Author: Peter Kuusisto

Error in Propogating This Year Eligibility Change to Next Year

Hi, Recently had this case where Rights and Responsibilities page.  This error popped up stating “Error in propogating this year eligibility change to next year.” Called MassHealth Assister Line, unable to fix, it is a known issue.  Does anyone have a resolution to this issue? Thanks, Peter

Employers Require Proof of Coverage End Date from MassHealth

Hi, I have run into a few people who were on MassHealth, but recently found employment.  Some Human Resource Managers are claiming they need proof that MassHealth is ending to allow an individual onto Employer Sponsored Insurance. What I recommended to these clients (at the direction of Liz at the MassLeague) is to submit the […]

Trouble with MCOs in Franklin County

Hi, Our region’s residents are in conflict over the options for MCOs in Franklin County. Franklin County split by their MCO choices (Orange and New Salem using Worcester County options, while the rest of the towns use Western Mass MCO options). Greenfield MCO options are limited by access to local specialty care services and options […]

HCR SMBR Processed, No Determination Listed

Hi, I was helping out a consumer who is over 65 with their senior application. The application was submitted in the middle of June.  On virtual gateway the application appears to be processed, but he doesn’t have a determination listed (no new entry to the eligibility section of VG).  MMIS also shows no eligibility.  I […]

Premium Assistance on Court Ordered Insurace

Hi, I just got off the phone with Premium Assistance and I am more confused before I spoke to them. I have an individual who is eligible for MassHealth due to income, but is also supplied ESI through his ex-spouse’s work due to court order. I want to make sure the individual is determined eligible […]

Disability Letter To Be Sent Out Soon

Hi, Again, from the notes on the MassHealth Advocate’s Meeting: The example notice being sent to MassHealth disabled individuals needing renewals makes no mention of Certified Application Counselors or Navigators.  My concern is that CSR does not have time to work with individuals who have difficulty with these kinds of forms.  CSR also will not […]

Newest Update from MassHealth – Immigration Status

Hi, I recently read through the notes from the MassHealth Advocate’s meeting and noticed something about immigration status. It says that they will be phasing out the none of the above option for what documents someone has.  Will this impact the ability for an undocumented individual to apply online? Thanks, Peter

Old Fax Number Still Appears

Hi, I recently helped an individual with their Request for Information. The notice they had was dated July 8, 2015.  Thee fax number they are told to submit documents to is (617) 887-8770, the old fax number that isn’t used and has since been changed to 857-323-8300. Have others seen this?  It appears on the […]