masshealth staff directory
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. Living in community, eligible for Medicare >100% and <135% FPL $7,560 Assets MassHealth Buy-In Covers Part B premiums only. Some page levels are currently hidden. Failure to do so constitutes a breach of the provider contract which may be subject, to fines or termination. Our office is located in Boston at 25 Kingston Street 4th Floor. Please remove any contact information or personal data from your feedback. Though our office is currently closed due to COVID-19, all other My Ombudsman services remain available. Call Now for the best Insurance Quotes in Massachusetts. ) or https:// means youve safely connected to the official website. If you email us or leave us a voicemail, a Community Liaison will reply within 24 business hours. ) or https:// means youve safely connected to the official website. Through our PCA Program, Tempus Unlimited serves over 7,000 individuals living in Massachusetts . Marlborough, MA 01752. MBHP offers high quality, accessible, culturally sensitive health care to Members of the MassHealth Primary Care Clinician (PCC) Plan, Community Care Cooperative (C3), E\NDF"Z8s@C@a`!HomtjGM{pbV"*gDIQCPC** ikI@2$X38UF8CRtg^1~W8C48'YQgh%m8CPUpq6yWx;\ ">=&Up9s;>t(Th`@WgE);9))#1+vA`@(MP*smYD|B%t{h:q2KU,X 3+`q`apcQW`H q I 6K76pwM6[$@7M>wk`tw#\ARce6;">Myi AhqE$8YLe*,PeKm {%qlw%l0%T$hGPe&"`vONVf XVbYu,[`Qd =ZTf2R[=_ CB 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. See the 2023 rates for payroll contribution based on your coverage level. Please let us know how we can improve this page. We will use this information to improve this page. We will use this information to improve this page. PCC Information. ) or https:// means youve safely connected to the official website. Below outlines the LTSS Provider Portal functionalities: The feedback will only be used for improving the website. We listen to you with compassion and respect. commonwealth of massachusetts. Provide clinical leadership and mentoring for the OCA and MassHealth staff and work collaboratively with both clinical and non-clinical team members. dm{&CIQ2U]t]fk-={b6xn`93}XDh\9":<89oJc*"w;= .J National Accreditation demonstrates the exceptional quality of the contracted/credentialed Organizational Provider (Facility). Please do not include personal or contact information. Other ways to find a physician near you. Contact us if you need help with: Medicare Prescription Drug Coverage. April Bridges-Poquis, DDS. We may offer benefits directly or help pay for all or part of your health insurance premiums. 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. Voice: (800) 841-2900. My Ombudsman and the Deaf Services Department can help MassHealth members who need help accessing care and services. It also provides information on openings Emergency Services Programs, inpatient programs, and other 24-hour services. Share sensitive information only on official, secure websites. The second link will take you to theMBHP Directory where you can find behavioral health providers. Nurse Practitioner (Dermatology) 3809 Computer Dr, Ste 200, Raleigh, NC 27609. This information is self-reported and verified during the initial . Use this button to show and access all levels. Open Enrollment for Individuals and Families is Now Closed Enroll in coverage any time of the year if you are applying for dental plans or help paying for health coverage including MassHealth, Children's Medical Security Plan (CMSP), The Massachusetts Child Psychiatry Access Program (MCPAP) is a statewide program that offers primary care providers free telephone consultation with child psychiatrists and other behavioral health education services. A great management team here to support you and an abundance. Management of profile information. from an accredited college or university. Mass Senior Care Association Offers Resources and Support to Help You Protect Your Long Term Care Community. Apply to Benefits Manager, Chief Information Officer, Director of Care and more! They are credentialed by the American Nurses Credentialing Center (ANCC) in a mental health field. Suggestions are presented as an open option list only when they are available. A .mass.gov website belongs to an official government organization in Massachusetts. 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. Behavioral Health Resources. MassHealth provides health benefits and help paying for them to qualifying children, families, seniors, and people with disabilities living in Massachusetts. This PID/ SL is 10 characters, made up of a 9-digit base, in their information. Office of the Chief of Staff TTY: (877)-486-2048. www.medicare.gov. EFR CPR/AED; DAN Diver Emergency Management Provider (DEMP) Altitude Diver; Aware - Coral Reef Conservation Diver . This information is self-reported and verified during the initial credentialing process and every three years or more often when requested by the provider. MassHealth has prepared a variety of job aids as part of the POSC e-Learning courses. For general inquiries, please call 508-481-5000 or send an email . Thank you for your website feedback! This is a part of the MassHealth Provider Handbook. The jobsaids can be found on the Job aids for the Provider Online Service Center (POSC) webpage. The MBHP provider network is one of the largest in Massachusetts. we make it easier for you to quickly identify the most informative profiles on Doctor.com, Doctor.com can help you find a doctor who accepts MassHealth insurance in Massachusetts. 