We are noticing that current MassHealth members are being randomly reassigned to different MassHealth plans through no action of their own. When we attempt to do a plan change in the MassHealth choices online system, it allows the request to change plans to go through. We used to receive a message that said the member […]
We are currently experiencing a number of families who are coming to the end of their TMA benefits. Upon updating information in the online system as requested by MassHealth, folks who should be transitioning over to a ConnectorCare plan are still being determined eligible for MassHealth Standard. Due to the MassHealth determination, we are unable […]
I have reached out to folks at Masshealth directly on this issue, but while I am waiting for a response, I wonder if anyone In The Loop has had any experience with this. I have a client who is on MASSHEALTH STANDARD PLUS MFP COMMUNITY LIVING HCBS WAIVER. Her PCP is contracted with Berkshire Fallon Health […]
Hi everyone, I am asking a question for a local physician’s office. They are in the process of discharging a patient from their practice and are currently listed as the PCP on the members MassHealth Primary Care Clinician Plan. They would like to contact MassHealth to be officially removed as the PCP, has anyone ever […]
In the past two days we have received first, a batch of letters from the Health Connector regarding denial of coverage sighting that the member does not qualify because: “Your application for Health Connector Coverage was withdrawn” Today we received a batch of letters from Masshealth for the same individuals. If I received one letter, […]
Does anyone know when the new MH FPLs will be updated in HIX?
Good morning, Over the past few days I have had two cases that have negative RENTAL income and the hCentive system will not allow me to enter a negative number in the CURRENT income section for MassHealth purposes. In both cases I had to put $0, which was ok for one of the cases as […]
Has anyone noticed that the remove a family member option is no longer available? When did this happen and was it planned or an issue with the latest upgrade?
I am receiving calls from folks who are getting 1095Bs from Masshealth indicating that they had MH coverage for Jan, Feb, Mar and April when in fact we enrolled them in ConnectorCare plans for either Jan 1 or Feb 1st. These are the individuals who were placed on MH temp coverage which came to an end on […]
During the Learning Series call this morning it was brought to our attention that a very important communication regarding tax filing forms will only be sent by MAIL to those individuals who do not have an email address on file. I brought this up as a concern during the call because those individuals who do […]