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Massachusetts Ambulance Association

9/7 MassHealth Provider Bulletin: MNF Form & CORI Checks

September 19, 2016 9:39 AM | Amanda Riordan (Administrator)

From MAA Secretary Tyler to All Members:

Good morning everyone. Please note that MassHealth has sent an updated to its Transportation Bulletin 16 which makes firm the exclusive requirement for services to use the MassHealth MNF. To be abundantly clear, not other forms will be accepted.

What does this mean? It means that as of 09/07/2016 (the date of the release of the updated transmittal), MassHealth will only accept its form. This transmittal closes a loop-hole for the use of other medical necessity forms by stating, “Neither previous MassHealth forms nor forms created by transportation providers will be considered valid authorization for such transportation.”

Additionally , please note the annual requirement for the completion of CORI checks for your employees. “130 CMR 407.405, all transportation providers must ensure that before having any contact with a MassHealth member, drivers and attendants undergo a Criminal Offender Record Information (CORI) check. Documentation of the CORI check must remain on file at the transportation provider’s place of business and a new check for each driver and attendant must be conducted annually thereafter” [emphasis added].

Please contact the MAA with any questions or MassHealth Customer Service Center at 1-800-841-2900, e-mail your inquiry to providersupport@mahealth.net, or fax your inquiry to 617-988-8974.

Regards,
PST

From: Publications Unit [mailto:ehs-publications@state.ma.us
Sent: Wednesday, September 07, 2016 2:15 PM
To: Sean Tyler
Subject: MassHealth Provider Publications

Sent: Wednesday, September 07, 2016 2:15 PM

To: Sean Tyler

Subject: MassHealth Provider Publications

You are on our list to receive notice when new MassHealth bulletins and transmittal letters are posted on the web. MassHealth has issued the following publications.

Provider Bulletins

  • All-Provider Bulletin 261:  Plan Selection Periods and Fixed Enrollment Periods for Members Enrolled in a Managed Care Organization (MCO) 
  • All-Provider Bulletin 260:  Changes to Primary Care Clinician Plan (PCC Plan) Services Requiring a Referral
  • Transportation Bulletin 16 – updated: Revised Medical Necessity Form and Criminal Offender Record Information (CORI) Reminder

http://www.mass.gov/eohhs/gov/laws-regs/masshealth/provider-library/provider-bulletins/2016-bulletins.html

To view and download other MassHealth publications, go to www.mass.gov/masshealth and click on Provider Library.                                                                                                                     

To remove your e-mail address from this subscription list, send a blank e-mail to leave-masshealth-provider-pubs@listserv.state.ma.us. No text in the body or subject line is needed.  This subscription service is separate from automatic provider mailings.  MassHealth providers should choose the way that they prefer to receive bulletins and transmittal letters. To choose, go to www.mass.gov/eohhs/provider/insurance/masshealth and click on Online Services or call MassHealth Customer Service at 1-800-841-2900.

Nonproviders who request that their e-mail address be removed from this subscription list will no longer receive e-mail alerts announcing when new bulletins and transmittal letters have been posted to the MassHealth web site.