RY19 MassHealth Hospital P4P Program Requirements ...



Cover Slide RY19 MassHealth Hospital P4P Program Requirements Technical Briefing SessionEOHHS Statewide Hospital Webcast August 10, 2018 11:00am – 12:00 noon (ET)Slide 1 RY2019 Webcast Agenda RY19 Acute Hospital RFA Requirements 11:00 am. Quality Inpatient Measures, Performance Assessment Methods, Incentive Payment Methods, Reporting Requirements RY19 EOHHS Technical Specifications- Process Measure Specs/tools, Outcome Measures Collection, MassHealth NHSN Group, MassQEX Portal Updates Q & A Period Wrap-up 12:00 noonWebcast Logistics: Registration is required to view webcast slides. All Hospital Phone lines are muted during the session to prevent background noise entering webcast. Avoid putting your phone line on hold during the Q & A period to prevent your organizations automated advertising system spilling into webcast environ. Slides posted on website within 3 business days at: 2EOHHS Medicaid Acute Hospital RFA Contract (Section 7: Quality Reporting Requirements & Payment Methods).Iris Garcia-Caban, PhD Hospital Performance Program Lead MassHealth Delivery Systems OperationSlide 3EOHHS Medicaid Acute Hospital RFA Quality RequirementsAcute P4P Core Principles (Sect.7.1): Program Aim Reward hospitals for high quality care and better outcomes for MassHealth patients. Performance Assessment Each hospitals performance is assessed using methods outlined in the RFA.Payment Eligibility Hospital payments are contingent on meeting standards set forth in the RFA. No Hospitals Exempt All Hospitals are required to participate in P4P Program. Graphic lists section 7.2 to 7.6 section titles Slide 4Summary of Key Changes Affecting RY2019 Acute Hospital Quality Program EOHHS Acute RFA2019 Contract Requirements- Performance Measures Transition: New changes include Retain specific process measures. Safety Outcome Measure Category, Patient Experience/ Outcome Category. Reporting Requirements One Reporting cycle in RY19 Revised P4P Program Forms, Payment Calculations. New Eligible Medicaid Discharges Incentive Payment Approaches. All measures are on P4P status, New – Safety category threshold provision. EOHHS Technical Specifications: RY19 EOHHS Manuals (v12.0 series) New ACO Medicaid Payer Codes. CCM-2 provisional scoring. Reduce chart record request. Updated PSI-90 specs. New Appendix and Data Tools . MassHealth NHSN Group Enrollment. New Identify Hospital NHSN contact. New Confer rights templateSlide 5Align with CMS Meaningful Measures Initiative Graphic displays CMS priority measurement areas, under each of six NQS domains, that are critical to ensuring high quality care and better patient outcomes for its Medicare, Medicaid and CHIP programs Slide 6RY19 Acute Inpatient Quality Measurement Transition (7.3)Displays list of nine measures and 3 quality domain categories. 1-Reconcile medication list at D/C, 2-Transition record (TR) w/specific data elements 3-Transmit TR w/in 48hrs to PCP 4-Cesarean Birth, NTSV 5-Exclusive Breast milk feeding 6-Health Disparities Composite 7-Patient Safety & Adverse Events Composite 8-Healthcare-Associated Infections (CAUTI, CLABSI , MRSA, CDI, SSI’s) 9-Patient Experience/Engagement HCAHPS Survey Topics and CTM-3. Alignment with ACO/DSRIP Initiatives Retain metrics which support care integration/data sharing (#1,2,3, 9) for better population mgt. by ACO and Community Partners. Adapt metrics which supplement or fill key gaps in the ACO quality strategy (*)Safety Events (#7, #8); Potentially avoidable utilization (#4 ,#8); Maternal/infant well-being (#4, #5); Health disparities monitoring (#6). Promote joint accountability between hospitals and PCP’sSlide 7RY19 Transition of Clinical Process Quality Domain (7.3)Retain Care Coordination Category Goal: Ensure safe & effective hand-off at time of discharge. CCM-1: Medications Reconciled at discharge, CCM-2: Transition Record (TR) with specified data elements. CCM-2 Measure Provisional algorithm scoring change to address alignment EHR_MU concerns CCM-3: Timely transmittal of TR w/in 48 hours Consolidate OB/Newborn Category Cesarean Birth, NVST, Exclusive Breast milk feeding Retain Health Disparity Category: Continue monitoring progress to reduce disparities (MGL legislative mandate). Slide 8RY19 Transition of Measures Data Collection Procedures (7.3)Table headers Data Source Collection Format Payer Source Data Completeness Chart-based (CCM, MAT, NEWB) Hospital reported data Use All Medicaid Payer (new