If an individual is approved and enrolled in a care plus plan but the plan has begun til the first of the month can the pharmacy deny individual prescription until MCO becomes active? Are they able to bill fee for service until MCO is active on the first of the month?
Hello, Today I called the Health Connector and the CSR asked me for my name which I provided at point of contact. Then she proceeded to ask for my social security number which I refused to provide stating that I was not the applicant. I provided my name and the name of the agency I was calling from […]
We are seeing quite a few individuals with Careplus coverage ended on April 17 on MMIS & MAP, yet MCO’S website as well as their CSR state the individual has coverage until the end of the month. MassHealth CSR states they do not have coverage, the coverage has ended on the 17th. Anyone seeing this […]
We have noticed that several individuals are being approved for Careplus and do not qualify for Careplus because they have Medicare A & B. Medicare information was given on the online application yet they are still be determined eligible for Careplus. Has anyone being experiencing this situation? If so do you have a solution? Your […]
Hello, we have had various individuals deemed eligible for connector care plans. We are having difficulty understanding and explaining how the out of pocket expense works. Some eligible individuals also have a deductible to meet as well as out of pocket expenses. If someone has can shed some light on helping our clients/patients understand these […]