The providers PID/SL will be displayed on MassHealth reports as well as correspondence and remittance advices. We serve anyone enrolled in a MassHealth health plan, including members enrolled in: Program of All-Inclusive Care for the Elderly (PACE), Massachusetts Behavioral Health Partnership (MBHP). The first link below will take you to the MassHealth Provider Directory to find a primary care clinician (PCC), specialist, or hospital. Find a Provider. For help on some common issues, see here. Self-service available 24 hrs/day in English and Spanish. We may offer benefits directly or help pay for all or part of your health insurance premiums. Each MassHealth provider must notify the MassHealth agency prior to or no later than the date of the change. Contact information for the Executive Office of Health and Human Services. MBHP verifies the Organizational Provider's accreditation during the initial credentialing process and every three years during the re-credentialing process. Therapeutic Training and Support is a service provided by a qualified paraprofessional working under the supervision of a clinician to support implementation of the licensed clinician's treatment plan to assist the youth and family in achieving the goals of that plan. We will use this information to improve this page. hmKA/O H-/x.KZm9I This BMT develops specific behavioral objectives and interventions that are designed to diminish, extinguish, or improve specific behaviors related to the youth's behavioral health condition(s) and which are incorporated into the behavior management treatment plan and the risk management/safety plan. Phase 4: Analytics vendor transfers all normalization , analytics, and reporting to MassHealth for ongoing operations Including detailed business requirements, technical specifications, and data dictionaries describing all data elements, codes, calculations and algorithms along with training for MassHealth staff . We will use this information to improve this page. Please remove any contact information or personal data from your feedback. See the regulations at, Some of the ways that providers can report their, Contact the appropriate vendor for Pharmacy/LTSS (please see the, important Information section for contact information), Dental providers must notify the DentaQuest credentialing department of all changes in writing via email at, MassHealthEnrollment&Credentialing@dentaquest.com, For more information regarding provider enrollment and credentialing, including change of provider address information, please go to, Per 130 CMS 450.223(B), all providers are required, to notify MassHealth of any change in any. Go to eServe. We are currently NOT accepting Medicaid plans. Please remove any contact information or personal data from your feedback. Use this button to show and access all levels. For a faster response, please call us directly at 888-666-8135. ) or https:// means youve safely connected to the official website. Some page levels are currently hidden. Please do not include personal or contact information. For general inquiries, please call 508-481-5000 or send an email . This page is located more than 3 levels deep within a topic. Thank you for your website feedback! If you have questions, comments or concerns, please contact us by email, US Postal Service or telephone using the information provided below. Senior Director, Office of Patient Protection MassHealth Members who are or are trying to become VG users: 1-800-421-0938 (Voice) 1-617-847-6578 (TTY for the deaf and hard of hearing) National Accreditation demonstrates the exceptional quality of the contracted/credentialed Organizational Provider (Facility). Senior Director, Market Oversight and Transparency (MOAT) If you would like to continue helping us improve Mass.gov, join our user panel to test new features for the site. Looking for a great leader to Join our Medicaid Managed Information System (MMIS) Team. Top-requested sites to log in to services provided by the state. Suggestions are presented as an open option list only when they are available. Failure to do so constitutes a breach of the provider contract which may be subject, to fines or termination. These providers can offer you check-ups, help with ongoing medical conditions, and more. MassHealth Info and Other Important Contacts, 1000 Washington Street, Suite 310 | Boston, MA 02118-5002 | 1-800-495-0086 | Website questions, comments, or feedback: MBHPCommunications@carelon.com, Privacy Policy | Terms and Conditions | Download Acrobat Reader Liked by Martha . https://application.abpn.com/verifycert/verifycert.asp, https://www.certificationmatters.org/find-my-doctor/, https://certification.osteopathic.org/bureau-of-osteopathic-specialists/, https://www.nursingworld.org/certification/verification/, https://www.bacb.com/verify-certification. Guided by the needs of our patients and their families, Massachusetts General Hospital aims to deliver the very best health care in a safe, compassionate environment; to advance that care through innovative research and education; and to improve the health and well-being of the diverse communities we serve. This PID/ SL is 10 characters, made up of a 9-digit base, in their information. Our mission is to ensure that MassHealth members understand their healthcare rights and health plan benefits so they can get the care they need. The MBHP directory lists behavioral health providers (mental health and addiction). The