Our organization has been experiencing consistent issues with MH Assister line recognizing NDFs as having the ability to speak on a member’s behalf and that anyone in the org can speak regardless of who is listed on the form. We have also been told that our organization does not exist as a Nav org (which […]
Our organization has been experiencing consistent issues with MH Assister line recognizing NDFs as having the ability to speak on a member’s behalf and that anyone in the org can speak regardless of who is listed on the form. We have also been told that our organization does not exist as a Nav org (which […]
Can anyone confirm the new information provided at the last MTF meeting? On the slide deck it has that: MassHealth CommonHealth members will receive benefits from the MSP program that aligns with their FPL: QMB, SLMB, or QI. This is great news because of the last change when members had to choose between CommonHealth or […]
As part of the Basic Benefits Training series hosted by Massachusetts Law Reform Institute (MLRI) with Massachusetts Continuing Legal Education (MCLE), there is a Health Care Access Training on February 4, from 9:30am-4pm. This training gives advocates an up-to-date nuts-and-bolts overview of eligibility in MassHealth and the Health Connector, and how to assist their patients […]
I am looking for some guidance on how EAEDC coverage works. I was told that when a members insurance status is displaying as emergency aid it means that they are currently uninsured but have applied for EAEDC, not yet approved and that coverage only covers the EAEDC visit to get the paperwork completed. So, we […]
Does anyone have experience with this? I have 2 cases that the pt’s are 63 and 64 and took early retirement. When I updated the their HIX application is allows them to enroll in a plan, however, when I check the next day it reads “CommonHealth”. These 2 individuals are healthy and not disabled in […]
Can it please be explained why some patients show up with this wording it Revs instead of just saying they are not eligible?? Our system is verifying commonhealth coverage, but that doesn’t seem right either.
I have come across a few clients that did their CH renewal and were downgraded or term’d. They did not provide paystubs or the working letter. They were on CH for over 10 years. We call MH and they send it to a supervisor to fix. Today a rep advised we write “Commonhealth” on the […]
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 […]
Is it correct to say that all MH members who have senior buy-in are QMB? I have noticed when I use virtual gateway to look up eligibility, sometimes this message will show “965 / 611 Member is Qualified Medicare Beneficiary. See 130 CMR 519.010.” but sometimes it does not. It was my understanding that senior […]