Although the PHE continues, the Mass Health public notice indicates that the coverage extension will be allowed for most clients, not all. I’ve already had three clients who received a notice from Mass Health indicating they need to reapply for coverage because they are turning 65 and need to submit a SACA.
Hello One of my CACs was told yesterday by a MH customer services representative that if we scan an ID proofing document we need to call 844-250-8681 to have it approved. That is the Connector’s line. Are they now approving ID proofing? Is this info correct? The same rep also said that only if you […]
PCA Training for Advocates: May 4, 10:00-11:30am We hope that you’ll come to (and spread the word about) our Personal Care Attendant (PCA) Training for Advocates! This training will cover the basics of MassHealth’s PCA program, which is unique in its structure and operation; and how to help consumers appeal decisions regarding their PCA hours with the Board of Hearings, one of the most common types of MassHealth […]
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 […]
Any news on if the protections are ending ?
I have a client who had a medical emergency in Maine last year. She has gone back and forth between MassHealth and the hospital in Maine. MassHealth states that unless the hospital is enrolled as a MassHealth provider, they won’t pay the claim. The hospital states that they “will not” enroll as a MassHealth provider […]
Hi, I have a client who just turned 65 and enrolled in Medicare. He was previously on MassHealth CarePlus. The CarePlus followed him as a secondary to his Medicare. The client emailed me that he went for a doctor’s appointment and his specialist told him his MassHealth is inactive. I called an spoke with a […]
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 […]
Hello! How do patients get their 8 at home tests covered by Mass Health? Do they have to go through the pharmacy? How about Connector Patients? We are anticipating some patients asking us how to get their 8 tests, so I am asking before we start getting the questions asked! THANKS!
Hi All… I think I’m out of the loop on this one… I saw a bulletin for case managers about covid flexibilites to move patients to rehab with a hospital presumptive app. Is there an application out there? Do we have to contract? Thanks..