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Tag: MassHealth


MassHealth gives DME boost

July 30, 2021Liz Beaulieu, Editor

BOSTON – Industry stakeholders who are lobbying state Medicaid officials to earmark dollars from the American Rescue Plan Act for DME got their first win in Massachusetts in July, setting a precedent for other states.  MassHealth, the state’s Medicaid program, has increased reimbursement 10% for DME claims from July 1 until the end of the year. It has also increased reimbursement...

MassHealth, Medicaid

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State news: Massachusetts, Pennsylvania

July 22, 2021HME News Staff

BOSTON – The MassHealth Medicaid program is implementing a 10% rate increase for DME claims with dates of service effective July 1, 2021.    It's also implementing a 50% increase for labor code K0739, which covers repair or nonroutine service for DME other than oxygen equipment requiring a skilled technician.  “This is a big win when we needed it most,” said Jason Morin, president & CEO of HOMES. “Between the pandemic impacts and the recent respiratory...

Managed Care, MassHealth, Pennsylvania

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Also Noted

Mass: Medicaid to audit providers

March 21, 2019HME News Staff

BOSTON - MassHealth, the Massachusetts Medicaid program, has begun auditing HME providers. The audits, which are being conducted by Optum and the MassHealth Office of Long Term Support and Services, are in response to an April 2017 report that found $206,000 in improper payments were made to suppliers on a variety of claims. MassHealth anticipates conducing two audits per month until all suppliers have been audited, according to a blog from the van Halem Group. Suppliers should expect to have 100...

Home Medical Equipment (HME), MassHealth

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Massachusetts Medicaid transitions to preferred supplier

February 9, 2018Liz Beaulieu, Editor

BOSTON - If HME providers have to deal with a preferred supplier for incontinence supplies, a new Medicaid contract in Massachusetts might be the way to go.Because the upcoming contract between MassHealth and Geriatric Medical is a preferred supplier not a single-source contract, providers can still buy incontinence products from other distributors and manufacturers, points out Karyn Estrella, president and CEO of the Home Medical Equipment and Services Association of New England (HOMES).“When...

Geriatric Medical, Incontinence Supplies, MassHealth

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Apria settles with MassHealth

August 10, 2017HME News Staff

LAKE FOREST, Calif. - Apria Healthcare has agreed to pay more than $750,000 to settle allegations that it billed Massachusetts residents for services already covered by MassHealth, the state's Medicaid program. Under the settlement announced Aug. 9, Apria has agreed to pay $99,008 in restitution and $665,934 in penalties to settle allegations that the company improperly billed consumers between December 2011 and April 2017, according to Massachusetts Attorney General Maura Healey. Despite...

Apria, MassHealth

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New England: Provider outreach pays off

September 25, 2015Tracy Orzel

BOSTON - MassHealth has given stakeholders its word that the agency will not pursue volume purchasing for HME like incontinence products.The state in May included language to allow the state's Medicaid program to contract directly with DME manufacturers and distributors, bypassing providers, in its proposed Medicaid budget for fiscal year 2016.Although the governor in July signed the budget into law, MassHealth is not required to contract with DME vendors.“We met with the department head of...

Incontinence Supplies, Karyn Estrella, MassHealth

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