No ID
Hi, We have a homeless client who has no ID. Period. We were told by the Connector that he can’t apply. Is that true? Thanks, Sarah
masshealth prisoner-made eyeglasses
This post is not about eligibility or systems. I am curious to know whether anyone is familiar with this claim, and if you know how accurate it is: MassHealth patients have to choose their glasses/frames from a certain limited group of frames “made by prisoners in Western Massachusetts”. One optometrist in our community always makes a […]
self-employment income change reporting
Hi, Can someone explain the requirements for reporting a change in self employment income? I have a client who had very little SE income in 2013 and 2014. In 2015, however, he has a large bump in his GROSS SE revenue. He won’t know what the net is until he does his 2015 taxes and has […]
retro hsn with connector care?
Hi, Can anyone clarify whether someone who is approved for Connectorcare has retro HSN? If so, how far back is the retro coverage? Since this question came up, it occurred to me that it would be great if we could get an updated chart for HSN Retro and Secondary coverage — a chart developed by Community Partners that […]
portuguese outreach materials
Hi, If any of you have any outreach/education/information in Portuguese that you can share via e-mail or a link, I would really appreciate it! skuh@mvhealthcareaccess.org OBRIGADA!
terrible health connector letters
There are probably other posts about this but these letters are the worst. After we do an application for ConnectorCare there are several letters including the one that says you are eligible to enroll but you have to provide us with requested documents within 90 days. That letter states the date the member is eligible to […]
newborn coverage gap?
My clients are a married couple expecting a baby in September. He has an individual unsubsidized plan via the Connector. She has an individual plan via her employer. The employer will not pay for the baby’s coverage, and it seems that newborn coverage under Mom is limited to 1 or 2 weeks. If Dad wants to […]
experience with healthcare financial?
Hi, I am curious about any experience people may have with Healthcare Financial. I have a client who brought me the letters and releases they sent him after he was in the hospital being treated for cancer. He was recently approved for SS Disability. They say they are “working with your provider to ensure you’re getting […]
administrative override
What is the procedure for requesting an administrative override/administrative special enrollment when someone did not realize they needed to enroll before sending in verifications? On the phone with HC Customer Service who has never heard of it, and is insisting that they can only enroll if they have a qualifying life event. Thanks, Sarah
Infertility treatment covered?
Hi, Does MassHealth/Care Plus cover infertility treatment? NHP says they only pay for the diagnosis, not treatment, of infertility. But other sites show that Mass. has (had?) an IVF Insurance Mandate. Perhaps that ended after ACA took effect in 2014. If it is not covered, does anyone know of alternatives for coverage for patient seeking infertility […]