I am working with a client who had Medicare and MassHealth coverage. His Medicare part B was terminated for non-payment in September 2021. It looks like this happened because he was not switched to MassHealth Standard. How do I assist him in straightening this out? Thanks!
I am working with a member who is under 65 and has Medicare. What is the appropriate application for this member? Online , SACA or ACA. Thank you
Hello, MassHealth recently rolled out the e-submission page for seniors up for renewal. Check out the update sent to MTF. MassHealth has a new webpage detailing how seniors and people in long term care can renew their coverage with this new online option listed. This is the e-submission page. Right now only members can use […]
I called MH for a pt that got Medicare 10/2021 and has/had Care Plus. I called and spoke to over 65 about converting to Standard, and she said I had to call the under 65 for it. Under 65 said they cannot do anything and said to do an over 65 review. That he does […]
Hello Over 65 patients are still receiving old renewals by mail. They do fill them out and return to MH. Hopefully MH is not returning them to the patients for being old, correct? Why are these renewals being sent in any case, I thought during PHE they were going to stop unless they were turning […]
Hi, I have a client who has SSI and Medicare, with MassHealth Standard as secondary coverage. She is having trouble accessing a 28-day inpatient substance use disorder treatment program because she was told that Medicare does not cover the program and she can’t use the MassHealth…? If you have any insight or information I would […]
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 […]