We will use this information to improve this page. When a case first comes to us, we listen without judgment. Please limit your input to 500 characters. This page is located more than 3 levels deep within a topic. If you are a BeHealthy Partnership Member or provider, click "Learn More" to go to the MBHP/BeHealthy Partnership website. Phone: 1-800-MEDICARE (800) 633-4227. Events and Trainings. Family Partners are the staff persons delivering this service. Some physicians are employed by affiliates Saint Vincent Hospital . While My Ombudsman cannot represent a member when they file a grievance or appeal, we can explain the process and what to expect. 13841 Hull Street Rd, 4, Midlothian, VA 23112. endstream endobj startxref MassHealth Senior Buy-In Covers Medicare premiums, co-pays, and deductibles. Nurse Practitioner (Dermatology) 3809 Computer Dr, Ste 200, Raleigh, NC 27609. We will use this information to improve this page. A lock icon ( Each providers NPI is stored in MassHealths Medicaid Management Information System (MMIS) with a corresponding MassHealth provider ID and service location (PID/SL). An official website of the Commonwealth of Massachusetts, Health Care Transformation and Innovation. Failure to complete revalidation in a timely fashion will result in sanctions. FOR MEMBERS. ) or https:// means youve safely connected to the official website. Apply for MassHealth, the Health Safety Net, or the Children's Medical Security Plan. Senior Director. Please limit your input to 500 characters. Average Overall User Rating for Providers in Massachusetts who take MassHealth: 5 (out of 5) By choosing "OP Clinic/MH Center," you will include the following provider types in your search: Outpatient Clinics and Mental Health Centers. Master's-Level Clinicians This PID/ SL is 10 characters, made up of a 9-digit base number and an alpha service location letter (e.g., 123456789A). 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. This PID/ SL is 10 characters, made up of a 9-digit base, in their information. Online Speak to a Licensed Agent. The staff at MassHealth is dedicated to ensuring people who apply for coverage and shop for insurance plans on our website have the best experience possible. Working with its network of providers, MBHP offers high quality, accessible, culturally sensitive health care to Members of the MassHealth Primary Care Clinician (PCC) Plan, Community Care Cooperative (C3), Mass General Brigham ACO, Steward Health Choice . 0 Intensive Care Coordination (ICC) Other services available Monday-Friday 8 a.m.5 p.m. Interpreter service available. Each MassHealth provider must notify the MassHealth agency prior to or no later than the date of the change. Transformation and . Central Processing Unit. provider's profile, including items like having a photo, a biography, Please limit your input to 500 characters. Thank you for your website feedback! We will use this information to improve this page. Please remove any contact information or personal data from your feedback. General Counsel, Health Care Transformation and Innovation Looking for a great leader to Join our Medicaid Managed Information System (MMIS) Team. 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. Hablamos Espaol | Ns falamos Portugus | We use ASL. 58.5 mi. Dental providers and businesses will be required to complete a recredentialing application utilizing App Central. hmKA/O H-/x.KZm9I website and services to function. Please let us know how we can improve this page. Failure to do so constitutes a breach of the provider contract which may be subjectto fines or termination. Therapeutic Mentor (TM) Medicare. 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. My Ombudsman is an independent program operated by the Disability Policy Consortium (DPC) through a contract with MassHealth. The provider's special field of practice or expertise, which is obtained through the provider's credentialing application. All users must be enrolled in and/or registered to use the LTSS Provider Portal. My Ombudsman is committed to promoting health equity by working to ensure all MassHealth members can access the care and services available to them through their plans. Voice: (800) 841-2900. 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. OR. Submit the completed application to: MassHealth Enrollment Center. Provide clinical leadership and mentoring for the OCA and MassHealth staff and work collaboratively with both clinical and non-clinical team members. | Download Word Viewer | Download Excel Viewer, For important information about COVID-19, providers click. Failure to do so constitutes a breach of the provider contract which may be subject, to fines or termination. 