As we have shared in previous issues, federal regulations require that providers who render services for Medicaid members are screened by and enrolled with the appropriate state Medicaid agency. This requirement applies to providers who participate in Tufts Health RITogether, Tufts Health Together – MassHealth MCO Plan and Accountable Care Partnership Plans (ACPPs), Tufts Health Senior Care Options, and Tufts Health Unify. Tufts Health Plan has been mailing letters to providers who have yet to complete this enrollment/screening process throughout the year.
Important deadline for RITogether providers: Please note that the Rhode Island Executive Office of Health and Human Services (EOHHS) recently set a deadline of June 30, 2023 for this enrollment screening process. As of this date, Point32Health will be forced to deny claims submitted by providers who do not complete this required process. Tufts Health RITogether providers may complete this process via the Rhode Island EOHHS provider portal. For additional information, please refer to this FAQ and the EOHHS website.
For Tufts Health Together, Tufts Health Unify and Tufts Health Senior Care Options: complete this screening and enrollment process via the MassHealth website. In addition, this FAQ offers more information.
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