I was under the impression that if we faxed a paper application the retro 10 day coverage started from the day MH received it. We are now told some cases close (under 65 applications) and the 10 days retro starts when they receive/process the documents pending. Is this correct information given by CSRs? I have […]
We just had a patient come in to apply whose only proof is an order from the US Immigration and Customs Enforcement order to release alien form. This form has a picture on it, patient just got here last month and has no other ID since Homeland Security took his El Salvador passport. We sent […]
Hello Has anybody seen patients who have QHP silver and at the same time CAREPLUS open? Same dates? We have a family of 2 with this issue, they called the Connector and where told they have QHP, but we can see their eligibility is also active for CAREPLUS. Any ideas will be helpful! They are […]
Does this mean that Open Enrollment now ends on February 28th instead of January 31st? So patients can apply until February 28th and be able to pick a plan, enroll and pay without having a Qualifying Event?
We have a couple, husband over 65 wife under, who completed a SACA on November 21, 2016. As always we completed a SACA for both. Husband was approved, wife denied. We called MH 3 times today, they refuse to approve the SACA in her name. We are told to do an ACA for her? At […]
Hello everybody Has anybody else seen paper under 65 applications not being processed since the beginning of October? We have some sitting there, when you look in MAPs they have been received, but no determination yet. We send inpatient applications in paper, they usually take some time to be approved, but not this long! Lissette
I just called the Assister’s line to ask about two HSN-PD applications that were faxed more than a week ago, we have ARD’s and PSI’s for both of those. Nia, a CSR from Springfield office, refused to even check to see if they had received the applications because “the Assister’s line is only to be […]
Hello Does anybody know if a patient who has only started ID Proofing will be able to be approved for an HSNPD? This patient, in particular, has never had MH benefits before, we did an HSNPD and it was not approved because she had started ID proofing. I thought it was only if the patient […]
Hello Loopers The new system should be able to prevent dups, which deserves a HUGE YAY! I still have a question, page 3 says for “Assisters to call Customer Services while helping the consumer”. Can this be done by calling the Assister’s line? Calling Customer Services, as we all have experienced, is not an easy […]
Good Morning! Does any Looper out there have the correct phone number to call when the HSN PD has not been approved in 8 days? Or if a patient under 100% got approved for a Partial PD? I just called the HSN Customer Services Number given to us in the May 26th training (877-910-2100) and they […]