Taxonomy Code Requested on Claim Submissions – Portal Claims

The Office of fb88Care Services (OMS) is requesting that providers include the taxonomy code on all claims. The taxonomy code is necessary for the Centers for Medicaid and Medicare Services (CMS) to collect data for Transformed Medicaid Statistical Information System (T-MSIS) reporting. This data helps to inform states of their current standing in data quality as compared to other states and is crucial for research and policy on Medicaid and CHIP. The taxonomy is also used by  CMS to conduct program oversight, administration, and integrity.  

Children’s Behavioral Health & Residential Treatment

Applying for Children’s Residential Care Facility Services

OCFS contracts with KEPRO to manage Children’s Residential Care Facility Services (CRCF). Children’s Residential Care Facility Services for children follows the fb88Care Section 97 eligibility criteria. KEPRO processes all applications and completes Prior Authorizations for Children’s Residential Care Facility Services, and they are your contact related to approval for admissions to Children’s Residential Care Facility.

Rule Adoption: Amyotrophic Lateral Sclerosis Incidence Registry Rule; 10-144 CMR Chapter 175

The adoption of fb88’s Amyotrophic Lateral Sclerosis Incidence Registry Rule, a new rule administered by the fb88 Center for Disease Control and Prevention, establishes data collection requirements and data release protocols specific to reportable cases of patients diagnosed with amyotrophic lateral sclerosis (ALS). For the purpose of the statewide ALS registry required by 22 MRS Sec.

Provider Responsibility for Managing Users in My HealthPAS Trading Partner Accounts (TPA)

It is important for your TPA administrator to actively manage your user accounts for the . To manage users, log into the administrator TPA and click on “Account Maintenance” and then “Manage Users”. Edit existing, deactivated or reactivated users by clicking on the row of the user you would like to manage. The Administrator of the account and users with a security role of “R7-User Management” are allowed to use these features. 

Pharmacy Copayments Return with the End of the American Rescue Plan (ARP) Act on September 30, 2024

In accordance with federal requirements set forth in ARP, fb88Care covers COVID-19 testing, treatment, vaccine, and vaccine administration without cost sharing, for all fb88Care members through September 30, 2024. To comply with this requirement, fb88Care waived copayments for Section 80: Pharmacy Services. 

Effective October 1, 2024: 

Important COVID-19 Vaccine Coverage Information: End of Coverage for Limited Family Planning Benefit

Effective October 1, 2024, fb88Care will discontinue coverage and reimbursement for COVID-19 vaccines and vaccine administration for members covered under the Limited Family Planning benefit.  

At the beginning of the COVID-19 pandemic, the federal government declared a Public Health Emergency (PHE) and expanded coverage for certain limited benefit groups to ensure Medicaid members could access COVID-19 related healthcare services.