masshealth staff directory

Phone: 1-800-MEDICARE (800) 633-4227. Senior Director. 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 In order to be board certified, a practitioner must complete certain requirements beyond those required for licensure, including training and experience in the specialty area. H|WM]7,BIJ"EehKi?%Y~3d[e}>>>9G ||OxfcO~xw?uOh:q_52p|_ab M0>Y1\Hzjl+by6l\Mr;[fJeA>K8nNg [Mp;\ x8CZ"i:mJq@$Cqqb\:V #8n!]S0=)uAGAbRSv*s^Qg:'LhH{_$NV.I!t*g J~,Twta7u.-gwT(Xz?Kn6rz52adX 'Y2oY(YM(@'w8%d%dh&t!u"Gd 9|y"(lVAnH3IEAj +,4q3&qs,3U? more, MBHP network providers can view the Provider Manual and performance specifications, submit claims, request service authorizations, and much more. MassHealth has prepared a variety of job aids as part of the POSC e-Learning courses. We stay neutral we do not judge, we do not decide who is right or wrong, and we do not represent members or insurance plans. MassHealth will select providers each month for revalidation based on their date of enrollment. 1-800-495-0086 Need language assistance? The LTSS Provider Portal is a web-based portal that is available to MassHealth LTSS providers. Management of profile information. Under the leadership of Executive Director David Seltz, the HPC staff is divided into six departments. 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. People who meet a spend-down deductible may also qualify for MassHealth Standard. endstream endobj 7108 0 obj <>stream 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. If you are a MassHealth PCC Plan Member, you have access to a large network of primary care providers including physicians, community health centers, and hospitals. masshealth. A .mass.gov website belongs to an official government organization in Massachusetts. If you need assistance, please contact the Massachusetts Health Policy Commission. MassHealth Careers and Employment | Indeed.com If you would like to continue helping us improve Mass.gov, join our user panel to test new features for the site. We're currently processing your request and we'll be in touch soon. April Bridges-Poquis, DDS is an Orthodontist in Midlothian, VA. . Care Coordinators are Master, Bachelor, or Associate level staff with experience working with families and youth. Mass.gov is a registered service mark of the Commonwealth of Massachusetts. Does not cover other MassHealth Standard services. While My Ombudsman cannot represent a member when they file a grievance or appeal, we can explain the process and what to expect. Dental providers and businesses will be notified by DentaQuest when it is time to recredential. These providers can offer you check-ups, help with ongoing medical conditions, and more. If you would like to continue helping us improve Mass.gov, join our user panel to test new features for the site. 7120 0 obj <>/Filter/FlateDecode/ID[<6836E18618FA8C4A8A1C755566170ED0>]/Index[7104 27]/Info 7103 0 R/Length 89/Prev 610416/Root 7105 0 R/Size 7131/Type/XRef/W[1 3 1]>>stream MassHealth. 7104 0 obj <> endobj Welcome to our website! Please remove any contact information or personal data from your feedback. Resources. Total number of Providers in Massachusetts on Doctor.com who Accept MassHealth: Most popular medical specialty of providers who acceptMassHealth in Massachusetts. We will use this information to improve this page. Some physicians are employed by affiliates Saint Vincent Hospital . This information includes a list of languages spoken by the provider. Psychiatrist Support and participate in our professional . A great management team here to support you and an abundance. Contact Us - Marlborough Hospital - UMass Memorial Health Though our office is currently closed due to COVID-19, all other My Ombudsman services remain available. Dental providers and businesses will be required to complete a recredentialing application utilizing App Central. How to find Find a PCC Plan provider. These offices include: Finance includes Budget, Accounting, Purchase of Services, Facilities, and Internal Controls. Failure to complete revalidation in a timely fashion will result in sanctions. This page is located more than 3 levels deep within a topic. ) or https:// means youve safely connected to the official website. It also provides information on openings Emergency Services Programs, inpatient programs, and other 24-hour services. manages behavioral health care for more than 500,000 MassHealth Members statewide. Please do not include personal or contact information. Your answer might already be in our FAQ! Sanctions may include, but are not limited to, administrative fines and suspension or termination from participation in MassHealth. Commissioner's Office Structure. Submit the completed application to: MassHealth Enrollment Center. Intensive Care Coordination provides a single point of accountability for ensuring that medically necessary services are accessed, coordinated, and delivered in a strength-based, individualized, family/youth-driven, and ethnically, culturally, and linguistically relevant manner. PDF Appendix A-8 Credentialing Criteria - Masspartnership See the 2023 health plan comparison chart on page 5 of the Faculty/Staff Benefits Guide for an overview of the plan options. To speak with one directly, in English . PDF MassHealth: The Basics - MAMH Under the leadership of Executive Director David Seltz, the HPC staff is divided into six departments. Please limit your input to 500 characters. Quality Management Program. 