Hi, I ran into error HE090003 when filling out the application with a client. This error occured on the page that indicates the individual’s gender social security number and correct name on their social security card. Health Connector CSR said I should either submit a new application by opening up a new account (with a […]
Hi, It would be nice to have some kind of worksheet on what income is counted and not counted for over 65 medicaid applications. I know certain things like Veterans Pension are counted on the over 65 app, but not the under 65 app. Can someone come up with a handy 1 pager on countable […]
Hi, I am coming up on an appeals hearing to redetermine a disability case. Does anyone know how to get existing medical records from DES to the Board of Hearings? Also, how do you request records be sent to the board of hearings from medical doctors? And, is there an expedited process? The hearing is […]
Hi, I noticed that the universe of those who have received the HNE Be Healthy letter consists of people that are no longer on Health New England Be Healthy Coverage. This is the letter that states HNY Be Healthy is not an option for MassHealth Care Plus members. Have others seen people come in with […]
Hi, I have a client who would like me to act as their Authorized Representative at an appeals hearing. Does anyone have sample language I can borrow for that? This is different language than the ARD supplied by MassHealth and the Health Connector. Thanks, Peter
Hi, I am working with a client on their application for MassHealth CommonHealth. The individual is working disabled and has household income greater than 133% FPL. DES determined them not disabled in October 2015. The individual filled an appeal to be redetermined. They developed new diagnoses between the determination and the appeal. The individual delayed […]
Hi, I ran into a consumer who has ESI, but also qualifies for MassHealth. Their child is seeking certain mental health services (Not ARICA or Kerri Mulligan to my knowledge). A local agency told them that those behavioral health services are only available to folks with a Managed Care Organization. They could not use MassHealth […]
Hi, I recently ran into an issue inputting future ESI in the additional questions. Client got a new job, ESI starts in 90 days. Client wanted coverage to continue until ESI is available. We put ESI into the online application, noting a 3/1/16 start date. Application result was Health Connector Plan. Consumer was 303%FPL. We […]
Hi, I recently called to reschedule a hearing from the Medicaid Hearing department. When I called, I was told I could not speak on behalf of the member because ARDs are not accepted as authorized representative designations for the hearing process. Has anyone else come across that? Oddly, I have had doctors offices accept the […]
Hi, I was hoping others could also write about some experiences with consumers who are upset about the advance premium tax credit process. Perhaps the Health Connector would be willing to explain the process better within the application itself. I had a consumer this morning, and another yesterday that complained that the tax credit process […]