Category: Customer Service and MECs

Helping MassHealth Members

Hi Loopers, MassHealth has provided updated guidance on working with MassHealth members post 4/1. To update contact information (address, phone number, email address) members/assisters should call MassHealth CST to make updates to prevent a new eligibility determination from the online system. If you are working with a member that wants to go ahead and be […]

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 […]

Extended MassHealth Customer Service Hours Weekend of April 1-2

While waiting on hold I learned from the recording that MassHealth Customer Service will be available Saturday April 1 from 8 am to 4 pm and Sunday April 2 from 8 am to 1 pm. MassHealth is  extending its Customer Service hours this weekend to field calls from people having pharmacy or other problems related […]

Monthly Report Data Collection

Hi fellow Navigators, My name is Buliah Mae, Lead Navigator for the Hilltown Community Health Centers.  Our three-person team is  currently considering new ways to track our monthly report data and are interested in how other health centers do this. What are the pros and cons? Is the program web based? Is the program customized […]

Exceptionally Long RFI Processing Times

Hello, Now that we are in OE, there is a bit more urgency to having verification documents processed.  We have noticed that some documents uploaded in Sept/Oct are still outstanding.  Cases have been created to process them more quickly, but even that isn’t happening.  Does anyone have insight on what is happening behind the scenes […]