Medicaid ACO payer codes). Upload electronic files ICD popn data entry Submit charts for validation Meet EOHHS submission deadlines. Claims-based (PSI-90) EOHHS collects from MMIS claims Use All Medicaid Payer Clinical and administrative codes required by AHRQ software (POA, ICD, age, etc.). Registry-based (HAI’s) EOHHS collects via MassHealth NHSN Group Accept all payer data file Meet NHSN clinical reporting protocols Meet CMS reporting deadlines. Survey-based (HCAHPS) EOHHS collects from Hospital Compare archived datasets Accept all payer data file. Meet HCAHPS measure guidelines Meet CMS reporting deadlines. Claims based data reflect a snapshot of MMIS claims after 6 month of measurement period. Registry-based data reflect a snapshot following CMS submission deadline for HAI data. Survey-based data reflect a snapshot following CMS correction period submission deadlines. Slide 9RY19 Transition of Data Validation Requirements (7.4) Data Reliability Standard: Data validation requirement applies to Clinical Process Metrics Only. Hospitals must meet data validation standard (.80) on submitted chart data. Chart data validation uses a random selection of cases, extracted from hospital uploaded files, to evaluate specific data elements. In RY19, chart validation will apply to Q3 & Q4 data only.Quality Scoring Impact: Passing Validation is required prior to computing the hospital’s performance scores. If FAIL validation in comparison year (RY19) for reported measures then all process measures data is considered unreliable for quality scoring. If FAILED validation in previous year (RY18) then data is considered invalid for computing comparative year performance. In this case Improvement Points do not apply but may get Attainment points if PASS validation in RY18 and have already established a valid baseline rate) Slide 10RY19 Transition of Performance Assessment Methods (7.4)Table headers Quality Measure Category. Raw Measure Result. Improvement Noted As. Performance Assessment Method. Clinical Process Measures Measure Rate Higher is better Attainment & Improvement model. Health Disparities Composite BGV value Lower is better Decile Rank model. PSI-90 Composite Composite Index value Lower is better Interquartile Range model (overall winsor z-score) Healthcare-Associated Infections Standard Infection Ratio Value Lower is better Interquartile Range (overall winsor z-score) Patient Experience & Engagement Survey Dimension Measure Rates Higher is Better Attainment & ImprovementPerformance assessment methods will vary by measures. Scoring eligibility criteria applies for each measure. Patient safety measures will adapt CMS-HACRP scoring methodsSlide 11Attainment & Improvement Model (1 of 2)Attainment threshold: Represents minimum level of performance required to earn points. Set as median (50th) performance of all hospital previous year data. Benchmark threshold: Represents highest performance achieved to earn maximum points. Set as the mean of top decile (90th) of all hospital previous year data.Improvement: Represents progress achieved from prior year to earn maximum points. Progress is seen as rate at or better than previous year. Compares individual hospital prior and current year performance.Attainment and Benchmark Compares your hospital rates with all other hospitals. Improvement compares your prior to current performanceSlide 12Attainment & Improvement Model (2 of 2) Use Quality Point System to weight raw measure rates. Award Attainment Points: If a Hospital’s rate for the measure is: Equal to or less than the attainment threshold, it will receive zero (0) points for attainment. Within the attainment range (greater than the attainment threshold but below benchmark) it will receive anywhere from 1 to 9 points for attainment. Equal to or greater than the benchmark, it receives 10 points for attainment. Award Improvement Points: If a Hospital’s rate for the measure is: Equal to or less than previous year, it will receive zero (0) points for improvement. Within the improvement range, it will receive anywhere from 0 to 9 points for improvement. Attainment Points Formula: The Hospital’s measure rate and the attainment threshold divided by the difference between the benchmark and the attainment threshold. This ratio is multiplied by 9 and increased by 0.5. Improvement Points Formula: The Hospital’s Current Measure Rate and the Previous Year’s Measure Rate divided by the difference between the benchmark and the Previous Year’s