This updated memo by MLRI provides contact information for MassHealth's Third Party Administrator for certain Long Term Services and Supports (LTSS), Optum. Optum began making prior authorization decisions for PCA and certain other LTSS services in the summer of 2017. The updated memo includes a table identifying the additional LTSS for which Optum is making decisions as of Oct 2020 and the name of their appeals coordinator who you can ask for if needed.
The website below takes you to the MassHealth website with more information on the TPA LTSS (Third Party Administrator for Long Term Services and Supports).
|Tips for Communicating with Optum Oct 2020.pdf||36.08 KB|