Learn about the program designed to prevent or delay the development of diabetes
AllWays Health Partners and The Massachusetts General Hospital Diabetes Center offer the Path to Lifestyle Change program to help our members lose weight—and delay or prevent type 2 diabetes. The Path to Lifestyle Change was created and is being directed by Linda Delahanty, MS, RD, the Director of Nutrition and Behavioral Research at the Mass General Diabetes Center. In recognition of National Diabetes Awareness Month, continue reading to learn more about Linda’s passionate commitment to supporting anyone impacted by diabetes.
|To view last month's newsletter or any previous month, visit our Admin Newsletter Archive.|
In this issue:
- MassHealth discharge planning to support members experiencing or at risk of homelessness
- Medicare balance
- Return to pre-pandemic rates for telehealth services
- 2022 product trainings
- Reminder if your practice provides PANS/PANDAS services
- Provider service line wait times
- Medical policies
- Code updates
- Drug updates
MassHealth discharge planning to support members experiencing or at risk of homelessness
MassHealth worked in coordination with the Department of Housing and Community Development, the Interagency Council on Housing and Homelessness, and other departments within the Executive Office of Health and Human Services to better align expectations for Acute Inpatient Hospitals, Freestanding Psychiatric Hospitals, and emergency shelters in order to decrease the number of people who are discharged from healthcare facilities directly to homeless shelters. To assist discharging hospitals and shelters MassHealth has developed new tools and guidance, all of which are available on a new website: Helping Patients who are Homeless or Housing Unstable.
MassHealth also published “Discharge Planning to Support Members Experiencing or at Risk of Homelessness” bulletins for Acute Inpatient Hospitals, Freestanding Psychiatric Hospitals, and Managed Care Entities. The bulletins describe discharge planning procedures designed to enable hospitals to identify MassHealth members experiencing or at risk of homelessness in a timely fashion after admission and to ensure that such members have access to the post-hospital care, including an appropriate place to live, or other services that they need.
- AllWays Health Partners Medicare Balance plan provides secondary coverage to Medicare—all members are required to have both Medicare Parts A and B.
- Medicare Balance does not have a provider network, so members may choose to see any doctor, anywhere in the nation, who accepts Medicare! And don’t worry about providing referrals—members don’t need a referral to see a specialist.
- For billing purposes, Medicare should be listed as the member’s primary coverage and AllWays Health Partners Medicare Balance as their secondary coverage.
- AllWays Health Partners Medicare Balance pays any remaining deductible or coinsurance amount not covered by Medicare, less any applicable copays required by the plan design (this will vary by employer)
- Below is a sample of the ID card members of Fallon Medicare Plus Freedom will present when accessing your services. (attached to email if you want to include)