Category: ConnectorCare

Wrong Approval for Health Connector Plans

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 […]

2019 Seasonal Worker Income Calculation

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 […]

TMA and transition from MH to Connector

We are currently experiencing a number of families who are coming to the end of their TMA benefits.  Upon updating information in the online system as requested by MassHealth, folks who should be transitioning over to a ConnectorCare plan are still being determined eligible for MassHealth Standard.  Due to the MassHealth determination, we are unable […]

Seasonal Worker Income

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 […]

FallonHealth Connector Care Types Issues need help!

Good Afternoon, is anyone or had anyone experience when enrolling a patient into the FallonHealth ConnectorCare and if the patient has their PCP at a community health center since the only FallonHealth Connectorcare type they only offer is Community Care in which you will not know it is community care until the patient receives their […]

MassHealth Verifications Processing

Hi, Yesterday a client walked into my office stating her husband lost his coverage and she had not received any notification from MassHealth.   Their verifications were faxed to MH on 8/18, 8/29, and 8/31/2017.  My initial thought was that they had not been processed.  I called MH Asst Line and asked the csr if there was a way she […]

Temporary HSN & EVS Issue

I wanted to make sure folks were aware of the following issue since neither MassHealth/HSN has published information about it (but the HSN helpdesk has confirmed it). There is currently a systems issue affecting the tracking of temporary HSN eligibility in EVS. Specifically, when a ConnectorCare eligible individual’s 100 days of temporary HSN has expired, EVS may still display […]