Has anyone else had the experience of MassHealth telling them they can’t do an application over the phone? This has happened to 2 separate CACs today and they were told they would need to make a phone appointment to do the application. A lot of our patients can’t make it through identity proofing and a […]
Hi all, Something weird has come up twice for staff at our CHC this week. When helping a patient with a renewal, the customer service rep says they have to play a recording of the MassHealth Rights & Responsibilties. It takes the rep a few minutes to pull up the recording and then the recording […]
Hi all, Does anyone have best practices on how to get a duplicate MassHealth case closed? We have a patient with two open cases and it’s caused confusion in the past. When we call to ask that the other case be closed, we were told that they can’t close it and we just need to […]
Hi all, A bit of a detailed question, but does anyone have any insight into why MassHealth (and consequently the ACO plans) will not cover Ozempic for the use of weight loss? We have a few providers trying to prescribe it, but it is not covered by Medicaid yet is covered by private insurers. It […]
Hi all, Does anyone have any sort of memo or flyer that they provide to undocumented patients when helping them apply for MassHealth coverage? We’ve had patients afraid to apply and it would be nice if we had something in writing that said MassHealth won’t report to ICE! Does this exist? Thanks, Julie
Hi all, Has anyone else seen a large increase in the number of patients who are enrolled in a Medicare Part C (Medicare Advantage) plan with WellCare? This has been happening for the last few months and when we ask patients, they seem to have no knowledge that they were enrolled. In some cases, it […]
Hello, We have a patient who opted out of Part B, but now wants to get it back. He understands the Part B penalty and is okay with paying an increased amount. When we call Medicare to enroll him, they said he has to go through Social Security. When we call Social Security, they say […]
Hi all, We have a patient who MassHealth was unable to electronically confirm his immigration status so he was only given MassHealth Limited. The patient says he had a Green Card, but misplaced it years ago. He does have papers from US Immigration and Customs Enforcement from 2019 – it’s an Order of Supervision I-220B. […]
Hi all, Wanting to clarify, would MassHealth cover a non-emergency ambulance ride for a COVID+ patient? I know that they released separate billing codes for COVID+ patients and those with CarePlus or Standard are having these rides covered, but I can’t seem to figure out if folks who only have Limited could also have their […]
Hi, We have a patient who has Medicare and applied to have MassHealth secondary. She was given MassHealth for a few months, but then was denied and the denial reason was listed as, “Your family did not cooperate with Quality Control”. I think she likely had an RFI asking for some sort of proof, but […]