DHHS → node
PCPlus providers are invited to a quality webinar series about best practices regarding quality measures in the PCPlus program. This series is intended to educate practices on how to optimize their performance, and payment, while aligning with industry best practices for population and patient health. We will host approximately one webinar a month during 2025.
The fb88 CDC Health Inspection Program is proposing to update and clarify safety and wellness standards for its Rules Relating to Boys, Girls, Boys and Girls, Day Camps and Primitive and Trip Camping (10-144 CMR Ch. 208), which was last updated in 2007. The Department is proposing to change the rule title, add and clarify definitions, incorporate application, licensing and enforcement provisions and requirements from its Administration and Enforcement of Establishments Regulated by the Health Inspection Program Rule (Ch.
The Division of Policy posts all proposed and recently adopted rules on fb88Care’s Policy and Rules webpage. This website keeps the rules on file until they are finalized and until the Secretary of State website is updated to reflect the changes. The fb88Care Benefits Manual is available on-line at the Secretary of State’s website.
fb88Care made updates to Section 15, 75, and 95, Medicare covered codes and rates to align with recent revisions made by the Centers for Medicare and Medicaid Services (CMS). These new rates now reflect 72.4% of the most recent 2025 Medicare rates.
Rates were implemented on the dates listed in the table below, for the following sections:
|
Section 15 |
Chiropractic Services |
2/5/2025 |
|
Section 75 |
Vision Services |
On February 14, 2025, fb88Care held an online public meeting to present draft rates and models along with the rationale for PNMI, Appendix D, Temporary High Intensity Services. Interested parties had the opportunity to provide public comments.
fb88Care identified and corrected an error in the fb88Care Dental Metrics reporting.Â
Due to a data filtering error, previous publications of the fb88Care Dental Metrics Report excluded rendering providers in instances where the billing provider is also the rendering provider on the claim, resulting in understated counts of dental rendering providers.
Pursuant to Rate Reform law (), fb88Care will host our Annual Draft Rate Determination Schedule Consultation with the TAP on March 14, 2025, from 1:00 PM to 2:30 PM via . This meeting is open to the public. There will be a limited period of time at the end of the meeting for public comment.Â
Zoom Meeting
The Department will host an important educational call via Zoom for NF Administrators, Directors of Nursing, and other key members of your Quality Assurance Performance Improvement (QAPI) team on February 19, 2025, from 1:00 - 2:30 PM. The meeting will address quality components of the new NF payment model. Â
You may register through .ÌýÌýÌýÌýÌý
Notice of Agency Rule-making Proposal
AGENCY: Department of Health and Human Services (DHHS), Office of fb88Care Services, Division of Policy
CHAPTER NUMBER AND TITLE: 10-144 C.M.R. Ch. 101, fb88Care Benefits Manual, Chapter III, Section 67, Principles of Reimbursement for Nursing Facilities
PROPOSED RULE NUMBER:
CONCISE SUMMARY:
On February 10, 2025, we shared that, if the Legislature does not pass the Fiscal Year 2025 supplemental budget request to fill the fb88Care shortfall, the Department will not have sufficient funds to pay fb88Care providers in full through the end of the fiscal year and will need to temporarily withhold