If you utilize the CAQH Provider Data Portal to review and update your provider directory information — as we remind our network to do regularly, including in an article in this month’s issue — you’ll soon see some additional required fields. We encourage you to take advantage of an upcoming training opportunity being offered by the Mass Collaborative to help familiarize providers with updates to the information that health plans will be collecting via CAQH.
Updates to data fields
Providers will be expected to populate the following new data fields in CAQH, consistent with state and federal regulations:
- Practice group affiliation
- Open/closed panel status (i.e., whether or not your practice is accepting new patients)
- Office location and operating hours
- Appointment availability
- Demographics about patients you treat
- ADA accessibility
- Languages spoken
- Gender-specific treatment
- Telehealth availability
- Age groups treated
These updates support our ongoing commitment to ensuring our members have access to accurate, detailed, and up-to-date information about in-network providers.
Sign up for a training
Practice administrators who use the CAQH Provider Data Portal are encouraged to take advantage of a one-hour webinar session being offered on Jan. 28, 2025 from noon – 1 p.m. ET. The session will include a brief presentation by CAQH and highlights of data collection methods offered by other carriers.
The session — developed by the Mass Collaborative and co-sponsored by its members (e.g., Massachusetts Medical Society, Massachusetts Health and Hospital Association, Massachusetts Association of Health Plans) as well as HCAS, CAQH, and the Massachusetts Department of Insurance — will provide information on these changes to requirements and guidance on processes related to updating provider information.
Click here to register today!