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. A lock icon ( 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. Please do not include personal or contact information. Get the inside scoop on jobs, salaries, top office locations, and CEO insights. hbbd```b``A$d6`Drp6``"c$c\-R>#?|FL~ 0 MassHealth. April Bridges-Poquis, DDS is an Orthodontist in Midlothian, VA. . It includes over 1,200 clinics, inpatient programs, individual practitioners such as social workers and psychologists, and many more. Thank you for your website feedback! Please limit your input to 500 characters. Failure to do so constitutes a breach of the provider contract. ProfilePoints measure the overall completeness of a Our mission is to ensure that MassHealth members understand their healthcare rights and health plan benefits so they can get the care they need. There, Each providers NPI is stored in MassHealths, vider ID and service location (PID/SL). athol dental assoc. The Dental Director leads the MassHealth Dental Advisory Committee, chairs applicable joint committees, and consults with the Center for Health Information and . While My Ombudsman cannot represent a member when they file a grievance or appeal, we can explain the process and what to expect. Master's-Level Clinicians Mass.gov is a registered service mark of the Commonwealth of Massachusetts. Please limit your input to 500 characters. These are master's-level clinicians who work with a range of youth and their families who present varying degrees of complexity and needs. Dental providers and businesses will be required to complete a, Questions related to recredentialing can be, Provider Enrollment and Credentialing team at. 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 Provider Directory, Provider File Maintenance, and Revalidation, MassHealth Electronic Data Interchange (EDI), MassHealth Coordination of Benefits (COB)/Medicare Crossover, MassHealth Claim Status, Reconciliation, and Additional Claims Resources. Dental providers and businesses will be notified by DentaQuest when it is time to recredential. Providers have 45 days from the date of the revalidation letter to complete the revalidation process. You can read about the doctor's biographical information, clinical interests and past research, as well as see photos and videos. The Mass General Brigham MassHealth ACO offers the . Compare rates from MassHealth.com providers in one easy to use website. Does not cover other MassHealth Standard services. Providers are notified by MassHealth when it is time to complete their revalidations. revalidation based on their date of enrollment. Each department works on focused areas as well as collaborative, intra-agency projects to ensure that the HPCs statutory deadlines are met in a robust, transparent, and timely manner. The Massachusetts Behavioral Health Partnership (MBHP) We will never share your information without your permission. Specific types of providers in this category are: Psychologist (EdD); Psychologist (PsyD); and Psychologist (PhD) (can be a specialist called a Neuropsychologist). Commissioner's Office Structure. Specific types of providers in this category are: medical doctor (MD), (including unspecified, adult, child and geriatric psychiatrists); Addictionologist; Developmental Behavioral Pediatrician (DBP); and Doctor of Osteopathy (DO), (including DO of Psychiatry or DO of an Unspecified Specialty). Executive Office of Health and Human Services, contact the Executive Office of Health and Human Services, Assistant Secretary for Administration and Finance, Executive Director, Interagency Council on Housing and Homelessness (ICHH), 600 Washington Street 4th Floor, Boston, MA 02111, Health and Human Services Contact Information. Suggestions are presented as an open option list only when they are available. Uncover why MassHealth is the best company for you. As part of the required revalidation process, MassHealth must revalidate the enrollment information of all enrolled providers and site, Providers have 45 days from the date of the revalidation letter to complete the revalidation. As part of the required revalidation process, MassHealth must revalidate the enrollment information of all enrolled providers and site locations. Triages inquiries from MassHealth staff and respond in a timely manner. 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) Dental providers and businesses will be required to complete a recredentialing application utilizing App Central. Master's-Level In-Home Therapist (IHT) insurance, payment options, etc. endstream endobj 7109 0 obj <>stream 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). Other services available Monday-Friday 8 a.m.5 p.m. Interpreter service available. The providers PID/SL will be displayed on MassHealth reports as well as correspondence and remittance advices. Intensive Care Coordination (ICC) | Download Word Viewer | Download Excel Viewer. The . 