Category: Application and Notices

Masshealth Operations Memo on End of MOE

Hi Loopers, MassHealth posted an Eligibility Operations Memo on their approach to the end of continous coverage protections. Here is the memo. Key takeaways: Self-attestation for verifications is no longer accepted. Check out our ‘State Resources’ page for affidavits that are accepted. Waiver of the one-time deductible is no longer available Retroactive coverage for people […]

MassHealth Redet Phase 2 Materials

MassHealth released the MassHealth Redetermination Phase 2 Outreach Toolkit. You can read the full update from MassHealth here. You can download materials in 9 languages and share them with the members you work with! You can also have people check out the masshealthrenew.org page as well as HCFA’s page about the outreach campaign. -Hannah

Is HPE (Hospital-Determined Presumptive Eligibility) the same as HSN Presumptive Determination?

MassHealth put out a provider bulleting talking about the “Hospital-Determined Presumptive Eligibility (HPE)” updated during Covid.   It explains the detailed process on how HPE trained CAC’s may determine whether an individual is eligible for HPE application.     Is this the same as the HSN Presumptive Determination application? I explained that we as CAC’S can’t do […]

Young adult terminated from CarePlus after reporting a new address

Hi Loopers, We recently  met a young person who had been on her mother’s MassHealth application & had her MassHealth protected since 2021 when she turned 21 and her  income first went over 133% FPL.  She was her mother’s ARD and submitted their 2022 renewal online, only now she was no longer living with her […]