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. Examples of changes include corporate/practice structure, change(s) in licensure, closure or opening of new location, change of address, etc. A great management team here to support you and an abundance. 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. We will use this information to improve this page. Favorites. Please do not include personal or contact information. 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. This directory lists physicians on Saint Vincent Hospital medical staff who choose to participate. 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. If you need assistance, please For help on some common issues, see here.. EFR CPR/AED; DAN Diver Emergency Management Provider (DEMP) Altitude Diver; Aware - Coral Reef Conservation Diver . Our mission is to ensure that MassHealth members understand their healthcare rights and health plan benefits so they can get the care they need. A lock icon ( Provide clinical leadership and mentoring for the OCA and MassHealth staff and work collaboratively with both clinical and non-clinical team members. The directory below lists information on 256 assisted living facilities in the state of Massachusetts. MBHP manages behavioral health care for MassHealth Members. People who meet a spend-down deductible may also qualify for MassHealth Standard. If you are a MassHealth PCC Plan Member, you have access to a large network of primary care providers including physicians, community health centers, and hospitals. For a faster response, please call us directly at 888-666-8135. MassHealth providers in Massachusetts listed on Doctor.com have been practicing for an average of: Average ProfilePoints score for Providers in Massachusetts who take MassHealth: Average Overall User Rating for Providers in Massachusetts who take MassHealth. The paraprofessional assists the clinician in implementing the therapeutic objectives of the treatment plan designed to address the youth's mental health, behavioral, and emotional needs. Robert Johnson, NP, DCNP, MSN. For people aged 65 and older and people of any age who need long-term-care services: Contact information for the Executive Office of Health and Human Services. If you are a BeHealthy Partnership Member or provider, click "Learn More" to go to the MBHP/BeHealthy Partnership website. Start here to learn if you are covered by MBHP, what we offer, and answers to frequently asked questions. While My Ombudsman cannot represent a member when they file a grievance or appeal, we can explain the process and what to expect. 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. We will use this information to improve this page. Services offered range from detox, to crisis counseling, to long-term therapy. MassHealth corporate office is located in PO Box 2906, Milwaukee, Wisconsin, 53201, United States and has 1 employees. 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. Senior Director. Care Coordinators are Master, Bachelor, or Associate level staff with experience working with families and youth. The Organizational Provider goes through a rigorous process and a thorough site visit by the National Accreditation organization to become Nationally Accredited. This PID/ SL is 10 characters, made up of a 9-digit base number and an alpha service location letter (e.g., 123456789A). endstream endobj 7105 0 obj <>/Metadata 196 0 R/Pages 7102 0 R/StructTreeRoot 802 0 R/Type/Catalog/ViewerPreferences 7121 0 R>> endobj 7106 0 obj <>/MediaBox[0 0 720 540]/Parent 7102 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 7107 0 obj <>stream Failure to do so constitutes a breach of the provider contract. 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. Worcester Community Health Centers/Training Centers Staff Dentist Family Health & Social Worcester, MA 01610 26 Queen St The Personal Care Attendant (PCA) Program is a MassHealth program that assists people with long-term disabilities live at home independently. 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. MassHealth Members who are or are trying to become VG users: 1-800-421-0938 (Voice) 1-617-847-6578 (TTY for the deaf and hard of hearing) Quality Management Program. Search our physician directory by name or specialty. Master's-Level Clinicians MassHealth, the Commonwealth's Medicaid program, provides health care benefits to certain low and medium-income Massachusetts residents. It is an Accountable Care Organization or "ACO.". If you would like to continue helping us improve Mass.gov, join our user panel to test new features for the site. 