 2016 MEMBER COVERED BY SCO/PACE PLAN – MUST BILL SCO/PACE. Providers are reminded to bill the SCO/PACE plan for services. For questions or concerns: LTSS providers, please contact the LTSS Provider Service… Continue Reading Edit 2016 Updated Error Message Description
Plan of Care Submission Requirements
Starting January 1, 2026, independent nurses (INs) who are seeking a prior authorization (PA) to work with a Community Case Management (CCM) member for the first time must submit a copy of a signed plan of care to the member’s CCM clinical manager in order to receive their PA for continuous skilled nursing (CSN) services.… Continue Reading Plan of Care Submission Requirements
New Claim Detection for Independent Nurses
MassHealth will be implementing a new claims detection on January 12, 2026, to ensure that dates of service (DOS) for claims submitted by independent nurses fall within one calendar week. A calendar week is defined as the hours from 12 am Sunday to 11:59 pm Saturday. This claims detection is being used to ensure that… Continue Reading New Claim Detection for Independent Nurses
Winter 2026 MassHealth Training Forum Provider Updates
Presented by MassHealth Provider Relations and Business Services and Supports (BSS) The Provider Services Training Series offers essential information and updates for MassHealth providers. This meeting will feature updates on enrollment self-service enhancements, referral requirements updates and reminders, the new Electronic Data Interface Assistance Request via Mass.gov, and other Mass.gov updates. Additional topics will include… Continue Reading Winter 2026 MassHealth Training Forum Provider Updates
Winter 2026 MassHealth & Health Safety Net Updates
Presented by MassHealth and Health Safety Net MassHealth will provide the latest updates and information related to MassHealth applicants and members. Learning Objectives: MassHealth Renewal Updates Updates to MassHealth Premium Schedule 2026 Social Security Cost of Living Adjustment (COLA) New Tool for Members to Access Health Care Information Audience: All Health Safety Net will be presenting… Continue Reading Winter 2026 MassHealth & Health Safety Net Updates
Winter 2026 MA Health Care Learning Series
Presented by the Health Connector and MassHealth The Health Connector will review information about the close of Open Enrollment, Special Enrollment Period rules and the process for End of Year tax filing. Learning Objectives: During this presentation, Health Connector and MassHealth staff will: Review information on the close of Health Connector open enrollment for 2026 Discuss… Continue Reading Winter 2026 MA Health Care Learning Series
Ending ConnectorCare Plan Type 1 and How to Help Members Access Services
Ending of ConnectorCare Plan Type 1 Effective January 1, 2026, the Health Connector’s ConnectorCare Plan Type 1 will no longer be available as a coverage option because of federal policy changes. Those previously eligible and enrolled ConnectorCare Plan Type 1 members will no longer be eligible for help paying for their coverage. Many people, because… Continue Reading Ending ConnectorCare Plan Type 1 and How to Help Members Access Services
Claims Reprocessed for Community Health Centers for Updated July 1, 2025 and October 1, 2025 Quarterly Drug Code Rates
MassHealth has completed the rate updates for the July 1, 2025 and October 1, 2025 Quarterly Drug Code Rates of the Community Health Center Manual. MassHealth updated its system for these drug code rate changes effective for dates of services on or after July 1, 2025, and October 1, 2025. All affected claims were reprocessed… Continue Reading Claims Reprocessed for Community Health Centers for Updated July 1, 2025 and October 1, 2025 Quarterly Drug Code Rates
Claim Denials – Billing Provider HPI is Mapped to Multiple PID/SLS
MassHealth is seeing large numbers of denials for 1945 – BILLING PROVIDER NPI IS MAPPED TO MULTI SERV LOC when the NPI cannot be mapped to the correct MassHealth Provider ID/Service Location (PID/SL). Providers are reminded of the following to avoid these denials: Do not bill with a taxonomy code in the 2000A PRV03 segment… Continue Reading Claim Denials – Billing Provider HPI is Mapped to Multiple PID/SLS