Has anyone noticed that a large number of SLMB Buy-In beneficiaries were not upgraded to QMB Senior Buy-In as part of the March 2020 FPL change (which was what was supposed to happen per Eligibility Operations Manual 20-03)? We have a large number of affected clients and while we’re working through either appealing their eligibility or […]
I know this has been raised several times during the past two Assister conference calls, but the inability to directly reach the Over 65/Ongoing unit at the Enrollment Center is incredibly frustrating. The IVR is routing all calls to Customer Service, and CST cannot directly assist with eligibility related issues. Having to call the Intake Unit or the […]
MLRI / Vicky Pulos have released their ConnectorCare Advocacy Guide. I encourage everyone to read through it as it contains a wealth of great information. You can find the guide online at: https://www.masslegalservices.org/content/connectorcare-advocacy-guide
The processing of verifications for applicants/members under the age of 65 appears to have ground to a halt. Outside of having called the MEC to have a verification manually processed, I haven’t seen any type of non-privacy related verification document submitted after 10/29/2018 be processed. Is anyone else noticing this?
Anyone else noticing that MassHealth’s operational claim that income verifications are being processed with a high priority doesn’t hold water? We have individuals in a MassHealth Decision Pending status where income was submitted nearly 4 weeks ago. That really isn’t what I’d consider to be high priority…
Has anyone been able to access the online enrollment form in the past two days? I keep receiving a page cannot be displayed when attempting to reach: https://massforms.maximus.com/stateforms/MCOEnrollForm
I wanted to make sure that everyone is aware that caretaker relatives who are 65 or older that apply through HIX and qualify for MassHealth Standard are not automatically also receiving the Medicare Buy-In. In order to make sure the applicant receives that benefit, you have to call the MassHealth Enrollment Center and have them manually correct the determination on […]
I wanted to make sure folks were aware of the following issue since neither MassHealth/HSN has published information about it (but the HSN helpdesk has confirmed it). There is currently a systems issue affecting the tracking of temporary HSN eligibility in EVS. Specifically, when a ConnectorCare eligible individual’s 100 days of temporary HSN has expired, EVS may still display […]
Has anyone else been experiencing fax issues to the EDMC or CPU fax # over the past two weeks? I’m trying to diagnose whether our problem is just internal or whether there’s an issue on MH’s end as well. If everything is good on your end, please let me know.
I haven’t seen MassHealth publish this information to the Assister community yet (it was provided to the MCO/ACOs on 10/26/17), but just so everyone is aware, MassHealth assignment logic is no longer allowing members to enroll into MCOs that are being sunsetted on 02/28/2018 (i.e. Celticare, HNE, Fallon, and Neighborhood Health). Members can only select from the non-sunsetting […]