Is MassHealth clearing out old files? I have had 5 people that received renewals in the mail and have not had to do one in years. They are from Department of Developmental Services (DDS) Home and Community Based Services Waiver. Some have really old address. And another member, MassHealth has her in a Long Term […]
I have an member who is currently an inpatient and had expensive surgery. He is currently single, not working and has been a permanent resident for 1 year. At the end of the application it gives him what I expect: MA/Limited with HSN and HEALTH CONNECTOR – Because we know the Connector Plan 1 has […]
Can someone explain more about the retro requests and how soon will we see the information in EVS? Example: Member came to the ER on 08/15 – Rec’d Bill Worked with Pt to update his application, they are homeless, no income on 09/08. At the time of the application asked that retro enrollment go back […]
Hi Loopers, I had 3 MSP applications recently that after it was processed, they requested the last signature page again. At first, I thought the fax did not go through properly. Then it happened to another member. The 3rd time, we did an MSP application over the phone with a member, listened to the recording […]
Anyone having trouble making a payment to the Health Connector as a guest? I assist a few members monthly and I am unable to make any payments. The website just keeps spinning and stating “error”. I gave it 24 hours. I rebooted my computer, cleared the cache. Checked with our IT dept. – I heard […]
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 […]