Measure Rate. This ratio is multiplied by 10 and decreased by 0.5. Total Performance Score. The total performance score, for the individual measures, reflects a percentage of quality points earned out of the total possible points for each measure category.Slide 13Health Disparity Performance Assessment Performance is evaluated using a Decile Rank Model. Disparity composite combines hospital reported measures each rate year. Composite uses is a between group variance (BGV) result that reflects variation in care. RY2019 Quality Scoring Methods. Measure Calculation: Adds MAT,4, CCM, NEWB1 metrics only, Racial Comparison Group Rate, Hospital Reference Group Rate, Set Threshold: Target Attainment set above 2nd decile. All Hospital BGV’s are ranked highest to lowest, Conversion Factor: A weight is assigned to each decile group. Scoring eligibility hospital must have more than one racial group in reported data. Must pass data validationSlide 14New MassHealth Safety Outcome Measure Category (7.4)Component 1:Patient Safety & Adverse Events Composite PSI 03 Pressure Ulcers Rate, PSI 06 Iatrogenic Pneumothorax Rate, PSI 08 In-Hospital Fall with Hip Fracture Rate, PSI 09 Perioperative Hemorrhage /Hematoma Rate, PSI 10 Postoperative Acute Kidney Injury Rate, PSI 11 Postoperative Respiratory Failure, PSI 12 Perioperative PE or DVT Rate, PSI 13 Postoperative Sepsis Rate, PSI 14 Postoperative Wound Dehiscence Rate, PSI 15 Unrecognized Abdominopelvic Accidental Puncture/Laceration Rate. Modified PSI-90 component weights factor for volume and harm. Component 2: Healthcare-Associated InfectionsCatheter Assoc. Urinary Tract Infection (CAUTI), Central Line Assoc. Blood Stream Infection (CLABSI), Methicillin Resistant Staph Aureus (MRSA) bacteremiaClostridium Difficile Infection (CDI), Surgical Site Infections (SSI’s) includes colon and abdominal hysterectomy. No data reporting to EOHHS is required for this measureEOHHS has arranged with CDC to establish the “MassHealth NSHN Group” for hospitals to exchange nationally reported HAI data. EOHHS contractor is the designated “Group Administrator”Slide 15Safety Outcome Measure Performance Assessment (1 of 3) Step 1: The Winsorized Measure Result that is obtained by creating a continuous rank distribution of all eligible hospital raw values, truncated at the 5th and 95th percentiles. The relative position of where each measures value falls in the distribution is determined as follows: If falls between minimum value and 5th percentile then it is equal to 5th percentile. If falls between 95th percentile and maximum then it is equal to 95th percentile. If falls between 5th and 95th percentile then it is equal to the Hospital’s raw result.Step 2: Winsor Z-score . A Winsor Z-score (Zi) is calculated for each hospital safety measure as the difference between the Hospitals Winsorized measure result (Xi) and the mean of Winsor measure results across all eligible hospitals (X) divided by the standard deviation of the Winsorized measure result from all eligible hospitals data using the following formula. The Hospitals winsor z-score for each safety metric reflects how many standard deviations each value is away from the mean measure result.Slide 16Safety Outcome Measure Performance Assessment (2 of 3)Step 3: Overall Safety Z-Score, The Hospital’s safety category performance is evaluated using two measure components that each contribute to overall safety z-score.If Hospital has winsor z-scores for only one component then the 100% weight is applied as overall safety winsor z-score. If Hospital has no winsor z-scores for any component it will not get an overall safety score. The Hospital’s overall safety z-score is calculated as the weighted average of both Components based on the formula Slide 17Safety Outcome Measure Performance Assessment (3 of 3) Step 4: Interquartile Range. Interquartile Rank Method. All hospital overall safety z-score results data are ranked from worse (highest) to better (lowest) performance and divided into four equal groups. Minimum Attainment Threshold. Defined as the boundary for the overall safety z-score values that falls above the 1st quartile group. The minimum attainment threshold represents the minimum level of performance that must be attained to earn incentive payments. Important Note: In RY19 only, the newly introduced safety outcome measure minimum threshold will not apply. In RY19 only, an overall z-score in the 1st quartile gets a conversion factor of .25.Slide 18New