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. Mass.gov is a registered service mark of the Commonwealth of Massachusetts. Psychiatrist Use this button to show and access all levels. Search our physician directory by name or specialty. Executive Office of Health and Human Services, contact the Executive Office of Health and Human Services, Assistant Secretary for Administration and Finance, Executive Director, Interagency Council on Housing and Homelessness (ICHH), 600 Washington Street 4th Floor, Boston, MA 02111, Health and Human Services Contact Information. Commissioner's Office Structure. Thank you for your website feedback! We also serve children in state custody and others. For people aged 65 and older and people of any age who need long-term-care services: We are currently NOT accepting Medicaid plans. 65.5 mi. Charlestown, MA 02129-0214. If you would like more information regarding Massachusetts health care options please visit http://www.mass.gov/eohhs/insurance. The MassHealth Provider Directory lists primary care providers, called primary care clinicians (PCCs), specialists, and hospitals. Beneath the name of each functional area listed below are links to the job aids associated with processes within those functional areas. This is a part of the MassHealth Provider Handbook. Failure to do so constitutes a breach of the provider contract. Suggestions are presented as an open option list only when they are available. Heres what you need to know about how to get around >, MassHealth Managed Care Entity Bulletin 76. athol dental assoc. Dental providers and businesses will be notified by DentaQuest when it is time to recredential. This is a part of the MassHealth Provider Handbook. The provider's special field of practice or expertise, which is obtained through the provider's credentialing application. All, users must be enrolled in and/or registered to use, the LTSS Provider Portal. An ACO is a team of doctors, nurses, and other providers who work together to provide coordinated, high-quality care for members. If you use American Sign Language, call us via videophone and youll be connected directly to the Director of Deaf Services, who is fluent in ASL. A .mass.gov website belongs to an official government organization in Massachusetts. If you are unable to find your Tufts Health Plan member ID card, please call us at: 800-462-0224 An official website of the Commonwealth of Massachusetts, This page, Health and Human Services Contact Information, is, Call Executive Office of Health and Human Services at. E\NDF"Z8s@C@a`!HomtjGM{pbV"*gDIQCPC** ikI@2$X38UF8CRtg^1~W8C48'YQgh%m8CPUpq6yWx;\ ">=&Up9s;>t(Th`@WgE);9))#1+vA`@(MP*smYD|B%t{h:q2KU,X 3+`q`apcQW`H q I 6K76pwM6[$@7M>wk`tw#\ARce6;">Myi AhqE$8YLe*,PeKm {%qlw%l0%T$hGPe&"`vONVf XVbYu,[`Qd =ZTf2R[=_ CB Board Certification (and Certification) demonstrates exceptional expertise in a particular specialty and/or subspecialty, such as psychiatry. Our program serves MassHealth members of all ages, abilities, and identities who are currently enrolled in MassHealth health plans, including those found here. The information provided on this website should by no means be considered official or legal advice and should not be used as such. Leave a message on our secure voicemail system at any time. Office of the Chief of Staff The MBHP provider network is one of the largest in Massachusetts. The information listed in theMassHealth Network Provider Directory is based on MassHealth Provider file information. We value your knowledge and life experience. Psychiatric Nurse Mental Health Clinical Specialists (PNMHCS) are nurses with a master's degree and advanced training in psychiatry. Go to eServe. Heres what you need to know about how to get around >, MBHP is here to provide you or your loved one with a full range of services to help with medical, mental health, and substance use disorder conditions. See the 2023 rates for payroll contribution based on your coverage level. Providers must notify MassHealth of any changes in their information. Sanctions may include, but are not limited to, administrative fines and suspension or termination from participation in MassHealth. Integrated Care Management Program. by providers with Doctor.com accounts when editing their profile on Doctor.com. 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. Below outlines the LTSS. Senior Director, Market Oversight and Transparency (MOAT) They often work with or supervise mental health professionals who will provide the counseling in conjunction with the prescribed medication. 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. The feedback will only be used for improving the website. 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. Refers MassHealth staff to subject matter expert in EOHHS Office of Human Resources, MassHR, Human Resources Division, etc. For help on some common issues, see here. By showing providers with higher ProfilePoints first, If you need assistance, please contact the Executive Office of Health and Human Services. ProfilePoints measure the overall completeness of a Lois H. Johnson, JD There, Each providers NPI is stored in MassHealths, vider ID and service location (PID/SL). Employee Self Service provides you with anytime access to payroll and benefits information. 