Category: ConnectorCare

2014 MassHealth Standard Determination Hanging Around

Hi, Not sure what to do about this, I have a consumer with a MassHealth determination from 2014, but was on ConnectorCare since Jan. 1, 2016. MA-21 has random determinations marked as protected and it appears to be one of those determinations. I have seen a few of these as MA-21 isn’t talking with HIX […]

Tax Impact on Dually Eligible – ConnectorCare and MassHealth Common Health

Hi, I have a consumer that transitioned from Connector Care to CommonHealth due to a disability. It all went well, but now he is doubly covered by MassHealth CommonHealth and Connector Care for the complete month of August.  Is there a tax implication to that?  Will an individual have to pay back tax credits received […]

ConnectorCare + HSN

My team is beginning to encounter issues with a number of cases that have had the “ConnectorCare + HSN” eligibility code applied in MMIS (we’ll presume it was properly applied). The problem occurs when the individual is no longer eligible for ConnectorCare (i.e. becomes “Health Connector” eligible w/o premium tax credits) because the “ConnectorCare + HSN” […]

MassHealth vs. Health Connector Confusion Persists

Hi, I just had another consumer who was very confused about their MassHealth coverage.  We went through the application together and I provided her with as much education as I could.  But they were still confused. I received a call from that same person today asking where she could find which plan she was on.  […]

application link to existing account

Hi all,  The Health Connector and MH used to be able to email a link to an email for someone who had an existing optum account already. i.e. they started app online but finished via paper and now have coverage via the determination from the paper app. The online application originally never even went so […]

Verifications stopping NEW eligibility determinations?!

Hi all,  Had a very very frustrating morning with a client who had MassHealth, was terminated because she “failed to cooperate with the quality assurance unit (for MassHealth)” (direct quote from a letter to her from MH) despite sending in all of her verifications, and then when we submitted a new app, was kept from […]

Consumers Don’t Understand Tax Credits

Hi, I had a consumer call me because they were going to owe back their tax credit for all 12 months.  This consumer was on Connector Care Plan Type 2A (no premium).  They transitioned to Employer Sponsored Insurance after in February 2015, but the consumer’s Health Connector coverage was never terminated.  That means she has […]