masshealth staff directory masshealth staff directory

H|W7&v0$ ( `U}/j}T!_Y1f?Qf2epkxZ [. Primary Care Clinician (PCC) Plan for MassHealth Members. This information is self-reported and verified during the initial . My Ombudsman and the Deaf Services Department can help MassHealth members who need help accessing care and services. Call us Toll Free Massachusetts Medicare Insurance . Search our physician directory by name or specialty. Our knowledgeable patient coordinators are here to help you find a doctor. A .mass.gov website belongs to an official government organization in Massachusetts. Self-service available 24 hrs/day in English and Spanish. Beneath the name of each functional area listed below are links to the job aids associated with processes within those functional areas. Apply for MassHealth coverage for seniors and people of any age who need long-term-care services. We are wheelchair accessible. If you would like more information regarding Massachusetts health care options please visit http://www.mass.gov/eohhs/insurance. The providers PID/SL will be displayed on MassHealth reports as well as correspondence and remittance advices. contact the Massachusetts Health Policy Commission. Please remove any contact information or personal data from your feedback. This information is self-reported by the practitioner and primary source verified during the initial credentialing application process and at least every 36 days thereafter during the recredentialing application process. Behavior Management Monitor (BMM) An official website of the Commonwealth of Massachusetts, Call MassHealth Customer Service Center, Main: at, Call MassHealth Customer Service Center, TDD/TTY: at. 65.5 mi. Please do not include personal or contact information. manages behavioral health care for more than 500,000 MassHealth Members statewide. Please limit your input to 500 characters. For help on some common issues, see here. The feedback will only be used for improving the website. Providers are notified by MassHealth when it is time to complete their revalidations. 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. 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). 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 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. 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. We also have a phone interpretation service available for over 165 languages. A .mass.gov website belongs to an official government organization in Massachusetts. Feeling shy? You skipped the table of contents section. Mass.gov is a registered service mark of the Commonwealth of Massachusetts. This directory lists physicians on Saint Vincent Hospital medical staff who choose to participate. The directory below lists information on 256 assisted living facilities in the state of Massachusetts. Living in community, eligible for Medicare >100% and <135% FPL $7,560 Assets MassHealth Buy-In Covers Part B premiums only. Each MassHealth provider must notify the MassHealth agency prior to or no later than the date of the change. 7104 0 obj <> endobj April Bridges-Poquis, DDS. You skipped the table of contents section. All users must be enrolled in and/or registered to use the LTSS Provider Portal. We will never share your information without your permission. By calling the phone number listed on this website, completing any form on this page, or clicking on any of the suggested MassHealth providers, you are agreeing to be transferred to a licensed insurance agent who can answer your questions regarding Massachusetts Health Insurance. Below outlines the LTSS Provider Portal functionalities: Enrollment as a MassHealth provider. The second link will take you to the MBHP Directory where you can find behavioral health providers. Below outlines the LTSS. Mass.gov is a registered service mark of the Commonwealth of Massachusetts. Mass Senior Care Association is providing resources and . Please let us know how we can improve this page. H|WM]7,BIJ"EehKi?%Y~3d[e}>>>9G ||OxfcO~xw?uOh:q_52p|_ab M0>Y1\Hzjl+by6l\Mr;[fJeA>K8nNg [Mp;\ x8CZ"i:mJq@$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? Share sensitive information only on official, secure websites. The Dental Director is a representative of and spokesperson for the MassHealth dental program, participates on various committees, and provides outreach to dentists in the Commonwealth. Our staff speak Spanish, Portuguese, French, Kreyl, and use American Sign Language. 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. Contact us if you need help with: Medicare Prescription Drug Coverage. These are community-based programs that offer mental health and/or substance use disorder services. Liked by Martha Farlow. Specific types of providers in this category are: Psychologist (EdD); Psychologist (PsyD); and Psychologist (PhD) (can be a specialist called a Neuropsychologist). free telephone consultation on safe prescribing and managing care for patients with chronic pain, substance use disorder, or both. 58.5 mi. Find out what works well at MassHealth from the people who know best. Examples of changes include corporate/practice structure, change(s) in licensure, closure or opening of new location, change of address, etc. Some psychiatrists will provide counseling themselves. Integrated Care Management Program. My Ombudsman is an independent program operated by the Disability Policy Consortium (DPC) through a contract with