I have a member show is pregnant. She has a pending immigration status for a green card. She updated her application to reflect the above. It is giving her of the coverage type: Family Assistance. I explained that it is a upgrade from the Limited and she will be able to see a doctor. The […]
Hello, I wanted to report a HIX change that may be a little confusing. Now that any individual that is lawfully present is able to enroll in a Qualified Dental Plan only online you will see this option available for MassHealth members too and this will also create a Health Connector renewal date. You should […]
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
Can someone explain more about the retro requests and how soon will we see the information in EVS? Example: Member came to the ER on 08/15 – Rec’d Bill Worked with Pt to update his application, they are homeless, no income on 09/08. At the time of the application asked that retro enrollment go back […]
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 […]