761 Masshealth jobs available in Massachusetts on Indeed.com. masshealth dental. Compare rates from MassHealth.com providers in one easy to use website. MassHealth providers in Massachusetts listed on Doctor.com have been practicing for an average of: Average ProfilePoints score for Providers in Massachusetts who take MassHealth: Average Overall User Rating for Providers in Massachusetts who take MassHealth. hbbd```b``A$d6`Drp6``"c$c\-R>#?|FL~ 0 We also have a phone interpretation service available for over 150 languages. 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). Senior Director, Market Oversight and Transparency (MOAT) H|W7&v0$ ( `U}/j}T!_Y1f?Qf2epkxZ [. Average Overall User Rating for Providers in Massachusetts who take MassHealth: 5 (out of 5) by providers with Doctor.com accounts when editing their profile on Doctor.com. with MassHealth online. By choosing "OP Clinic/MH Center," you will include the following provider types in your search: Outpatient Clinics and Mental Health Centers. Frequently dialed phone numbers are available in our Telephone Directory. Revalidation is completed on the POSC (non-LTSS providers) and the LTSS Provider Portal (LTSS providers). Some psychiatrists will provide counseling themselves. MassHealth Provider Portals | Mass.gov 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. The providers PID/SL will be displayed on MassHealth reports as well as correspondence and remittance advices. For help on some common issues, see here. Integrated Care Management Program. Top-requested sites to log in to services provided by the state. Providers can notify MassHealth and submit a request to update their provider file through the, POSC (non-LTSS providers) and though the LTSS Provider Portal (LTSS providers). Below outlines the LTSS Provider Portal functionalities: The feedback will only be used for improving the website. Refers MassHealth staff to subject matter expert in EOHHS Office of Human Resources, MassHR, Human Resources Division, etc. Voice: (800) 841-2900. Some page levels are currently hidden. Coleen Elstermeyer, MPP This is a part of the MassHealth Provider Handbook. Any MassHealth health plan member can reach out to My Ombudsman when they have questions about their health plan benefits, when they have been denied a benefit or a service, or when they need help understanding their rights. Please limit your input to 500 characters. About Us | MassHealth.com We will use this information to improve this page. Providers can notify MassHealth and submit a request to update their provider file through the POSC (non-LTSS providers) and though the LTSS Provider Portal (LTSS providers). The information provided on this website should by no means be considered official or legal advice and should not be used as such. Robert Johnson, NP, DCNP, MSN. MBHP currently accepts four National Accreditation Organizations: The Joint Commission (JCAHO), Council on Accreditation (COA), Commission on the Accreditation of Rehabilitation Facilities (CARF), and Healthcare Facilities Accreditation Program (HFAP). Our mission is to ensure that MassHealth members understand their healthcare rights and health plan benefits so they can get the care they need. This information is self-reported and verified during the initial credentialing process and every three years or more often when requested by the provider. free telephone consultation on safe prescribing and managing care for patients with chronic pain, substance use disorder, or both. By using our site, you agree to our use of cookies and our. You can reach us by phone or email. Please let us know how we can improve this page. MassHealth corporate office is located in PO Box 2906, Milwaukee, Wisconsin, 53201, United States and has 1 employees. Our staff speak Spanish, Portuguese, and use American Sign Language (ASL). Please remove any contact information or personal data from your feedback. A lock icon ( Some changes are significant (i.e., change of business address or change of ownership) and may require a new application to be submitted. eServe. Advancing Care Since 1811. Find a Doctor, Hospital and More | Tufts Health Plan Therefore, providers need to make sure that they keep their information up to date. Massachusetts Healthcare Resources My Ombudsman MBHP manages behavioral health care for the BeHealthy Partnership, an Accountable Care Organization, serving Western Massachusetts. PDF CMS Quarterly Update - Medicaid.gov Our office is located in Boston at 25 Kingston Street 4th Floor. Director, Dental Services Job in Quincy, MA - University of ) or https:// means youve safely connected to the official website. . Practitioners must also pass an examination given by the specialty board and must complete continuing education. The job, aids are organized by functional area. This information is self-reported and verified during the initial . This information is self-reported and verified during the initial credentialing process and every three years or more often on the provider's credentialing application, which is a signed document in which the provider confirms the information is accurate and complete. Top-requested sites to log in to services provided by the state. Share sensitive information only on official, secure websites. Enhanced Analytics Strategy Family Support and Training is a service provided to the parent/caregiver of a youth (under the age of 21), in any setting where the youth resides, such as the home (including foster homes and therapeutic foster homes), and other community settings. These are master's-level practitioners (A master's-level practitioner for these purposes includes persons with the following credentials: developmental-behavioral pediatricians, developmental-behavioral pediatric fellows, LICSWs, LCSWs, LMFTs, LMHCs, licensed psychologists (PsyD, EdD, PhD), master's-level counselors, marriage and family therapy interns, mental health counselor interns, psychiatric nurse mental health clinical specialists, psychiatric nurse mental health clinical specialist trainee, psychiatric nurses, psychiatrists, psychiatry residents, psychology interns, and social work interns). Favorites. All users must be enrolled in and/or registered to use the LTSS Provider Portal. See the 2023 rates for payroll contribution based on your coverage level. 