MassHealth. Please limit your input to 500 characters. Use this button to show and access all levels. MBHP offers high quality, accessible, culturally sensitive health care to Members of the MassHealth Primary Care Clinician (PCC) Plan, Community Care Cooperative (C3), Failure to complete revalidation in a timely fashion will result in sanctions. Resources. If you have MassHealth eligibility related questions, please contact: The MassHealth Customer Service Center. The LTSS Provider Portal is a web-based portal that is available to MassHealth LTSS providers. Apply for MassHealth, the Health Safety Net, or the Children's Medical Security Plan. Board Certification (and Certification) demonstrates exceptional expertise in a particular specialty and/or subspecialty, such as psychiatry. Each providers NPI is stored in MassHealths Medicaid Management Information System (MMIS) with a corresponding MassHealth provider ID and service location (PID/SL). Charlestown, MA 02129-0214. You can reach us by phone or email. Wondering if you are covered by MBHP? 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. We value your knowledge and life experience. Other services available Monday-Friday 8 a.m.5 p.m. Interpreter service available. 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 We will use this information to improve this page. 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. Care Coordinators are Master, Bachelor, or Associate level staff with experience working with families and youth. eServe. 7130 0 obj <>stream Triages inquiries from MassHealth staff and respond in a timely manner. 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. 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. 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. Support and participate in our professional . 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. Hablamos Espaol | Ns falamos Portugus | We use ASL. In most states, these nurses are authorized to prescribe psychotropic medications - in some cases independently and others under a formal collaboration agreement or in a supervised setting with a licensed physician. 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. 13841 Hull Street Rd, 4, Midlothian, VA 23112. MassHealth corporate office is located in PO Box 2906, Milwaukee, Wisconsin, 53201, United States and has 1 employees. Please remove any contact information or personal data from your feedback. Some page levels are currently hidden. 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 Massachusetts Behavioral Health Partnership (MBHP) Use this button to show and access all levels. 227 verified reviews. The information listed in theMassHealth Network Provider Directory is based on MassHealth Provider file information. ProfilePoints measure the overall completeness of a MassHealth aims to provide competitive quotes in order to produce the best prices and insurance plans for Health Insurance, Life Insurance and Medicare Options in Massachusetts. The feedback will only be used for improving the website. This is a part of the MassHealth Provider Handbook. Does not cover other MassHealth Standard services. Mass.gov is a registered service mark of the Commonwealth of Massachusetts. Thank you for your website feedback! Network providers are recredentialed every 5 years. Events and Trainings. The physician is solely responsible for the medical services provided to you. The Massachusetts Behavioral Health Partnership (MBHP) manages behavioral health care for more than 500,000 MassHealth Members statewide. Therapeutic Training and Support (TT&S) Mass PCA Directory ) or https:// means youve safely connected to the official website. Click on the teams below to learn more about their function within the agency. P.O. Some page levels are currently hidden. DirectorResearch and Cost Trends Then, we provide support, which could include answering questions, helping to identify barriers or address confusion, investigating complaints, mediating between parties, explaining member rights, and making referrals. Once licensed, in most states, they can supervise other counseling providers not yet licensed. Thank you for your website feedback! My Ombudsman is an independent program operated by the Disability Policy Consortium (DPC) through a contract with MassHealth. This service includes teaching the youth to understand, direct, interpret, manage, and control feelings and emotional responses to situations and to assist the family to address the youth's emotional and mental health needs. A lock icon ( Frequently dialed phone numbers are available in our Telephone Directory. Dental providers and businesses will be notified by DentaQuest when it is time to recredential. 