Patient Experience Measure Category Performance Assessment (7.4) HCAHPS Survey Dimensions: Nurse Communication (3 items), Dr. Communication (3 items), Communication about Meds (2 items), Responsiveness of Hospital Staff (2 items), Discharge Information (2 items), Overall Rating (1 item), Care transition (3 items). No data reporting to EOHHS is required for this measure.Quality Scoring- Attainment & Improvement Model: Each survey dimension is assessed using the quality points system described in prior slides. Setting Thresholds: Performance benchmarks are computed form state all hospital prior year reported HCAHPS data obtained from Hospital Compare website. Awarding Quality Points: Attainment and improvement points are awarded when the hospital has already established a baseline rate on each survey dimension. Slide 19RY19 Performance Evaluation Data Periods (7.4)Clinical Process Measures: Use two years of data (CY2017 and 6months of CY2018) to compute quality points. Health Disparities measure use current reported year data (CY2018) for decile rank performance. PSI90 composite uses 24 month data period (10/1/13 – 9/30/15). HAI measures use 24 month data period (1/1/2015 – 12/31/2016, Patient Experience measure use CY16 and CY17.Clinical Process Measures, RY19 Performance period uses partial CY18 that was determined based on Post ACO go-live 3/1/18 transition adjustments; and CHIA new Medicaid ACO Payer Codes posted May 2018Slide 20RY2019 Incentive Payment Methods (7.5)Payment Eligibility Criteria: Meet Data Completeness Requirement. Meet Data Validation Standard, Achieve Performance Thresholds. Incentive Payment Components: Maximum Allocated Amt: overall dollars tied to achieving performance. Statewide Eligible Medicaid Discharges: all hospital discharges for measure population. QMC per Discharge Amt.: estimated amount by quality category. Incentive Payment Formula includes Final Performance Score - Computed for each QMC, QMC per-discharge Amount - Final computed from FY18 eligible discharges. Eligible Discharges for each QMC - Final computed from FY18 discharges. RY19 Incentive Payment Approach - All measures are on P4P status.Slide 21RFA2019 Eligible Medicaid Discharge Data Volume (7.5)Definition of Terms- Identifying Discharges: Meet measure ICD /DRG code requirement. MassHealth is primary and only payer source. Discharges covered by acute FFS payments (Traditional FFS and PCCP, and ACO-B Plans). MMIS Paid Claims Extract: Included Adjudicated Payment Amount per Discharge (APAD) is an all-inclusive facility payment for an acute inpatient hospitalization from admission to discharge. Excluded: Per Diem payments (Transfer, Psych, Rehab); Admin days, Interim bills, and outlier payments. Data Period: Use FY18 10/1/17 – 9/30/18 discharges to compute RY19 P4P payments.Identifying MDD Records OB/Newborn: Meet ICD population in TJC code tables, Mothers age greater than equal to 8 and less than 65 years. Newborn must be less than equal to 0 and less than equal 2 days. Care Coordination: Meet ICD population in EHS Manual. Age greater than 2 and less than 65 years. HD2 composite: Unique Discharges that meet ICD requirement for at least one or more clinical process measures the hospital reported on (counted only once).Safety outcomes: Meet APR-DRG medical and surgical population codes. Patients greater than 18 years of age Patient Engagement: Meet APR-DRG medical, surgical, & cesarean population codes Patients age greater than 18 and less than 65 yearsSlide 22RFA2019 Hospital RFA Reporting and Submission Timelines (7.6) Table columns list submission due date, data requirement, reporting format and reporting instruction.Each row points to dues dates Oct1, 2018 (Program Forms Due), Nov1, 8, 2018 Complete MassHealth NHSN Enrollment Group. April 26, 2019 report Q4-208 and Q4-2018 data. August 16, 2019 for Q1-2019 data . Key Changes in RFA19 Transition- One RY19 submission cycle (Q3+Q4 only) Hospitals have 8 months to submit data. Revert to quarterly reporting with Aug 2019 cycle. New Hospital Quality Contact & Hospital DACA Forms. New MassHealth NHSN Group Enrollment. Nationally Reported Data - EOHHS expects compliance with CMS submission deadlines for NHSN reporting of HAI data. EOHHS expects compliance with CMS submission deadlines for HCAHPS survey dataSlide 23RY19 MassHealth P4P Program Participation Forms (7.2 & 7.6)Hospital Quality Contact Form: Key Representatives (Quality & Finance). Identify MassQEX Portal Users, Identify