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MassHealth to Apply Retroactive Decreases to the Patient Paid Amounts

Jun 22 2021

Boston sunset skyline from Fan Pier in Massachusetts USA
 

MassHealth recently issued a Nursing Facility Bulletin, advising providers that in compliance with federal requirements it will be applying retroactive decreases to the Patient Paid Amounts (PPA) for MassHealth members who were residents of a nursing facility between 4/1/2020 and 11/30/2020 and who saw an increase in their PPA during that time. As a result, facilities will need to adjust their MassHealth claims for the same time period to account for this retroactive decrease and must provide appropriate refunds to members. To ensure that facilities  are issuing appropriate refunds, reporting requirements have been established. For more details click here.

As a reminder, the freeze on PPA increases was lifted on May 17, 2021.

If you need help navigating these adjustments and reporting requirements, please contact SHG Client Relations Director Ashley Shudan by email at ashudan@stotlerhayes.com.

Written by Stotler Hayes · Categorized: Massachusetts

Stotler Hayes Group, LLC is a national, boutique law firm focused on optimizing recovery for health care providers through Medicaid, Medicare, private collections, training and education. Our attorneys are licensed in, and represent clients before, federal and state courts and agencies in a majority of states around the country.

In the handful of states where Stotler Hayes Group, LLC does not employ a full-time attorney, referrals are made to local counsel, many of whom we have developed close working relationships with over the years. In those cases, our firm works with local counsel throughout the pendency of the case.

Stotler Hayes Group, LLC,

Principal Office: Pawley’s Island, SC, Phone: 843-235-9871; Fax: 888-497-7390; email: info@stotlerhayes.com

This website is for informational purposes only. Please remember that every case is different. Any result we achieve for one client in one matter does not necessarily indicate similar results can be obtained for other clients.

The attorney responsible for the content of this website is Andrea Kirksey, Esq., Executive Director and General Counsel for Stotler Hayes Group, LLC, 297 Willbrook Boulevard,  Pawley’s Island, South Carolina.

She may be contacted at (843) 235-9871, ext. 1002 or at akirksey@stotlerhayes.com.

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