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MassHealth Eligibility Verification System Upcoming Update: Message From MassHealth

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  • MassHealth Eligibility Verification System Upcoming Update: Message From MassHealth
December 30, 2021

On March 21, 2022, MassHealth will update its Eligibility Verification System (EVS) and the HIPAA Health Care Eligibility Benefit Inquiry and Response (270/271) transaction to include the additional benefit plans below for applicable members:

  • COVID Uninsured Coverage
  • CMSP
  • Limited
  • HSN

Trading partners should visit the MassHealth HIPAA Companion Guides webpage listed below to evaluate the changes outlined in the MassHealth HIPAA Health Care Eligibility Benefit Inquiry and Response (270/271) Companion Guide, and ensure that their systems can accept the additional benefit plan information

Trading Partner Testing (TPT) scheduled to be conducted from 2/14/2022 through 3/11/2022. Testing is not mandatory, however, MassHealth urges Trading Partners and vendors to test during this timeframe. If you plan to participate or have questions about TPT testing, please contact MassHealth EDI at edi@mahealth.net.

If you have questions, please contact the MassHealth Customer Service Center at 1-800-841-2900 or edi@mahealth.net. If you are an LTSS provider, please contact LTSS Provider Service Center at (844) 368-5184 or support@masshealthltss.com.

 

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