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.
MMIS System Outage Notice – Sunday, January 25, 2026
To allow for system maintenance, the MMIS POSC, Provider Portal, HTS transactions, internal MMIS application, EVS and all eligibility services will be unavailable on Sunday, January 25th, 2026, from 3:00 PM to 10:00 PM. MAP, CBHI, MeNoB, member and eligibility web services and Netreveal predictive modeling application servers will also be impacted. We apologize for… Continue Reading MMIS System Outage Notice – Sunday, January 25, 2026
Commonwealth of Massachusetts Accounting System Upgrade
In anticipation of the Commonwealth of Massachusetts upgrading its accounting system in mid-January, Run 100869 included expedited claims for some providers. Due to the postponement of the upgrade to mid-February, typical prudent pay rules will be back in place for Run 100870. For questions or concerns, use the contact information below: LTSS providers, please contact… Continue Reading Commonwealth of Massachusetts Accounting System Upgrade
Attention MassHealth Providers and Third-Party Vendors Acting on Their Behalf
MassHealth is requesting that providers confirm the provider’s status (enrolled or application pending) using the MassHealth Provider Self‑Service (PSS) to avoid completing and submitting duplicate applications. This is essential for third-party vendors that may not be aware of a provider’s status. The PSS can be accessed at: https://masshealth.ehs.state.ma.us/ProviderSelfService/. Please use the ‘Check Provider Enrollment Status’ and… Continue Reading Attention MassHealth Providers and Third-Party Vendors Acting on Their Behalf
Attention Needed for Outdated Revalidation Contacts
If you belong to a group practice or facility that revalidates providers for MassHealth, please ensure that your organization’s revalidation contact information is current and accurate. MassHealth must be able to reach your designated contact and verify required information for your providers during the revalidation process. If revalidation contacts do not respond or complete necessary… Continue Reading Attention Needed for Outdated Revalidation Contacts
Provider Directory Self-Service Update – Coming January 2026
Effective January 30, 2026, Provider Directory update requests will be available through MassHealth Provider Self-Service. Providers are required to maintain accurate profiles and update their Directory information whenever changes occur. This update allows providers to modify details such as telehealth availability, languages spoken, accessibility accommodations, website URL, and whether they are accepting new patients. CMS… Continue Reading Provider Directory Self-Service Update – Coming January 2026
Claims Reprocessed for July 2025 Subchapter 6 Code Updates
MassHealth is updating the Service Codes and Descriptions (Subchapter 6) of the Physician and Acute Outpatient Hospital Manual to incorporate drug codes as well as HCPCS/Current Procedural Terminology (CPT), as applicable. MassHealth updated its system to reflect the changes effective for dates of service on or after July 1, 2025. All affected claims will be… Continue Reading Claims Reprocessed for July 2025 Subchapter 6 Code Updates
Updates to the Medicare Savings Program (MSP) Application
The Medicare Savings Program (MSP) helps eligible Medicare beneficiaries pay their Medicare costs. MSP is not insurance plans. They are programs that help lower Medicare premiums and other healthcare costs, including prescriptions. You can apply by completing and submitting the December 2025 version of the Medicare Savings Program (MSP) application. Due to updates from federal… Continue Reading Updates to the Medicare Savings Program (MSP) Application
Increases to MassHealth Premium Billing Amount
As of January 1, 2026, MassHealth is increasing monthly premium billing amounts by 10%. MassHealth expects the increase is between $2 – $10 per month for members with countable income of over 150% of the Federal Poverty Level (FPL). Starting in March of 2027, MassHealth will increase premium billing amounts yearly by the same percentage… Continue Reading Increases to MassHealth Premium Billing Amount
Update: Advancing Interoperability and Improving Prior Authorization Processes
Effective January 1, 2026, prior authorizations (PAs) for the medical benefit will be adjudicated as outline below: Standard PA requests: A decision will be provided within seven calendar days from the date received, provided all necessary documentation is included. Expedited PA request: A decision will be provided within 72 hours when the member’s clinical condition… Continue Reading Update: Advancing Interoperability and Improving Prior Authorization Processes
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