MassHealth NHSN Group contact. Hospital Data Attestation Form: Attest to data accuracy & completeness. Enter measures exemption provision. Mailing Hard Copy Forms Iris Garcia-Caban, PhD EOHHS MassHealth Attention: Acute Hospital P4P Program 100 Hancock St. 6th floor Quincy MA. 02171. EOHHS Business Contacts Key Reps are staff liaisons for EHS business communication on Acute RFA requirements. Only Key Reps are entered in EHS email distribution list & mailing dbases. New Must identify the Hospitals NHSN Administrator authorized to interface with MassHealth NHSN Group Administrator. Getting Program Forms Posted on Webpage Slide 24RY2019 EOHHS Technical Specifications for Acute Hospital Quality MeasuresCynthia Sacco, MD EOHHS Contractor: Telligen, Inc.Slide 25RY2019 Clinical Process Measure Data Collection Transition Measure Description & Flowchart, MassHealth Data Dictionary, Hospital & Vendor Data Tools/XML will be updated. All Charts REMOVE: Ethnicity, Hospital Bill Number, Postal Code, Sample and UPDATES: New Medicaid ACO Payer Codes, Discharge Disposition, Episode of Care. Each measure will apply the updated changes. New – RY19 Transition simplifies chart abstraction to reduce burden. EOHHS Technical Specs Manual (v12.0) provides more detailSlide 26RY19 Care Coordination (CCM-2) Data Element Considerations Slide displays key data elements required for transition record which include 1. Discharge Diagnosis, 2. Medical Procedures/Tests & Summary of Results, 3. Plan of Follow Up Care. 4. Primary Physician or Other HCP for Follow Up Care, 5. Patient Instructions, 6. Current Medication List. 7. Reason for Inpatient Admission, 8. Studies Pending at Discharge, 9. Contact Information for Studies Pending. 10. Contact Information 24/7 and 11. Advance Care Plan. Key Observation- CCM-2 data elements #7-11 not stated as required for MU measure. MU data elements #8-13 not identified by AMA-PCPI specs for transition record EOHHS will not eliminate CCM-2 data elements but instead adapt provisional algorithm scoring methodSlide 27RY2019 Provisional Algorithm Scoring of CCM-2 MeasureHospitals Required: All Transition Record required data elements will be abstracted and evaluated. New Provision: In RY19 EOHHS will remove the all n=11 data elements be required to meet the measure. Portal Scoring: The measure met threshold will be modified to require greater than or equal to 6 of 11 data elements present on the Transition Record given the patient. The algorithm shows sequence. Slide 28RY2019 Transition of Process Metric Data Validation ProceduresReduced Chart Request: Chart Sampling for Q3-2018 & Q4-2018 will request N=5 charts for each quarter. Must pass validation (.80) based on two quarters of chart dataValidation Scoring Changes - Scored elements Administrative Elements Race Hispanic Indicator, Clinical Data Elements:NEWB-1 measure, MAT-4 measure, CCM-1,2,3 measuresNon-scored elements: Admission Date Birth date Discharge Date (scored for CCM-3 only) Discharge Disposition (scored for NEWB-1, CCM only)Episode of Care First Name ICD-CM Diagnosis Codes ICD-PCS Procedure Codes Hospital Patient ID # Last Name Member ID Number Payer Source Provider ID Provider Name SexSlide 29RY19 New MassHealth Insurance Plan Payer CodesIncluded Payer Codes reflect new 17 Medicaid ACO payer codes, plus managed care and fee-for-service insurance plans. Excluded payer codes are old Medicaid insurance plans. Chart abstracted data files with INVALID payer codes will be rejected by the Portal.Invalid Payer Codes will apply to PSI-90 retro measurement period. The EOHHS Manual and Appendix tools (v12.0) contains more detail.Slide 30Component 1: PSI-90 Patient Safety & Adverse Events CompositePSI-90 Calculation Rules: Components Includes n=10 PSI components Data Source: All Medicaid payer data from MMIS and Encounter claims Data Completeness: exclude discharges with incomplete, partial or missing/invalid data in clinical and administrative data fields. Scoring Eligibility: Hospital data must have 3 cases for any one indicator in data period. Composite Index: the weighted average of all PSI Indicators will be utilized to calculate the winsorized Z-scoreAHRQ Software: SAS Software (v6.02): use 25 ICD-9 Diagnosis and 25 Procedure Codes. ICD-10 software version schedule is yet to be determined (speculated for Dec 2018. Reference Population 2013 HCUP data from 36 states that only includes states that provide POA info. Indicator Weights: weighting of the individual