Dental Director leads the MassHealth Dental Advisory Committee, chairs applicable joint committees, and consults with the Center for Health Information and . The job aids are organized by functional area. Resources. Providers, business partners, and relationship entities must be enrolled in, Direct data entry and modification of individual transactions such as prior authorization (non-. This information is self-reported and verified during the initial . We will never share your information without your permission. MassHealth provides health benefits and help paying for them to qualifying children, families, seniors, and people with disabilities living in Massachusetts. Please remove any contact information or personal data from your feedback. For help on some common issues, see here. You skipped the table of contents section. Looking for a therapist? Names of Office and Executive Staff Title Address; Executive Office of Health and Human Services (617) 573-1600: Kate Walsh: Secretary: One Ashburton Place 11th Floor Boston, MA 02108: . We also have a phone interpretation service available for over 165 languages. Leave a message on our secure voicemail system at any time. Mass.gov is a registered service mark of the Commonwealth of Massachusetts. MassHealth Senior Buy-In Covers Medicare premiums, co-pays, and deductibles. Practitioner must be enrolled into a contract with MassHealth as a billing or non-billingprovider and provide their PID/SL Profession-specific credentialing criteria All network practitioners must meet the general credentialing criteria listed above. Online Speak to a Licensed Agent. Examples of changes include corporate/practice structure, change(s) in licensure, closure or opening of new location, change, Each MassHealth provider must notify the MassHealth agency prior to or no later than the date of the change. Our office is located in Boston at 25 Kingston Street 4th Floor. weather by hour pittsburgh jabv adult movie s director erotic. MassHealth Behavioral Health Urgent Care Program, Providers who would like to participate in the MassHealth Behavioral Health Urgent Care Program, as described in. Use this button to show and access all levels. If you need assistance, please For help on some common issues, see here.. TTY: (800) 497-4648. ) or https:// means youve safely connected to the official website. Heres what you need to know about how to get around >, MassHealth Managed Care Entity Bulletin 76. masshealth dental. In-Home Therapy is a structured, consistent, strength-based therapeutic relationship between a licensed clinician and the youth and family for the purpose of treating the youth's behavioral health needs, including improving the family's ability to provide effective support for the youth to promote his/her healthy functioning within the family. We also serve children in state custody and others. Suggestions are presented as an open option list only when they are available. Provide clinical leadership and mentoring for the OCA and MassHealth staff and work collaboratively with both clinical and non-clinical team members. Practitioners must also pass an examination given by the specialty board and must complete continuing education. My Ombudsman staff come from culturally and linguistically diverse communities and have experience in areas such as advocacy, social services, and healthcare, to name a few. Section 6401 of the Affordable Care Act established a requirement for Medicare and Medicaid to revalidate enrollmentinformation for all enrolled providers, regardless of provider type, under new enrollment screening criteria at least every five years. The Massachusetts Behavioral Health Access website allows medical and behavioral health providers, individuals and families, state agency staff, and others to locate services available through the Childrens Behavioral Health Initiative. ProfilePoints measure the overall completeness of a Please let us know how we can improve this page. Services are provided to youth in any setting where the youth resides, such as the home or in other community settings such as school, child care centers, respite settings, and other culturally and linguistically appropriate community settings. Click on the teams below to learn more about their function within the agency. These are community-based programs that offer mental health and/or substance use disorder services. A lock icon ( An official website of the Commonwealth of Massachusetts, This page, MassHealth Provider Portals, is. The feedback will only be used for improving the website. Each department works on focused areas as well as collaborative, intra-agency projects to ensure that the HPCs statutory deadlines are met in a robust, transparent, and timely manner. endstream endobj 7109 0 obj <>stream Please let us know how we can improve this page. Central Processing Unit. We use cookies and limited processing of your personal information for our We will use this information to improve this page. Please remove any contact information or personal data from your feedback. Charlestown, MA 02129-0214. Please let us know how we can improve this page. Robert Johnson, NP, DCNP, MSN. The provider's special field of practice or expertise, which is obtained through the provider's credentialing application. Those residing in a memory care community may be eligible for the Group Adult Foster Care waiver and SSI-G. . Total number of Providers in Massachusetts