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. An official website of the Commonwealth of Massachusetts, This page, MassHealth Provider Portals, is. Psychologist, Doctorate Level: MassHealth, the Commonwealth's Medicaid program, provides health care benefits to certain low and medium-income Massachusetts residents. An official website of the Commonwealth of Massachusetts, This page, MassHealth Provider Directory, Provider File Maintenance, and Revalidation, is, MassHealth Provider Directory, Provider File Maintenance, and Revalidation. Use this button to show and access all levels. Please limit your input to 500 characters. The directory below lists information on 256 assisted living facilities in the state of Massachusetts. If you have MassHealth eligibility related questions, please contact: The MassHealth Customer Service Center. PCC Quick Links. The Personal Care Attendant (PCA) Program is a MassHealth program that assists people with long-term disabilities live at home independently. General Counsel, Health Care Transformation and Innovation If you are experiencing a mental health or substance use disorder crisis, the Community Behavioral Health Centers (CBHCs)/Mobile Crisis Intervention (MCI) is available 24 hours a day, 7 days a week, 365 days a year. Per 130 CMS 450.223(B), all providers are required to notify MassHealth of any change in any of the information submitted in the application. Senior Director, Office of Patient Protection Thank you for your website feedback! When a case first comes to us, we listen without judgment. Deputy Executive Director and Chief of Staff, Office of the General Counsel The MassHealth Provider Directory lists primary care providers, called primary care clinicians (PCCs), specialists, and hospitals. 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. This is a part of the MassHealth Provider Handbook. P.O. Contact information for the Executive Office of Health and Human Services. Use this button to show and access all levels. Other information such as Federally Required Disclosures Form (FDRF) may be required. MassHealth Benefits | Boston Medical Center Meet the Leadership | Mass.gov Masspartnership For this type of provider, most states require a doctorate degree from the psychology department of an accredited college and that the provider has passed a national licensing exam. If you have questions, comments or concerns, please contact us by email, US Postal Service or telephone using the information provided below. Triages inquiries from MassHealth staff and respond in a timely manner. The MBHP directory lists behavioral health providers (mental health and addiction). dm{&CIQ2U]t]fk-={b6xn`93}XDh\9":<89oJc*"w;= .J Mass.gov is a registered service mark of the Commonwealth of Massachusetts. Compare pay for popular roles and read about the team's work-life balance. Box 290794. The first link below will take you to the MassHealth Provider Directory to find a primary care clinician (PCC), specialist, or hospital. The Official Website of the Personal Care Attendant Workforce Council. Doane University hiring Associate Medical Director - LTSS in North The ICC organizational provider is staffed with care coordinators who have successfully completed skill-based and competency-based training in the delivery of ICC consistent with the Systems of Care philosophy and the Wraparound planning process and have experience working with youth with SED and their families. Services offered range from detox, to crisis counseling, to long-term therapy. 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. Insurance info unavailable. 13841 Hull Street Rd, 4, Midlothian, VA 23112. Manage your favorites on AccessTufts. Please limit your input to 500 characters. Getting Started. Kelly Hall Mass.gov is a registered service mark of the Commonwealth of Massachusetts. MBHP offers high quality, accessible, culturally sensitive health care to Members of the MassHealth Primary Care Clinician (PCC) Plan, Community Care Cooperative (C3), We are passionate about using our skills, expertise, and personal experience to help members get the care they need. Share sensitive information only on official, secure websites. The job aids are organized by functional area. Advanced Scuba Diver; Ultimate Rescue Diver; Specialties. Provide clinical leadership and mentoring for the OCA and MassHealth staff and work collaboratively with both clinical and non-clinical team members. We are currently NOT accepting Medicaid plans. Other services available Monday-Friday 8 a.m.5 p.m. Interpreter service available. Other ways to find a physician near you. more, MBHP collaborates with primary care clinicians (PCCs) to enhance the integration of medical and behavioral health care, as well as to improve the quality of care offered to PCC Plan Members. Please do not include personal or contact information. Please limit your input to 500 characters. These are community-based programs that offer mental health and/or substance use disorder services.