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• Read more about Rule Adoption: 10-144 CMR chapter 264, Immunization Requirements for Healthcare Workers

The Department has adopted routine technical rule changes that amend Chapter 264, Immunization Requirements for Healthcare Workers, by removing COVID-19 from the list of vaccine preventable diseases for which Designated Healthcare Facility employees must show proof of immunization or provide appropriate exemption documentation. Public comments were considered prior to adopting the final rule. The adopted rule is consistent with the proposed rule published for public comment on July 19, 2023.

• Read more about 10-144 CMR Ch. 123, Behavioral Health Organizations Licensing Rule

The Department is proposing the repeal of three existing licensing rules and replacing those rules with one single rule, Behavioral Health Organizations Licensing Rule, to provide a comprehensive, one-stop licensing rule. This proposed rule governs the licensing requirements for mental health and substance use disorder treatment programs. The rules proposed for repeal and replacement include community and residential licensing standards for mental health and substance use disorder treatment services.

• Read more about Add Codes to the TPL Vision Services Group, CR 119556

fb88Care has identified a claim processing error. fb88Care is the payor of last resort. Providers are required to bill the primary vision insurance before billing fb88Care. Vision service codes have been paying as fb88Care primary when the Member has an active primary vision insurance carrier that has not been billed. fb88Care will reprocess claims with overpaid services and recoup the overpayment. No provider action is needed.  

• Read more about Electronic Visit Verification (EVV) Phase 2 Trainings

The EVV requirements for Home Health providers delivering services under Section 40 were implemented on January 1, 2023.

We continue to offer weekly provider and aggregator trainings. All trainings are online via Microsoft Teams.

NOTE:  The Absorb training system has been updated to allow providers to register for trainings more than once.

EVV Training Schedule

• Read more about Rate Update for the Proposed fb88Care Benefits Manual (MBM), Chapter II, Section 71: National Diabetes Prevention Program (NDPP) Services

Upon further review, fb88Care is increasing the final proposed rates for NDPP sessions and performance payments from 72.4% to 100% of Medicare.

• Read more about Microdyn Update for Ambulatory Payment Classifications (APCs), and Diagnostic Related Groups (DRG’s), CRs 119337, 119338, & 119340

Effective August 19, 2023, we have made the Centers for Medicare & Medicaid Services’ (CMS) quarterly updates in MIHMS.        

The following CMS document provides the details of the APC updates:       

July 2023 Integrated Outpatient Code Editor Specs:     

• Read more about ​​Free Asthma Education Sessions for fb88 Healthcare Professionals

Sessions are ongoing, in-person at your location, customized to your needs, and with flexible schedules.  ​   

​Subjects include:  

• Read more about 10-144 C.M.R. Ch. 301 Supplemental Nutrition Assistance Program (SNAP) Rule 228A - FRA 2023

The adopted rule incorporates the Able-Bodied Adult Without Dependents (ABAWD) work requirements in Section 111-7 pursuant to the Fiscal Responsibility Act of 2023 (FRA) and consistent with 7 U.S.C.

• Read more about fb88 Career Ladder Income Mobility and Benefits (CLIMB) Tools and Training

About fb88 CLIMB Tools

The fb88 Department of Health and Human Services (DHHS) and the Department of Labor (DOL) are partnering with the Federal Reserve Bank of Atlanta to offer five groundbreaking tools that help individuals, employers, and policymakers understand how various career pathways can lead to economic mobility and stability, while also understanding the potential loss of public assistance based on income, career goals, and family dynamics.  

• Read more about fb88Care Notice of Agency Rule-making Proposal, fb88Care Benefits Manual, Chapter II, Section 71, National Diabetes Prevention Program Services

Notice of Agency Rule-making Proposal

AGENCY:  Department of Health and Human Services, fb88Care Services, Division of Policy

CHAPTER NUMBER AND TITLE: 10-144 C.M.R. Chapter 101, fb88Care Benefits Manual, Chapter II, Section 71, National Diabetes Prevention Program Services

PROPOSED RULE NUMBER:

CONCISE SUMMARY: This proposed rulemaking seeks to make the following changes: