Hi, So far this morning I have had 2 clients who enrolled in March or April, paid their premiums, and have no coverage. They call the Connector (repeatedly) and are told they see their payment has been processed. They have bank statements showing automatic withdrawals. They call NHP and NHP has no record of them […]
Hi, I have clients who have NHP. There was a Connector error processing their payment In April, since corrected. Due to the billing errors there was a restriction placed on their Rx benefits. They have since straightened out their payment problems but still have a restriction on their Rx benefits i.e. they have none. Last […]
Hi, Many clients with kids who are approved for CMSP have never gotten ID cards. When we call CMSP, CMSP tells us that they do not see determination for CMSP from MassHealth. We can see the eligibility for CMSP in MAP and MMIS. So, we call MassHealth and they say that the child is approved and […]
Hi, I have a client who is a single Mom with 2 children: one is 13 years old and the other is 18 years old. Mom earns $53,233/year and claims both children on her taxes. 18-year old earns around $7,000/year and files her own tax returns. So my question is, are we looking at a household […]
Hi, Just wondering if anyone else feels, as I do, that there is something wrong with using 2014 FPL guidelines in 2015? And having different income guidelines for our affordable insurance programs…one for MassHealth/HSN/CMSP, and lower guidelines for Health Connector programs? Sarah
I was speaking with a Connector billing CSR yesterday about a case that has been a problem for months. The client was a stuck shopper b/c he’s Native American and his wife is not…the first problem. That was in Jan/Feb & we thought it was resolved after escalating it. After paying separately for husband & wife, […]
Yikes. People are being terminated from MassHealth CarePlus with no notice! Apparently, these are the earliest CP members. No renewals were sent out. No letters were sent out. Coverage ended 3/31/15. I actually called the MEC for one client with high medical need on 3/27 b/c he was concerned about losing his coverage. There was […]
Hi, We can’t get through on the fax lines for ID proofing, new apps/verifications, or the MH renewal extensions. Is it just us? Thanks, Sarah
Hi, I have a client who has been trying to enroll in Connector Care for 3 weeks. She did a paper application, and got one of the confusing letters stating eligibility in January and did not realize they had to enroll. Since she finally realized she had to enroll, and the only way to enroll […]
Hi, I have a client who started a phone application but got ID proofed. Can I finish his application online, or does he have to call back to finish over the phone since he already has an account?