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). Kelly Hall By using our services you are able to compare plans and rates from leading insurers quickly and efficiently so you can be confident in the insurance policy you choose. masshealth dental services. Please do not include personal or contact information. MassHealth, the Commonwealth's Medicaid program, provides health care benefits to certain low and medium-income Massachusetts residents. Under the leadership of Executive Director David Seltz, the HPC staff is divided into six departments. Information about the HPC's leadership team. A lock icon ( Master's-Level In-Home Therapist (IHT) by providers with Doctor.com accounts when editing their profile on Doctor.com. The jobs, the name of each functional area listed below are, Submitting Residential Care Home/Rest Home, Third Party Liability (TPL) (Note: The Profes, sional and Institutional TPL job aid instructions supplement the instructions found in the Professional and Institutional Claim Submission with, the instructions described in the Professional or Institutional Claim Submission with MassHealth job aids, and then refer to the TPL job aid when, The LTSS Provider Portal is a web-based portal, that is available to MassHealth LTSS providers. Our program serves MassHealth members of all ages, abilities, and identities who are currently enrolled in MassHealth health plans, including those found here. Other ways to find a physician near you. endstream endobj startxref Practitioners must also pass an examination given by the specialty board and must complete continuing education. Phone contact and consultation are provided as part of the intervention. Medicare. The Massachusetts Consultation Service for Treatment of Addiction and Pain (MCSTAP) is a statewide program that offers primary care providers Start here to learn if you are covered by MBHP, what we offer, and answers to frequently asked questions. Some page levels are currently hidden. Specific types of providers in this category are: Marriage and Family Therapist (LMFT); Licensed Certified Social Worker (LCSW) or Licensed Independent Clinical (LICSW); Licensed Mental Health Counselor (LMHC). 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 Coleen Elstermeyer, MPP Providers have 45 days from the date of the revalidation letter to complete the revalidation process. We will use this information to improve this page. Jk!X[J##EkyIyHYcTLv*&V%ur0hb%.6>v]bQ:Iea(RbkyUud}b'N4&Ulq1kn4jO)4?gT)|b]x2N?umuuUR|UK\]RYi+?o3^nMl`pC9enE$bML.5Jg%YY.QxSG&l#+;mz9+8yG^|KL7zo|@cMFQ97Yw*;]U/UU:gvsa|GdfJn;%"Cp AdNmMGO{ppJuuR{XW)DQP^WlK6.'y:-bK">)`ri Sanctions may include, but are not limited to, administrative fines and suspension or termination from participation in MassHealth. The feedback will only be used for improving the website. Working with its network of providers, We will use this information to improve this page. The Official Website of the Personal Care Attendant Workforce Council. provider's profile, including items like having a photo, a biography, Welcome to our website! 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 . Compare rates from MassHealth.com providers in one easy to use website. The Organizational Provider goes through a rigorous process and a thorough site visit by the National Accreditation organization to become Nationally Accredited. We also have a phone interpretation service available for over 150 languages. Voice: (800) 841-2900. If you need assistance, please contact the Massachusetts Health Policy Commission. This is a part of the MassHealth Provider Handbook. TTY: (877)-486-2048. www.medicare.gov. Providers, business partners, and relationship entities must be enrolled in and/or registered to use the POSC. hmKA/O H-/x.KZm9I MassHealth. 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. 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. These are master's-level clinicians who work with a range of youth and their families who present varying degrees of complexity and needs. Use this button to show and access all levels. We may offer benefits directly or help pay for all or part of your health insurance premiums. Each department works on focused areas as well as collaborative, intra-agency projects to ensure that the HPC's statutory deadlines are met in a robust, transparent, and timely manner. 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. Thank you for your website feedback! . As part of the required revalidation process, MassHealth must revalidate the enrollment information of all enrolled providers and site locations. Saturdays in February: Urgent Care Walk-In Hours. Whether its health insurance, life insurance or Medicare insurance that you are after, our knowledgeable team of insurance professionals are here to guide you in the right direction. Under the leadership of Executive Director David Seltz, the HPC staff is divided into six departments. The . Please cancel your appointment within 24 hours of booking if you are not planning to attend. A .mass.gov website belongs to an official government organization in Massachusetts. 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. MassHealth, the Medicaid program in Massachusetts offered by the Commonwealth of Massachusetts, does not finance assisted living. Thank you. Please do not include personal or contact information. Family Support and Training (FS&T) more, MBHP network providers can view the Provider Manual and performance specifications, submit claims, request service authorizations, and much more. Mass General Brigham MassHealth ACO is a health plan for MassHealth members offered by Mass General Brigham. Counselors must have a master's degree in an approved curriculum of counseling education, a minimum of 2 years of individual counseling, and a passing score on a state or national license exam to practice. Management of profile information. Meet the Leadership. masshealth. Quality Management Program. Leave a message on our secure voicemail system at any time. MassHealth provides health benefits and help paying for them to qualifying children, families, seniors, and people with disabilities living in Massachusetts.