federal hub down
Does anyone know how long the federal hub is going to be down?
Updated MassHealth FPL Chart
Hello Loopers, MassHealth’s FPL limit has been updated to reflect the COLA adjustment to the federal poverty level that goes into effect March 1. MLRI has updated their chart. Both resources are located on the ‘Issue Specific Resources’ page. Reminder that the Health Connector uses 2025 FPL guidelines for the calendar year. -Hannah
Medicare and CommonHealth
I have a married client who is 66 yrs of age on Medicare A & B and CommonHealth. Recently she was contacted by the MassHealth Adjustment Manager to inform her that her CommonHealth premium was going from $41.60 to $106 per month. She and her spouse are not yet due for their 2024 renewal so […]
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 […]
Past unemployment income
Hello Loopers! Do CACs have to call The Connector to report past unemployment income for a patient who is currently back to work? Or is there a question in the online application asking if the patient previously received unemployment during 2021? I know I read the question was coming soon, but I am not sure […]
ESI or MassHealth
Hi; I have a client was offered a job with ESI. She and her family are currently on MassHealth. My question is because of the pandemic emergency can she keep her MassHealth or does she have to enroll her family in her ESI and maybe keep the MH as secondary coverage. Her ESI would be $500 […]
MassHealth Proof of Income for Self-Employed
We are being told that masshealth is no longer accepting 2019 tax returns for self-employed individuals as proof of income. Is this true?
Separated Spouses Applying
I have a client who is currently married, but separated from his spouse. They are not living together at this time, though still own property together and are not legally separated. Can he apply for health insurance as a household of one or do they need to apply as a family because they are not […]
HC Renewals
Over the past few weeks, I’ve experienced problems with incorrect eligibility determinations for members renewing their Health Connector coverage for 2021. As instructed, I enter any changes to income, check off whether they have filed taxes and reconciled APTC’s for the prior year, answer that they do not have affordable insurance offered through an employer, […]