№ lp_1_32473
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This document outlines the requirements for the delivery of Adult Day Health Services remotely through telehealth or in-home settings, including payment structures and rates, in response to COVID-19 and the reopening period.
Year:
2020
Region / City:
Massachusetts
Topic:
Telehealth, Adult Day Health Services
Document Type:
Bulletin
Organization / Institution:
Executive Office of Health and Human Services, Office of Medicaid
Author:
Amanda Cassel Kraft, Acting Medicaid Director
Target Audience:
One Care Plans and Senior Care Organizations Participating in MassHealth
Effective Period:
August 1, 2020, through November 30, 2020
Approval Date:
September 2020
Modification Date:
Not specified
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Year:
2025
Region / City:
Massachusetts
Subject:
Health Insurance, Medicaid, and CHIP
Document Type:
Implementation Guide
Organization / Institution:
MassHealth
Author:
MassHealth
Target Audience:
Healthcare providers, trading partners, and Managed Care Entities
Effective Period:
From January 1, 2012
Approval Date:
August 2025
Date of Changes:
Future updates will be included in subsequent versions
Context:
Implementation guide for electronic healthcare transactions, specifically for Medicaid and CHIP encounter data reporting under the HIPAA standards for MassHealth Managed Care Entities.
Year:
2025
Region / City:
Massachusetts
Subject:
Healthcare, Medicaid, Claims Reporting
Document Type:
Companion Guide
Organization:
MassHealth
Author:
MassHealth
Target Audience:
Healthcare providers, Trading Partners, Managed Care Entities (MCEs)
Effective Period:
From August 2025
Approval Date:
August 2025
Revision Date:
Not specified
This document is a companion guide for the ASC X12N 005010X299A1 Post-Adjudicated Claims Data Reporting:
Institutional standard, aimed at assisting MassHealth Managed Care Entities in reporting claims electronically in compliance with HIPAA.
Year:
2023
Region / City:
Massachusetts
Topic:
Disability Benefits Application
Document Type:
Application Instructions
Agency:
Executive Office of Health and Human Services
Author:
Commonwealth of Massachusetts
Target Audience:
Individuals applying for MassHealth due to disability
Period of Validity:
Not specified
Approval Date:
Not specified
Amendment Date:
Not specified
Year:
2025
Jurisdiction:
Commonwealth of Massachusetts
Region:
Massachusetts
Document type:
Evaluation report
Program:
MassHealth
Policy area:
Medicaid managed care quality
Issuing body:
Executive Office of Health and Human Services, Office of Medicaid
Publication date:
February 2025
Evaluation period:
Calendar Years 2022–2024
Measurement years covered:
2020–2022
Regulatory framework:
42 CFR §438.340(c)(2)
Related strategy:
MassHealth Comprehensive Quality Strategy (published June 2022)
Care programs covered:
ACO Program, MCO Program, PCC Plan, One Care, Senior Care Options
Quality domains:
Care quality, equity, value-based care, person- and family-centered care, care coordination
Source type:
Government administrative evaluation
Year:
2023
Region / City:
Massachusetts
Theme:
Health Care, Medicaid
Document Type:
Companion Guide
Organization / Institution:
MassHealth
Author:
Not specified
Target Audience:
Technical and operational staff
Period of validity:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Year:
2026
Region / City:
Massachusetts, USA
Document Type:
Application Form
Issuing Authority:
Commonwealth of Massachusetts, Executive Office of Health and Human Services (EOHHS)
Target Audience:
Individuals applying for long-term care benefits
Required Documentation:
Proof of income, assets, and insurance
Sections:
Member Information, Income, Assets, Spouse/Dependent Information, Health Insurance, Signature
Year:
2023
Region / City:
Massachusetts
Topic:
Health Care, Medicaid, Electronic Transactions
Document Type:
Companion Guide
Organization:
MassHealth
Author:
Not specified
Target Audience:
Technical and operational staff responsible for electronic health-care transactions
Period of Validity:
Ongoing
Approval Date:
November 2023
Date of Changes:
Not specified
Program:
MassHealth
Related program:
Health Safety Net
Note:
Related program
Supplemental Nutrition Assistance Program
Document type:
Renewal application form
Issuing authority:
Massachusetts Executive Office of Health and Human Services
Target population:
Seniors living in the community
Geographic scope:
Massachusetts
Application purpose:
Determination of continued eligibility for health coverage
