Can anyone confirm the new information provided at the last MTF meeting? On the slide deck it has that: MassHealth CommonHealth members will receive benefits from the MSP program that aligns with their FPL: QMB, SLMB, or QI. This is great news because of the last change when members had to choose between CommonHealth or […]
I have a member who is a QMB Member (Senior Buy In). She was going to get Cataract Surgery at a local eye center. She has BlueCross and Blue Shiled PPO and Senior Buy in second. The eye center wanted her to pay $150 copayment for EACH eye. She explained that she was a QMB […]
I have had 3 members turning 65 this year. When I update the application to reflect they have Medicare, it gives them MassHealth CommonHealth determination? I tell people to ignore it, because that is not a true determination. However, they still get letters stating so and think they qualify for MassHealth. Another member, I updated […]
Does anyone have experience with this? I have 2 cases that the pt’s are 63 and 64 and took early retirement. When I updated the their HIX application is allows them to enroll in a plan, however, when I check the next day it reads “CommonHealth”. These 2 individuals are healthy and not disabled in […]
I am trying to get pass ID Proofing with a member. I uploaded his ID to the member portal. I am getting a Red Error message that says: Review and correct the error(s) listed below: . error.resourceAccessNotAllowedAsRIDPnotCompleted It does show as it was uploaded. Does anyone know if this will work to get past […]
I am looking for the FPL’s on the members application. I liked being able to see it at the income and the at the end of the application. It just made explaining benefits so much easier to members. From an assistor point of view, I don’t find it easier to navigate.
I have a member who is 76, no immigration status. She came over on a visiting visa and did not return to her county. I asked her daughter if she filed with homeland security and let them know she intended to stay. She said “Yes, but they are dealing with every one coming over, they […]
I do a lot of Long Term and SACA Applications for our hospital. I am trying to streamline this process. We currently print, fill out and fax the completed applications to MassHealth. They can be up to 60 pages (plus more) with all the required documents. I was recently told about an online application that […]
A CAC met with a family with a LTC Application. They provided all the bank statements and needed documents. However, it is taken my CAC over 8 hours to work on this. Making copies, the bank statements. The copies we received are double sided and we know it has to be faxed. I know we […]
I have a member that we submitted the “Patient Protection Waiver”, they got approved. Do you know how to I get it open to shop for a plan, without calling the Health Connector? Can I just upload it into the portal or do I need to call them? Member is not available to call them […]