AI HubEssential Information about the State's Medicaid Program - MassHealth
This video explains how the Massachusetts Medicaid program, MassHealth, frames eligibility and payment for home-care services. It offers an overview of coverage, delivery models, and how EVV compliance ties into reimbursement across home care and personal care services.
Who we empower every day
By Role- Agency Owners – Align care and billing operations with MassHealth rules and EVV integration
- Supervisors: Verify that documentation and services adhere to all MassHealth program requirements.
- Care Managers: All client care plans should be mapped to the relevant MassHealth benefit categories.
- Billers: Submit all claims in accordance with MassHealth regulations and associated EVV data.
- Schedulers: Assign all services within the parameters of reimbursement and EVV.
- Caregivers – Deliver the services covered under MassHealth with proper documentation
- On-Call Coordinators – Adjust shifts in response to MassHealth coverage changes
MassHealth mandates EVV for in-home personal care and home health services under Medicaid—as defined under the federal 21st Century Cures Act. Robust software platforms that link EVV capture, scheduling, and billing streamline reimbursement and reduce risk.