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. Apply to Benefits Manager, Chief Information Officer, Director of Care and more! A .mass.gov website belongs to an official government organization in Massachusetts. Apply for MassHealth coverage for seniors and people of any age who need long-term-care services. In-Home Therapy is a structured, consistent, strength-based therapeutic relationship between a licensed clinician and the youth and family for the purpose of treating the youth's behavioral health needs, including improving the family's ability to provide effective support for the youth to promote his/her healthy functioning within the family. Mass.gov is a registered service mark of the Commonwealth of Massachusetts. The provider's special field of practice or expertise, which is obtained through the provider's credentialing application. Mass.gov is a registered service mark of the Commonwealth of Massachusetts. PCC Information. Participate/lead in the development of oral health policies, clinical standards, evidence-based clinical guidelines, criteria, and algorithms for use in MassHealth, ensuring adherence to all . learn more. The Dental Director leads the MassHealth Dental Advisory Committee, chairs applicable joint committees, and consults with the Center for Health Information and . %PDF-1.7 % Thank you for your website feedback! The second link will take you to the MBHP Directory where you can find behavioral health providers. Suggestions are presented as an open option list only when they are available. Behavior Management Monitor (BMM) If you are unable to find your Tufts Health Plan member ID card, please call us at: 800-462-0224 Sanctions may include, but are not limited to, administrative fines and suspension or termination from participation in MassHealth. Any MassHealth health plan member can reach out to My Ombudsman when they have questions about their health plan benefits, when they have been denied a benefit or a service, or when they need help understanding their rights. insurance, payment options, etc. 227 verified reviews. Below outlines the LTSS Provider Portal functionalities: Enrollment as a MassHealth provider. See Section 6401 of the Affordable Care Act, 42 CFR455.414 and 42 CFR 455.104(c) (l) (iii). The feedback will only be used for improving the website. Please let us know how we can improve this page. 0@ > Our knowledgeable patient coordinators are here to help you find a doctor. See the 2023 rates for payroll contribution based on your coverage level. MassHealth Info and Other Important Contacts. ) or https:// means youve safely connected to the official website. 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). By showing providers with higher ProfilePoints first, Senior Director, Market Oversight and Transparency (MOAT) Psychiatrist If you email us or leave us a voicemail, a Community Liaison will reply within 24 business hours. | Download Word Viewer | Download Excel Viewer, For important information about COVID-19, providers click. They are credentialed by the American Nurses Credentialing Center (ANCC) in a mental health field. By choosing "OP Clinic/MH Center," you will include the following provider types in your search: Outpatient Clinics and Mental Health Centers. Marlborough, MA 01752. Our staff speak Spanish, Portuguese, and use American Sign Language (ASL). Fee-For-Service (FFS) and MassHealth Provider Network, Primary Care Clinician Plan & Primary Care Accountable Care Organizations, Managed Care Organizations and Accountable Care Partnership Plans, MassHealth Electronic Data Interchange (EDI), MassHealth Coordination of Benefits (COB)/Medicare Crossover, MassHealth Claim Status, Reconciliation, and Additional Claims Resources. website and services to function. Leave a message on our secure voicemail system at any time. Share sensitive information only on official, secure websites. Under the leadership of Executive Director David Seltz, the HPC staff is divided into six departments. We listen to you with compassion and respect. Got a Question? Please cancel your appointment within 24 hours of booking if you are not planning to attend. 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. 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). These are master's-level clinicians who work with a range of youth and their families who present varying degrees of complexity and needs. ) or https:// means youve safely connected to the official website. Some physicians are employed by affiliates Saint Vincent Hospital . Section 6401 of the Affordable Care Act established a requirement for Medicare and Medicaid to revalidate enrollmentinformation for all enrolled providers, regardless of provider type, under new enrollment screening criteria at least every five years. A .mass.gov website belongs to an official government organization in Massachusetts. A .mass.gov website belongs to an official government organization in Massachusetts. Specialty. endstream endobj 7109 0 obj <>stream The job aids are organized by functional area. Please do not include personal or contact information. 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. Please remove any contact information or personal data from your feedback. 11. Resources. 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. provider's profile, including items like having a photo, a biography, Our program serves MassHealth members of all ages, abilities, and identities who are currently enrolled in MassHealth health plans, including those found here. National Accreditation demonstrates the exceptional quality of the contracted/credentialed Organizational Provider (Facility). Scuba Certification; Private Scuba Lessons; Scuba Refresher for Certified Divers; Try Scuba Diving; Enriched Air Diver (Nitrox) Advanced Training. Providers are notified by MassHealth when it is time to complete their revalidations. Use this button to show and access all levels. Thank you for your website feedback! 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 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. Please remove any contact information or personal data from your feedback.
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