WorkWORLD
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workworld@vcu.edu |
Many of the available medical benefits require MassHealth approval before the health care provider carries out services.
If MassHealth turns down or changes a request for approval for a medical service, MassHealth notifies members through the mail. The notice will explain the reason for MassHealth’s decision. If an individual disagrees with MassHealth’s decision, it may be appealed by requesting a fair hearing. Appeals are handled by the Board of Hearings of the Division of Medical Assistance (DMA).
At a fair hearing, both the individual and a representative of MassHealth will present information to the fair hearing officer about the medical service in question. The fair hearing officer will write a decision either agreeing with MassHealth and its decision or agreeing with the member and overturning it. The hearing officer’s written decision is based on the facts of the situation and the rules that MassHealth must follow.
MassHealth Provider Acceptance
WorkWORLD™ Help/Information System
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This is one topic from the thousands available in the WorkWORLD™ software Help/Information System.
Complete information about the software is available at: http://www.WorkWORLD.org
See How to Get WorkWORLD page at: http://www.WorkWORLD.org/howtogetWW.html
NOTE: Sponsored links and commercial advertisements help make the WorkWORLD™ website possible by partially defraying its operating and maintenance expenses. No endorsement of these or any related commercial products or services is intended or implied by the Employment Support Institute or any of its partners. ESI and its partners take no responsibility for, and exercise no control over, any of these advertisements or their views or contents, and do not vouch for the accuracy of the information contained in them. Readers are cautioned to verify all information obtained from these advertisements prior to taking any actions based upon them. The installed WorkWORLD software does not contain advertisements of any kind.
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