component indicators is based on two concepts: the volume of the adverse event (numerator weights) and the harm associated with the adverse even. Additional detail provided in EHS Manual (V12.0)Slide 31Component 2: Healthcare-Associated Infection Measures MassQEX Data CollectionHospital Reporting Requirements: Must adhere to NHSN clinical specifications for reporting of all HAIs required by MassHealth. Must Review and resolve NHSN submission warnings for complete and accurate data. Must adhere to NHSN reporting deadlines.MassQEX Calculation Rules: MassQEX will generate results reports containing the HAI measure’s SIR, observed, and expected rates utilizing NHSN’s analysis tools. SIRs are not generated in NHSN if the expected infection rate is less than 1.0. If no SIR is reported in NHSN, that HAI will not be included as part of the HAI scoringSlide 32Component 2: MassHealth NHSN Group Enrollment InstructionStep 1: Hospital Key Quality Contact will receive email invitation from the designated EHS Group Administrator (MassQEX) with joining information. MassQEX Key Information:5 digit group ID Group Joining PASSWORD. Step 2: The Key Quality Contact must coordinate enrollment by providing the hospital’s NHSN Facility Administrator the joining information from the invitation email. Only the Hospital’s NHSN facility administrator has authority to join the MassHealth NHSN Group. Step 3: Hospital Facility Administrator selects “Group” and then “Join” on the NHSN navigation bar. Data entry buttons for group ID and password.Step 4: Hospital Facility Administrator REVIEWS and ACCEPTS the Data Rights Template for data sharing. The data rights template lists the measure data that MH is requesting access to for the specified HAIs. Successful Enrollment: When the data rights template is accepted, data sharing is complete and the facility is added to the MassHealth NHSN Group. Hospital Enrollment Deadline: November 1, 2018.Slide 33 RY2019 New Patient Experience and Engagement MeasureMassQEX Data Collection: The Hospital’s “Top Box result” on HCAHPS survey dimension will be obtained from Hospital Compare. Hospitals must meet the minimum threshold for survey responses to be eligible for this measure. MassQEX Calculation Rules: Top Box” results are percentages with highest response on survey scale for each HCAHPS survey dimension. The Top Box result is displayed as an “Answer Percent” for each dimension. Table headers Measure Identifier, HCAHPS Dimension / Technical Measure Title HCAHPS Answer Description and “Top Box ResponseSlide 34RY2019 MassHealth Measure Report Results MailedColumn 1 show Measure Results Report – column 2 shows Report DescriptionData Validation Rate- Overall results, quarterly results, case detail for clinical process measure. Process Measure Rates -Overall results, quarterly results, and HD-2 reportPSI 90 Composite (New) -Each PSI component results and composite index resultHealthcare-Associated Infection Results (New) -SIR results for each reported HAI measure. Patient Experience and Engagement (New) -Baseline and Performance Period Top Box resultsSlide 35New RY2019 MassQEX Portal Self-Serve Report Jpeg displays New PSI 90 Drill Down ReportwWill allow hospitals to drill down to claims level data utilized for calculation of the numerator events for each PSI component measure. Hospitals Registered Users Only Reports contain PHISlide 36RY2019 MassQEX User Account MaintenanceMassQEX Portal Authorized Users : Existing MassQEX Hospital Staff User Accounts are considered active in the RY19 transition period. Existing Data Vendor Accounts must identify essential users and establish any new accounts to ensure timely portal access for submission and input file reports. Each Hospital is allowed to have 3 Hospital staff and 3 vendor user accounts MassQEX Listserv Communication: All User Accounts must be updated to ensure receipt of listserv notifications. Registered Users are auto-enrolled for MassQEX list serv communication. Other individuals can be added to listserv by contacting MassQEX Helpdesk.Phone: 844-546-1343.Email: Massqexhelp@ Slide 37Wrap Up- EOHHS Contact Medicaid Acute Hospital RFA Requirements. Iris Garcia-Caban, PhD Phone: (617) 847–6528 EOHHS Business Mailbox: Masshealthhospitalquality@state.ma.us P4P Resources MassQEX Help Desk Technical Support and MassHealth NHSN Group Enrollment: Phone: 844-546-1343 (toll free #) Email: Massqexhelp@ ................
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