Periodically the ASM receives updates from MassHealth regarding information on their Provider Program. In addition to emailing these announcements to our members and colleagues, we will post them here in the ASM News Blog for future reference.
This particular policy information is mainly directed to any practitioners that may be pursuing the use of automatic technology to access information from MassHealth. Some organizations will use a standard user name and password to access the provider online service center, then set up a computer to quickly and automatically check eligibility, or process claims or any other automatic functions. For HIPPA reasons MassHealth needs to know when a provider is using that type of technology.
Dear Provider Association,
Urgent Reminder for MassHealth Providers utilizing Bot Technology: Organizations that are using a bot on the POSC that has been operational since prior to July 1, 2022, must register the bot and request approval from MassHealth no later than September 30, 2022. If your organization is still operating a bot on the POSC after that date you will be out of compliance with MassHealth’s RPA policy and subject to monitoring and enforcement.
Effective July 1, 2022, MassHealth requires that any/all organizations (providers, business partners, and relationship entities that utilize Robotics Processing Automation (RPA) tools (AKA bots) on MassHealth’s Medicaid Management Information System (MMIS) Provider Online Service Center (POSC) register the bot and request approval from MassHealth prior to the implementation of any bot technology. Any organization that utilizes Robotics Processing Automation tool (AKA bots) on the POSC without express permission from MassHealth is in violation of the MassHealth RPA Policy.
It is important that existing bot users register the bot and request approval from MassHealth no later than September 30. These organizations should complete and submit the RPA Stage II Registration Form – Grandfathered Entities to MassHealth at functional.coordination@
Please refer to the Robotics Processing Automation (RPA) All Provider Bulletin 345 for more information regarding MassHealth’s RPA Policy or the mass.gov MassHealth Robotics Processing Automation (RPA) Policy web page at https://www.mass.gov/guides/masshealth-robotics-processing-automation-rpa-policy.
MassHealth Provider Relations Team
MassHealth Provider Customer Support
Questions Regarding the RPA Policy
Other Provider Topics
- Phone: 1-800-841-2900