Massachusetts D-SNP updates: Senior Care Options, One Care members
AI Summary
Massachusetts D-SNP members (Senior Care Options and One Care) now have new integrated subscriber IDs and policy numbers effective January 1, 2026. All prior authorizations under old IDs expired December 31, 2025, and claims spanning December 2025-January 2026 must be split using the appropriate subscriber ID for each date of service.
Action Required
Immediately: Billing team must update all Massachusetts D-SNP member records with new subscriber IDs and policy numbers. When verifying eligibility, select 'Multiple Policies' option and choose policy from dropdown. For services spanning December 2025-January 2026, split claims: use old subscriber ID for December dates and new subscriber ID for January 2026 dates. Claims with old subscriber ID for January 2026 dates will be denied. Wait for both Medicare and Medicaid PRAs before balance billing. Access new prior authorizations in Provider Portal under updated subscriber IDs.
Plan Types
Medicare Advantage, Medicaid
States
MA
Specialties
all-specialties