Application sections:
Household information, income, assets, other health insurance, certification and signature
Submission methods:
Mail, fax, hand delivery, online submission
Income types covered:
Employment income, Social Security, pensions, rental income, veterans benefits
Assets covered:
Bank accounts, life insurance, securities, annuities, trusts, real estate, vehicles
Legal basis:
Certification under pains and penalties of perjury
Administrative use restriction:
For MassHealth use only
Year:
2023
Region / City:
Massachusetts
Subject:
Health insurance, data sharing
Document type:
Form
Organization / Institution:
MassHealth
Author:
MassHealth
Target audience:
MassHealth applicants, legal representatives
Validity period:
12 months
Approval date:
N/A
Date of amendments:
N/A
Year:
2021
Region / City:
Massachusetts
Topic:
Medicaid, Nursing Facilities, Health Care Reporting
Document Type:
Bulletin
Organization:
Executive Office of Health and Human Services, Office of Medicaid
Author:
Amanda Cassel Kraft
Target Audience:
Nursing Facilities Participating in MassHealth
Effective Date:
October 1, 2021
Approval Date:
September 2021
Modification Date:
May 18, 2020
Year:
2021
Region / City:
Massachusetts
Subject:
Adult Foster Care, Primary Care, Medical Necessity
Document Type:
Form
Agency/Organization:
Commonwealth of Massachusetts Executive Office of Health and Human Services Office of Medicaid
Author:
Commonwealth of Massachusetts
Target Audience:
AFC providers, Primary Care Providers, MassHealth members
Validity Period:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Year:
2016
Organization:
MassHealth
Document type:
Questions and Answers
Topic:
Accountable Care Organization (ACO) program
Audience:
Public, potential bidders
Region:
Massachusetts, USA
Date of release:
September 30, 2016
Related period:
FY17–FY21
Year:
2025
Region / City:
Massachusetts
Topic:
Health care, Medicaid, CHIP
Document Type:
Implementation Guide
Organization:
MassHealth
Author:
Unknown
Target Audience:
Health care providers, trading partners
Period of Validity:
Ongoing
Approval Date:
Unknown
Date of Changes:
Unknown
Year:
2023
Region / City:
Massachusetts
Topic:
Transportation Services
Document Type:
Informational Sheet
Organization:
MassHealth
Author:
MassHealth
Target Audience:
MassHealth members
Effective Period:
Ongoing
Approval Date:
Not specified
Date of Changes:
Not specified
Year:
2024
Region / City:
Massachusetts
Theme:
Health Policy
Document Type:
Policy Updates
Organization:
MassHealth
Author:
MassHealth
Target Audience:
Healthcare providers, hospital administrators, policy makers
Period of Action:
Performance Year 2
Approval Date:
11/08/2024
Amendment Date:
12/27/2024
Year:
2021
Region / City:
European Union
Topic:
Cross-border marketing of EU AIFs
Document type:
Notification letter
Author:
European Commission
Target audience:
AIFMs, regulatory bodies, financial institutions
Period of validity:
Not specified
Approval date:
Not specified
Amendment date:
Not specified
Year:
2023
Region / City:
Oregon
Topic:
Health Care, Managed Care Entities, Grievance and Appeal System
Document Type:
Instruction Manual
Agency / Institution:
Oregon Health Authority (OHA)
Author:
Oregon Health Authority (OHA)
Target Audience:
Managed Care Entities, Coordinated Care Organizations, Health Care Administrators
Period of Action:
Quarterly
Approval Date:
N/A
Date of Changes:
N/A
Note:
Year
Topic:
School Admissions
Document Type:
Application Form
Organization:
West Sussex County Council
Target Audience:
Parents of children seeking school placements
Year:
2025
Jurisdiction:
Wisconsin
Country:
United States
Document type:
Audit reporting requirements and reporting form
Program:
Managed Long-Term Care
Administering authority:
Department of Health Services, Division of Medicaid Services
Form number:
F-02022
Date of issue:
11/2025
Applicable entities:
Managed Care Organizations (MCOs)
Audit performer:
Independent certified public accountant (CPA) firm
Audit scope:
Claims processing for long-term care, acute, and primary services
Minimum sample size:
70 LTC claims; 85 total claims for FCP and PACE programs
Effective policy reference:
Residential services encounter reporting effective 02/01/2021
Coverage systems referenced:
ForwardHealth, DHS data warehouse
Note:
Year
Subject:
Managed Care, Medicaid, Health Insurance
Document Type:
Manual
Organization:
Health Care Authority (HCA), Department of Social and Health Services (DSHS)
Target Audience:
Staff, Health Care Providers