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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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Jun
23

June 23 at 12:00 pm

Preparing Your Facility for Mandated CNA CPR Certification

Jun
25

June 25 at 11:00 am

Strengthening Your Appeal: Navigating the IDR and IIDR Process with Confidence

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June 5, 2026
Critical Action Alert: Please Email your State Representative and Senator to Urge Them to Contact the FY 2027 Conferees in Support of Quality Nursing Facility Funding
June 5, 2026
Federal Independent Dispute Resolution Operations Final Rule Under No Surprise Act
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