This message serves as a reminder to providers about the standard RMRP process. In accordance with 130 CMR 450.316(A)(6) and 130 CMR 450.316(F), RMRP will recover MassHealth claim payments for members who have been awarded retroactive Medicare coverage when:
MassHealth was the primary claims payor at the time when services were rendered, Medicare coverage is identified retroactively after the date MassHealth paid the claim, and the service rendered is a Medicare-covered service.
For additional information regarding RMRP process, refer to All Provider Bulletin 329 at https://www.mass.gov/lists/all-provider-bulletins, and Subchapter 5, Part 7 Other Insurance, Retroactive Medicare Coverage at https://tinyurl.com/mwk5jca2.
If you have questions regarding this message, please contact MassHealth:
LTSS providers, please contact the LTSS Provider Service Center at (844) 368-5184 or [email protected].
All other providers, please contact MassHealth at (800) 841-2900 or [email protected].