Hi, I have a client who was just approved for Social Security disability in January. She also has a job. Between the two incomes her FPL is 237.01%. For some reason her eligibility is for a Health Connector Plan instead of a ConnectorCare 3A plan. Her premium in 2018 was $44.00. In January 2019 her […]
Hello, I have a patient over the age of 65 who should qualife as disabled (i.e., has a condition that has lasted/expected to last for 12 months), is working, and currently has the MH Buy-In. Per Section 519.012 of 130 CMR, “MassHealth CommonHealth for working disabled adults is available to community residents 65 years of age and older […]
Hi, If a client is on unemployment as of January 1, 2019 and has not yet worked his seasonal job for 2019 why should their 2018 seasonal income be included for this year? They may not be hired back for the 2019 season. Shouldn’t this income be added once the client starts working again? And what […]
We have many patients that tell us about their experience when they go visit the MEC in Chelsea. Patients complain that they go prepared to the Chelsea office to renew, and representatives tell them that they will assist with their renewals but renewals are not being processed and no eligibility is given to the member. When they […]
I have a client who worked for seven months on a project for one of the hilltowns. The total payment for this job was $23,500. He was paid biweekly. We submitted an application and he was approved for ConnectorCare 2B. He enrolled in a plan for $67 a month. His pay stubs were submitted immediately. During the […]
When a new paper Masshealth application is faxed for processing do the benefits start from when the application was received or do they back date it 10 days? So if I fax an application on 10/31/18 and the patient receives Careplus do benefits start on 10/31/18 or 10/21/18? Thank you
Thank you for the updated version of the SACA-2! Can you PLEASE advocate to get an updated, fillable Senior Eligibility Review form? In order to complete the form on my computer instead of by hand, I have to scan it in, save it as a PDF, and fill it in. Our printer does not scan […]
Hello Loopers, There have been many conversation threads regarding issues with the process for people applying for MassHealth due to having an illness or disability. MassHealth is taking inventory of the process and creating new training materials. We have the opportunity to provide feedback. Please post to this thread about barriers you have seen with the current […]
Hi everyone! I’ve been getting a lot of mail from MH and the HC for clients but I only had the client sign the CAC form. Does anyone know if the rules/policy/protocol, etc. changed in regards to CAC’s now receiving mail for clients? I thought they would only send you mail if there is MCD or […]
Hi All, I just need somewhere to let out my frustration regarding SACAs. I had one that was finally processed 9 months after submitting the app! Others are taking a minimum of 6 months. We have an urgent one we sent 6/15/18 and the member’s ARD (daughter) has called every day to expedite but the […]