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 […]
Hi, We have a child whose parents have join custody (50/50 split). The child receives New Hampshire Medicaid through his mother (who lives in NH and is on NH Medicaid herself). The father lives in MA and is on MassHealth. Can he also apply and receive MassHealth through his father? Thanks for any insight! Julie
Hi Loopers, Thought this issue went away and now it seems to be back again – we are seeing patients with Medicare who are given MassHealth CarePlus instead of Standard. The messages states they need to pick a plan, but of course when they call they are told they can’t pick a plan because they […]
Hi, Has MassHealth shared a 2019 FPL chart yet? Usually they hand out the neon colored copies at the January MTF, but I just realized they didn’t have them this morning. Thanks, Julie
Hello, Can anyone clarify the rules around the pharmacy copays? If a patient has only MassHealth, we have had no issues having their copay waived for inability to pay. But when a patient has Medicare and MassHealth, the pharmacy is saying that they do not have to follow this rule since the person has Medicare […]
Hi all, We have a patient who previously had MassHealth Standard and Medicare and was enrolled in a OneCare plan. He was doing well on the plan, but when he renewed his MassHealth he was dropped to Family Assistance and lost access to his OneCare plan. Does this seem right? He is an immigrant, but […]
Hello, Does anyone know the mailing address for Commonhealth premiums? Can’t seem to find it anywhere! As a side note, it would be great if they had this information on the payment page (https://www.paybill.com/masshealthpremiums/default1.asp) Thanks, Julie
Hello again, We’ve started receiving quite a few MassHealth letters that state the individual does not qualify for MassHealth (or any other program) due to “The person cannot be found 130 CMR 503.002 (G)(2)”. Does anyone know what this means? Are they looking for proof of residency or something else? These are all homeless individuals […]
Hi all, We’ve always sent in Permission to Share Information (PSI) forms to MassHealth with my name (as the manager) and the organization’s information. This has allowed any of our staff to call in and be given the rights provided by the PSI. Over the last week or so I’ve had three different staff call in about various […]
Hi all, Can anyone help with advice for this mom? Mother is in the process of separating from the father (he did move out). Mother does not work and is on a Connector Care plan. Father is self-employed and also on a Connector Care plan. They have two children who were both born premature and […]