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.
Springfield MassHealth Enrollment Center (MEC) Moving October 24
Springfield MEC Moving Information
Reprocess Behavioral Health Urgent Care (BHUC) Claims Incorrectly Denied with Edit 5125
MassHealth identified an issue with affecting BHUC claims which caused claims to deny incorrectly with edit 5125 ‘Missing procedure on BHUC bundle claim’. The affected BHUC claims have been reprocessed and will appear on subsequent remittance advices. If you have questions regarding this message, please contract MassHealth at (800) 841-2900 or provider@masshealthquestions.com.
Advancing Interoperability and Improving Prior Authorization Processes
On January 17, 2024, the Centers for Medicare and Medicaid Services (CMS) issued the Advancing Interoperability and Improving Prior Authorization Processes Final Rule. The final rule emphasizes the need to improve health information exchange to achieve appropriate and necessary access to health records for patients (members), healthcare providers, and payers. The rule also focuses on… Continue Reading Advancing Interoperability and Improving Prior Authorization Processes
REVISED – Provider File Update Requests by Fax Submissions are Discontinued as of October 1, 2025
Effective October 1, 2025, provider file update requests will not be processed (this applies to all non-LTSS and non-dental providers). Please submit your update request using the Provider Self-Service site: https://masshealth.ehs.state.ma.us/ProviderSelfService/. For more information maintaining MassHealth provider file information, visit https://www.mass.gov/info-details/maintaining-masshealth-provider-file-information. Providers may access the Provider Enrollment and Credentialing (PEC) self-service resources training in the… Continue Reading REVISED – Provider File Update Requests by Fax Submissions are Discontinued as of October 1, 2025
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. In addition, you will learn about In the Loop – Massachusetts, a private online community run by Health Care For All for enrollment assisters to interact with others doing similar work. When you join In… Continue Reading MassHealth & Health Safety Net Updates
MA Health Care Learning Series
Presented by the Health Connector The Health Connector staff will discuss Open Enrollment for Plan Year 2026 including updates related to federal policy changes, available health and dental plans, and system updates. Learning Objectives: Attendees will become familiar with the Open Enrollment timeline and expectations for Health Connector members, how to locate and use shopping tools… Continue Reading MA Health Care Learning Series
MassHealth Training Forum Provider Updates
Presented by MassHealth Provider Relations and Business Services and Supports (BSS) The MassHealth Business Support Services team will provide important updates and valuable information for providers and staff. Topics will include: PCC Referral Policy Updates PERM Audit Response Requirement POSC Primary User Functionality Improvements MassHealth Homepage Redesign Long-term Services and Supports Updates 2026 ACO/MCO Updates… Continue Reading MassHealth Training Forum Provider Updates
Medicare in 2026
Presented by SHINE SHINE will present the changes in 2026 that may impact Medicare and MassHealth beneficiaries including increases in premiums and deductibles, plan changes, prescription out-of-pocket limits, payment plans and more. Learning Objectives: To increase access to and knowledge of Medicare-related information so that beneficiaries and assisters are aware of their benefits, rights and options… Continue Reading Medicare in 2026
Navigating the Massachusetts Paid Family and Medical Leave (PFML) Program
Presented by the Department of Family and Medical Leave The Commonwealth’s Paid Family and Medical Leave (PFML) program provides temporary income replacement as well as job and benefit protections to eligible workers across the state when they need it most. PFML is available to those who are welcoming a new child into their family, are… Continue Reading Navigating the Massachusetts Paid Family and Medical Leave (PFML) Program
Health Connector Preliminary Eligibility Notices are Mailing
Notices for Health Connector Redetermination are Being Mailed! Preliminary Eligibility notices for the Health Connector’s Open Enrollment 2026 are now being sent to members through mid-September. Some members may have already received their notices. These notices tell members about: their estimated 2026 Federal Poverty Level (FPL) their program eligibility based on information that is currently… Continue Reading Health Connector Preliminary Eligibility Notices are Mailing