News

Extension of Temporary ARPA Related Rate Increases for Certain Providers of Home and Community-Based Services

Extension of Temporary ARPA Related Rate Increases for Certain Providers of Home and Community-Based Services

Derek ChavesJul 7, 20223 min read

    June 27, 2022 As you are aware, as part of its implementation of increased funding available pursuant to Section 9817 of the American Rescue Plan Act (ARPA) and drawing on additional Medicaid funding, the Executive Office of Health…

Discontinuation of Temporary ARPA Related Rate Increases for Adult Day Health and Day Habilitation Providers

Discontinuation of Temporary ARPA Related Rate Increases for Adult Day Health and Day Habilitation Providers

Derek ChavesJul 7, 20221 min read

June 27, 2022 As you are aware, as part of its implementation of increased funding available pursuant to Section 9817 of the American Rescue Plan Act (ARPA) and drawing on additional Medicaid funding, the Executive Office of Health and Human…

Robotics Processing Automation (RPA) Policy

Robotics Processing Automation (RPA) Policy

Derek ChavesJul 7, 20222 min read

    June 27, 2022 Effective July 1, 2022, MassHealth will require that any/all organizations (providers, business partners, and relationship entities that utilize Robotics Processing Automation (RPA) tools (AKA bots) on MassHealth’s Medicaid Management Information System (MMIS) Provider Online Service…

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Coverage of and Payment for the Administration of Remdesivir in an Outpatient Setting

Derek ChavesJul 7, 20221 min read

    July 5, 2022 As described in All-Provider Bulletin 336, effective for dates of service on or after December 22, 2021, MassHealth will reimburse MassHealth-enrolled acute outpatient hospitals, community health centers, and physicians for the administration of Remdesivir (Veklury)…

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Update for Quarterly Drug Code Rates Effective January 1, 2022

Derek ChavesJul 7, 20221 min read

July 5, 2022 MassHealth has completed the rate updates for the January 1, 2022 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 the…