This May 2022 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, and the name of their appeals coordinator (as of May, 2022) who you can ask for if needed.
A version of the same information on MassHealth letterhead is attached and available online here https://www.mass.gov/doc/case-file-record-request-0/download
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|Tips for Communicating with Optum- May 2022.pdf||48.21 KB|
|MassHealth Requesting Case File for MassHealth LTSS Prior Auth.pdf||55.53 KB|