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MassHealth Updates to Eligibility Verification System (EVS)

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February 3, 2022

On March 21, 2022, MassHealth will implement changes to the Eligibility Verification System (EVS) and the HIPAA Health Care Eligibility Benefit Inquiry and Response (270/271) transaction to include the additional benefit plans:

  • COVID Uninsured Coverage
  • CMSP
  • Limited
  • HSN

Trading Partner Testing (TPT) will be conducted from February 14, 2022 through March 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.

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:

https://www.mass.gov/lists/masshealth-hipaa-companion-guides

If you have general 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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