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. Two executive departments have oversight and administrative duties, while four other departments focus primarily on policy, research, and program design/operations. Phone: 1-800-MEDICARE (800) 633-4227. If you would like to continue helping us improve Mass.gov, join our user panel to test new features for the site. Top-requested sites to log in to services provided by the state. MBHP verifies the Organizational Provider's accreditation during the initial credentialing process and every three years during the re-credentialing process. Katherine Scarborough Mills, JD, MPH Kelly Hall A lock icon ( If you would like to continue helping us improve Mass.gov, join our user panel to test new features for the site. Meet the Leadership. Find out what works well at MassHealth from the people who know best. If you need assistance, please contact the Massachusetts Health Policy Commission. 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. A .mass.gov website belongs to an official government organization in Massachusetts. Family Support and Training is a service provided to the parent/caregiver of a youth (under the age of 21), in any setting where the youth resides, such as the home (including foster homes and therapeutic foster homes), and other community settings. For help on some common issues, see here. Apply for MassHealth, the Health Safety Net, or the Children's Medical Security Plan. Beneath the name of each functional area listed below are links to the job aids associated with processes within those functional areas. The job, aids are organized by functional area. 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. Mass PCA Directory 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 Looking for a therapist? PCC Quick Links. You can reach us by phone or email. eServe. 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. They often work with or supervise mental health professionals who will provide the counseling in conjunction with the prescribed medication. Events and Trainings. 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. 1-800-495-0086 Need language assistance? Family Support and Training (FS&T) The provider's special field of practice or expertise, which is obtained through the provider's credentialing application. Provide clinical leadership and mentoring for the OCA and MassHealth staff and work collaboratively with both clinical and non-clinical team members. 11. 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. Please remove any contact information or personal data from your feedback. Please limit your input to 500 characters. MassHealth Info and Other Important Contacts. Advancing Care Since 1811. 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. Online Speak to a Licensed Agent. learn more. The provider will be only listed in a requested specialty that the Massachusetts Behavioral Health Partnership can verify and that the provider has the education and training to support the requested specialty. The POSC is a web-based portal that is available to MassHealth providers, business partners, and relationship entities to view information, submit and receive transactions, and effectively conduct business with MassHealth online. Coleen Elstermeyer, MPP Mass.gov is a registered service mark of the Commonwealth of Massachusetts. David Auerbach, PhD 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. Certification information can be viewed through the following primary resources: for Physician (MD) and Doctor of Osteopathy (DO) board certification, go to the American Board of Neurology and Psychiatry (ABPN) website at: This means that the provider you are searching for is accepting new patients in at least one of the following age groups: Child (0-12); Adolescent (13-18); and Adult (19-64). Mass.gov is a registered service mark of the Commonwealth of Massachusetts. When a case first comes to us, we listen without judgment. We will use this information to improve this page. Some page levels are currently hidden. Sanctions may include, but are not limited to, administrative fines and suspension or termination from participation in MassHealth. Worcester Community Health Centers/Training Centers Staff Dentist Family Health & Social Worcester, MA 01610 26 Queen St Please remove any contact information or personal data from your feedback. Other information such as Federally Required Disclosures Form (FDRF) may be required. by providers with Doctor.com accounts when editing their profile on Doctor.com. read more. We use cookies and limited processing of your personal information for our Top-requested sites to log in to services provided by the state. You skipped the table of contents section. Compare pay for popular roles and read about the team's work-life balance. . General Counsel's Office includes . This is a consumer-directed program, which provides personal care services for people with disabilities. Agents connected with this website are not endorsed or associated with the US government or federal health program and have not been validated by this website.MassHealth.com is a purely information based site intended to connect residents of Massachusetts with companies and insurance agents in Massachusetts. MassHealth providers need to revalidate their information at least every five years. 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. Senior Director, Office of Patient Protection If you need assistance, please contact the Executive Office of Health and Human Services. Please let us know how we can improve this page. masshealth dental services. 65.5 mi. Use this button to show and access all levels. 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. MBHP understands that safe and stable housing is the foundation upon which good health is built. These are community-based programs that offer mental health and/or substance use disorder services.