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. Our staff speak Spanish, Portuguese, and use American Sign Language (ASL). 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. My Ombudsman and the Deaf Services Department can help MassHealth members who need help accessing care and services. Providers have 45 days from the date of the revalidation letter to complete the revalidation process. This position supports the agency's mission to improve health outcomes by providing access to integrated services that promote sustainable and equitable health, well-being, independence, and quality of life. 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. A lock icon ( The . Call toll-free (866) 494-3627 Use the referral request form. We will never share your information without your permission. See the regulations at 130 CMR 450.222 and 130 CMR 450.223(B): Some of the ways that providers can report their changes to MassHealth: For more information regarding provider enrollment and credentialing, including change of provider address information, please go to the MassHealth Provider Enrollment and Credentialing (PEC)web page. 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). Orthodontist. Specific types of providers in this category are: medical doctor (MD), (including unspecified, adult, child and geriatric psychiatrists); Addictionologist; Developmental Behavioral Pediatrician (DBP); and Doctor of Osteopathy (DO), (including DO of Psychiatry or DO of an Unspecified Specialty). Outpatient Clinic/Mental Health Center: Find out what works well at MassHealth from the people who know best. Staff; Camps; Scuba. ) or https:// means youve safely connected to the official website. You skipped the table of contents section. This provider is a medical doctor whose internship/residencies were specialized in the treatment of mental disorders. 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. I was fortunate enough to afford it with help. Providers are notified by MassHealth when it is time to complete their revalidations. My Ombudsman is an independent program operated by the Disability Policy Consortium (DPC) through a contract with MassHealth. masshealth dental services. Liked by Martha . Below outlines the LTSS Provider Portal functionalities: The feedback will only be used for improving the website. A great management team here to support you and an abundance. By using our site, you agree to our use of cookies and our. In addition to these People who meet a spend-down deductible may also qualify for MassHealth Standard. hbbd```b``A$d6`Drp6``"c$c\-R>#?|FL~ 0 MBHP manages behavioral health care for the BeHealthy Partnership, an Accountable Care Organization, serving Western Massachusetts. An official website of the Commonwealth of Massachusetts, This page, MassHealth Provider Portals, is. For help on some common issues, see here. For help on some common issues, see here. Insurance info unavailable. Mass Senior Care Association Offers Resources and Support to Help You Protect Your Long Term Care Community. 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. Suggestions are presented as an open option list only when they are available. The Massachusetts Child Psychiatry Access Program (MCPAP) is a statewide program that offers primary care providers free telephone consultation with child psychiatrists and other behavioral health education services. The directory below lists information on 256 assisted living facilities in the state of Massachusetts. Welcome to our website! MBHP manages behavioral health care for MassHealth Members. Your answer might already be in our FAQ! Contact us if you need help with: Medicare Prescription Drug Coverage. 157 Union Street. 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. As of 2022 (per the MassHealth website) the non-refundable application fee is $631 to even apply to be a provider. 7120 0 obj <>/Filter/FlateDecode/ID[<6836E18618FA8C4A8A1C755566170ED0>]/Index[7104 27]/Info 7103 0 R/Length 89/Prev 610416/Root 7105 0 R/Size 7131/Type/XRef/W[1 3 1]>>stream Through our PCA Program, Tempus Unlimited serves over 7,000 individuals living in Massachusetts . By calling the phone number listed on this website, completing any form on this page, or clicking on any of the suggested MassHealth providers, you are agreeing to be transferred to a licensed insurance agent who can answer your questions regarding Massachusetts Health Insurance. The Organizational Provider goes through a rigorous process and a thorough site visit by the National Accreditation organization to become Nationally Accredited. ;[z[usd){^K1N ;gaWMm[C)t:R?bl::6I|S ifWlys,$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/ We also have a phone interpretation service available for over 165 languages. The feedback will only be used for improving the website.