Massachusetts D-SNP updates: Senior Care Options, One Care members
AI Summary
Massachusetts D-SNP members now have new integrated UCards with updated Subscriber IDs and policy numbers effective January 1, 2026. Claims for services spanning December 2025-January 2026 must be split using old IDs for December dates and new IDs for January dates, and all prior authorizations under old IDs expired December 31, 2025.
Action Required
Immediately: Billing team must split claims for services spanning December 2025-January 2026. Use old Subscriber ID for December dates of service and new Subscriber ID for January 2026 dates. Update eligibility verification process to select 'Multiple Policies' option and choose policy from dropdown. Wait for both Medicare and Medicaid PRAs before balance billing members. Claims using old Subscriber ID for January 2026 services will be denied.
Plan Types
Medicare Advantage, Medicaid
States
MA
Specialties
all-specialties