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MassHealth Transition to a Patient Driven Payment Model (PDPM)

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  • MassHealth Transition to a Patient Driven Payment Model (PDPM)
March 24, 2023

Mass Senior Care has long supported and advocated for the conversion of the Medicaid MMQ payment system to the Federal MDS acuity system thereby eliminating the administrative burden of operating 2 acuity systems and to better capture the cost of resident care.  As MSCA has previously reported that effective October 1, 2023, MassHealth will transition to a Patient Driven Payment Model (PDPM) by utilizing the CMS Minimum Data Set (MDS 3.0) tool.  Mass Senior Care continues to work actively with MassHealth and are committed to ensuring a successful transition for our members by offering a series of member-only webinars beginning in late April. 

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