on Doctor.com who Accept MassHealth: Most popular medical specialty of providers who acceptMassHealth in Massachusetts. Family Support and Training (FS&T) ;[z[usd){^K1N ;gaWMm[C)t:R?bl::6I|S ifWlys,$zN\kffjJ(]Y&#Kg\{$rbF1_F%FT%6iHhTOhV[EqF6xEy6a 9B2(N9nSQ Jjp}Q f1rBQ|,om>ol06dtkz2,G3{f?gf1YnQc\^Q,U}&"Jtr@L{{3xlVC{ @;RAo p7p[1s#>qQ&DJ74"S, KV XF7F78Px) iQT76|RT46PuZ7mh@!qF3g[0BttS:1 )l0TT7B0-B)sA&7!R2 S > |ctHL\F9RDj7k lU$lS3WM/ Phone contact and consultation are provided as part of the intervention. Some page levels are currently hidden. learn more. Quality Management Program. Intensive Care Coordination (ICC) Failure to complete revalidation in a timely fashion will result in sanctions. My Ombudsman is an independent program operated by the Disability Policy Consortium (DPC) through a contract with MassHealth. The purpose of this service is for resolving or ameliorating the youth's emotional and behavioral needs by improving the capacity of the parent/caregiver to parent the youth so as to improve the youth's functioning as identified in the outpatient or In-Home Therapy treatment plan or Individual Care Plan (ICP), for youth enrolled in Intensive Care Coordination (ICC), and to support the youth in the community or to assist the youth in returning to the community. Share sensitive information only on official, secure websites. Senior Director. Phone: 1-800-MEDICARE (800) 633-4227. %PDF-1.7 % If you are a BeHealthy Partnership Member or provider, click "Learn More" to go to the MBHP/BeHealthy Partnership website. Call us Toll Free Massachusetts Medicare Insurance . My Ombudsman and the Deaf Services Department can help MassHealth members who need help accessing care and services. The Massachusetts Consultation Service for Treatment of Addiction and Pain (MCSTAP) is a statewide program that offers primary care providers Outpatient Clinic/Mental Health Center: We have a no wrong door approach, so even if the issue is outside the scope of My Ombudsmans expertise, we will try to provide referrals to other organizations that can help. Behavior Management Monitor (BMM) MassHealth Info and Other Important Contacts. If you are a member, you may have access to doctor visits, dental, prescription drugs, behavioral health services, and other important health . The Official Website of the Personal Care Attendant Workforce Council. Kelly Hall In addition to these Box 290794. Please limit your input to 500 characters. Specific types of providers in this category are: Psychologist (EdD); Psychologist (PsyD); and Psychologist (PhD) (can be a specialist called a Neuropsychologist). Information about the HPC's leadership team. hb```I,* cbXAK5%5),=C`wS3Q[x +.7-OxH ne6Y}>|0^v5=,uzk NbV&AO Mkn*evLKhE$-m7 [xF`4[\Wlxv(J3tGZf^ NE;zW8p40v40t0w40wt0G y&b LL @QA !!A(m 4QQA%Q1H w40*u4(D:xd`H(5p(ox}6O0e`_Yw}j^42i{&aa'1N Our staff speak Spanish, Portuguese, French, Kreyl, and use American Sign Language. Orthodontist. As part of the required revalidation process, MassHealth must revalidate the enrollment information of all enrolled providers and site locations. Refers MassHealth staff to subject matter expert in EOHHS Office of Human Resources, MassHR, Human Resources Division, etc. Sanctions may include, but are not limited to, administrative fines and suspension or termination from participation in MassHealth. For help on some common issues, see here. The provider will be only listed in a requested specialty that the Massachusetts Behavioral Health Partnership can verify and that the provider has the education and training to support the requested specialty. Master's-Level Clinicians PCC Quick Links. Thank you for your website feedback! If you have MassHealth eligibility related questions, please contact: The MassHealth Customer Service Center. Long term care facilities practice quality infection control procedures every day however, the coronavirus (COVID-19) has heightened the focus on infection prevention and control. The provider's special field of practice or expertise, which is obtained through the provider's credentialing application. Get the inside scoop on jobs, salaries, top office locations, and CEO insights. MassHealth providers need to revalidate their information at least every five years. Staff; Camps; Scuba. MassHealth has an online directory that lists demographic information for Behavioral Health providers, specialists, and, providers in the Primary Care Clinician Plan and Primary Care Accountable, on MassHealth Provider file information. MassHealth providers in Massachusetts listed on Doctor.com have been practicing for an average of: 22.8 year (s) Average ProfilePoints score for Providers in Massachusetts who take MassHealth: 62/80. Fee-For-Service (FFS) and MassHealth Provider Network, Primary Care Clinician Plan & Primary Care Accountable Care Organizations, Managed Care Organizations and Accountable Care Partnership Plans, MassHealth Electronic Data Interchange (EDI), MassHealth Coordination of Benefits (COB)/Medicare Crossover, MassHealth Claim Status, Reconciliation, and Additional Claims Resources. Find out what works well at MassHealth from the people who know best. Some changes, are significant (i.e., change of business address or change of ownership) and may require a new, a requirement for Medicare and Medicaid to revalidate enrollment, information for all enrolled providers, regardless of provider type, under new, MassHealth will select providers each month for.