Commonhealth Over 65
Are the new updated rules for Commonhealth also applied to the over 65 population?
HIX System release
Hi all! is anyone having issues with the new update from HIX? we can’t finish applications due to hub being down even after waiting a day for hub to find the information, it is not working? before we were able to call masshealth to verify or manually verify information, now we can’t. […]
Young adult terminated from CarePlus after reporting a new address
Hi Loopers, We recently met a young person who had been on her mother’s MassHealth application & had her MassHealth protected since 2021 when she turned 21 and her income first went over 133% FPL. She was her mother’s ARD and submitted their 2022 renewal online, only now she was no longer living with her […]
OVER 65 – ASSET QUESTION
I have an family over 65. Wife currently has MassHealth Standard. Husband is not eligible at current time. I am helping them doing a senior renewal. Her husband is also applying at this time as he has health issues and is in need of this coverage. They qualify for standard on their income alone. However, […]
Not taking MA and only would like the Connector
Has anyone has success in a member not taking the MassHealth Coverage and taking a Connector Care plan instead? I have a member who is protected due to the PHE. They WANT a Connector Care plan instead. I have called MA and they said, call the Health Connector. I call the Health Connector and they […]
Standard to buy in switch
Hi there, A client of mine was downgraded from MH standard to senior buy-in and revs shows this took place on 8/18/2022. It is my understanding that this should not have happened under the updated guidance for the PHE. Is that accurate? Thanks!
LONG TERM CARE…
I have a client that is over 65 – Needs Long Term Care. He currently has the Senior Buy In. Do we need to do another SACA with supplement A to obtain Long Term Care OR can the nursing home to a SC1 form and convert it over? I have been told different things.
Masshealth Online enrollment
It seems every time lately I enroll someone into Tufts Together online thru the MH choices enrollment site, the incorrect physician is added. I have copies of the confirmations with the physician I added, yet nearly each one gets enrolled in a random physician.
New eligibility responses
Hello! The new eligibility responses in MMIS show patients having Standard and Limited on the same day. I thought it could be a pregnant patient, but that is not the case. Any reason it is showing like this? Is this correct, patients now can have both eligibilities? How can that be? and should we be […]
QMB – BENEFITS
I have a client over 65, She has Medicare A&B with the Senior Buy In. She has no problem getting the coinsurance and deduct paid by her Mass doctors. However, she goes to a doctor in Rhode Island, 3 times a year. They always bill her the balance after Medicare. Her Medicare summary clearly […]