№ lp_1_21068
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Character count: 48723
File size: 102 KB
This document provides detailed guidelines for submitting and processing health care claims electronically through the MassHealth program, supplementing the ASC X12N Implementation Guide.
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
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Year:
Not specified
Region / City:
Not specified
Subject:
Billing Information, Referring Provider Name, Ordering Provider Name, 837P, 837I Claims
Document Type:
Instructional Guide
Organization / Institution:
Not specified
Author:
Not specified
Target Audience:
Healthcare Providers, Medical Billing Professionals
Period of Validity:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Year:
2025
Region / city:
Australia
Subject:
Vocational Education and Training, Health Industry Training
Document type:
Implementation Guide
Organization:
HumanAbility
Author:
HumanAbility, Commonwealth Government through the Department of Employment and Workplace Relations
Target audience:
Registered Training Organisations (RTOs), trainers, assessors, and stakeholders in the VET sector
Period of validity:
September 2025
Approval date:
September 2025
Modification date:
Not specified
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:
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
Year:
2023
Region / city:
Great Britain
Topic:
Smart Metering, Energy
Document Type:
Technical Specification
Organization / Institution:
DLMS User Association, ZigBee Alliance
Author:
Not specified
Target audience:
Industry professionals, technical experts in energy metering
Period of validity:
Not specified
Approval Date:
November 2023
Date of amendments:
Not specified
Year:
2014
Region / City:
United States
Topic:
Public Health and Medical Mission Ready Packages
Document Type:
Official Guideline
Organization / Institution:
National Emergency Management Association (NEMA)
Author:
NEMA, ASTHO
Target Audience:
Emergency Management Professionals, Public Health and Medical Personnel
Period of Validity:
Ongoing
Approval Date:
Not specified
Amendment Date:
Not specified
Year:
2020
Region / City:
N/A
Theme:
Instrumentation, Calibration, Environmental Science
Document Type:
User Manual
Organization / Institution:
YSI
Author:
Jim Klosiewski, Sandy Wickman, Al Wirt
Target Audience:
Users of YSI Dissolved Oxygen Meters
Validity Period:
N/A
Approval Date:
February 2020
Modification Date:
N/A
Year:
[Year]
Region / City:
[Region]
Theme:
Project Management
Document Type:
Guide
Organization / Institution:
[Organization Name]
Author:
[Author Name]
Target Audience:
Project Managers, Project Teams
Effective Period:
[Start Date] - [End Date]
Approval Date:
[Date]
Modification Date:
[Date]
Context:
This document serves as a template for tracking project status and changes during the Executing, Monitoring, and Controlling phase of a project.
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:
2026
Region / City:
Global
Topic:
Virtual Human Simulation, Learning Experience Design
Document Type:
Experience Requirements Document (ERD)
Organization / Institution:
Fides Central
Author:
Internal Team
Target Audience:
Instructional Designers, AI Developers, Learning Experience Designers
Period of Validity:
N/A
Approval Date:
N/A
Date of Changes:
N/A
Year:
2024
Region / City:
United States
Topic:
Health Care, HIPAA Compliance, Electronic Transactions
Document Type:
Companion Guide
Organization:
UCare
Author:
UCare
Target Audience:
Health care providers, trading partners, billing services, software vendors, financial institutions
Period of Action:
2024
Approval Date:
11/01/2024
Date of Modifications:
Not specified
Document type:
Experience Requirements Document
Subject area:
Immersive learning design
Intended use:
Design of AI-driven learning conversations
Primary roles defined:
Virtual Human character, Learner
Learning format:
Immersive conversational learning
Instructional modes described:
Role play, Advisor/Coach, Subject Matter Expert
Interaction style:
Adaptive dialogue with emotional and behavioral simulation
Target outcomes:
Demonstration of learner behaviors aligned with learning objectives
Audience:
Learning designers, instructional designers, AI experience designers
Source type:
Professional learning design specification
Year:
2024
Region / City:
New Zealand
Topic:
Government Strategic Planning
Document Type:
Guidance
Organization / Institution:
The Treasury
Author:
The Treasury
Target Audience:
Government agencies, public sector employees
Period of Application:
2024 and beyond
Approval Date:
April 2024
Date of Changes:
Not specified
Year:
2023
Region / City:
Massachusetts
Topic:
Health Care, Medicaid, EDI Standards
Document Type:
Guide
Organization:
MassHealth
Author:
MassHealth
Target Audience:
Health care providers, trading partners
Period of validity:
Ongoing
Approval Date:
August 2023
Modification Date:
Not specified
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