Hi all, We have a longtime patient who has numerous health issues, but is now housed and recently got a fulltime job. With that fulltime job came health insurance so the patient moved off of MassHealth and into the private insurance plan. Unfortunately, our health center does not contract with the private insurance plan she is now […]
Hi again all, Does anyone know of a place to get a grid of which SNFs accept which MCO plans? I know the hospital and CHC grids were just updated and sent out, but it would be helpful to have this information for the SNFs. Or does anyone use anything internally that they’d be willing […]
Hi all, Is anyone else seeing a new message in MMIS (POSC) stating “No MassHealth Benefit Plan”? We’ve had three examples of this happening. Are they doing away with the “Member Not Eligible” message? Is there a difference between these two messages? Is it related to the most recent release? Thanks for any insight. Julie
Is anyone else experiencing a delay in the processing of (paper) SACA-2 apps? We have two that were sent in over a week ago and when the CAC called to question, he was told that they are just backlogged.
Forgive me if this is already out there as a question… if a patient is over 65 but not disabled or on Medicare should they then have to fill out an under 65 app? Even though the under 65 app doesn’t look at assets? We have a patient who is over 65, but does not have Medicare and […]
Does anyone know of a way to get MassHealth to remove other plans from showing up for a patient’s eligibility? For example, we had a patient yesterday who came in and showed up as having BCBS primary and MassHealth secondary. But, the patient confirmed that the BCBS plan had ended and we were able to […]
Does anyone know if there is a dollar limit on the services that a patient can receive while on MassHealth Fee For Service? We have patients who get approved for CarePlus and are given MassHealth Fee For Service until their chosen MCO plan starts on the 1st of the following month. The problem is that […]
Hi everyone, Are there new MassHealth hours of operation? I had always assumed they were open Monday-Friday, 8 am – 5 pm. I have been encouraging staff to call them early in the morning since it has traditionally been the shortest wait time, but staff have reported that they get a recording saying to “call during regular […]
Has anyone else experienced a lag in the time from when an MCO becomes effective to when it shows up in MMIS? We just had a patient who was admitted on the 3rd with MassHealth CarePlus, but MMIS said he still needed to enroll in an MCO plan. When checking the insurance today, it now […]
Has anyone else been seeing cases where Medicare patients apply for coverage and are assigned MassHealth Care Plus? When we call to question this, we were told that there is a system error where it is not identifying the disabled population and that these applicants will eventually receive MassHealth Standard. We have had four cases […]