“No masshealth benefit plan”
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.
Commonhealth over 10 years
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 […]
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 […]
QMB with Senior Buy-in
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 […]
Green Card Eligibility
I have a client with a green card and a social security number but is only eligible for MassHealth Limited. Should she not qualify for a ConnectorCare plan? If so, what do I need to do to make this happen?
Ill Visitor Eligibility
I have a gentleman whose 86-year-old father is visiting from China for six months. The senior is not in good health. My questions are: Is he allowed to apply for health insurance if he is visiting? If he applied would the most he would qualify for be MassHealth Limited?
MassHealth System Issues
Hello Loopers, We have heard from assisters experiencing issues with uploading documents in the HIX system, MMIS, faxes, and with the systems MassHealth use to process documents etc. People calling MassHealth have been told they don’t have access to the system and will need to call back later. We reached out to MassHealth and they […]
Upcoming Webinar: Medicare Savings Program (MSP) (formerly MassHealth Buy-In)
Sharing this webinar sent to the MTF list that will go over the changes to the program: Upcoming Webinar Medicare Savings Program (MSP) (formerly MassHealth Buy-In) Webinar Description: MassHealth provides health care benefits for eligible children, families, seniors, and people with disabilities living in Massachusetts. MassHealth may offer benefits directly or help pay for all […]
Medicare Savings Programs (aka Buy-in programs for Seniors)
I’ve been told that this past year the state government approved the elimination of the asset ceilings for the Mass Savings Program, to be effective Jan 1, 2024. I’ve also heard that the state is waiting for approval of this change by CMS. Does anyone know the status regarding CMS approval and when we can […]
Eligibility Question for Disabled Adult
I have a 33 year old disabled adult who lives in group home, limited income, and is a dependent on his parents’ tax returns. He’s currently applying for Social Security , but will likely be denied initially. He’s on parents’ COBRA, and we want to make sure he can apply as a household of 1 […]