Important Update - All Provider Bulletin 265: Changes to PCC Provider Online Service Center Referra
Monday, April 3, 2017
On Monday, March 27th MassHealth had planned to implement a change in the PCC Provider Online Service Center Referrals Process. As detailed in MassHealth’s All Provider Bulletin 265, CHCs, HLHCs, OPDs and group practices were to now choose an individual MassHealth-participating physician or nurse practitioner on-staff at the PCC entity/service location as the individual referring provider when making a PCC referral.
A decision was made to delay this change to the POSC until May 1, 2017. Until then, please continue to obtain PCC referrals as you have in the past. At this time, there is no requirement to select an individual referring provider. Please leave the “Individual Referring Provider ID/LOC” field and the “Individual Referring Provider NPI” field blank.
Please note: The Informational Messaging that appears on certain claims with dates of service on or after March 7, 2016 (last year) that do not meet the ordering, referring, and prescribing provider requirements is separate and distinct from the POSC changes detailed above. MassHealth will continue to process these claims with an Informational Message and will notify providers in advance when the decision has been made to set the edits to deny.
If you have any questions, please contact MassHealth customer services at 1-800-841-2900 or e-mail firstname.lastname@example.org