Hello! I received a question from a consumer who has MassHealth Standard as a secondary for her child with a disability. The secondary coverage should be paying for speech therapy for her child, but the provider says they do not have the software to bill MH as a secondary. Is there any way to assist […]
Hello Loopers- I have a patient who does not have an eligible immigration status. He has no ID- only a birth certificate. He is connected to a community service and is a regularly seen here at the hospital. Is there anything we can do to get him past Identity Proofing in HIX? THANKS!
I have a member who is 76, no immigration status. She came over on a visiting visa and did not return to her county. I asked her daughter if she filed with homeland security and let them know she intended to stay. She said “Yes, but they are dealing with every one coming over, they […]
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 […]
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 […]
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 […]
Good morning, I am just wondering if any other hospitals are running into the same issues as we are. We have several newborn babies that receive their MA Health benefit thru the DTA, and the MA Health is not covering from the DOB. They all seemed to start few days after birth. Example baby born […]
I’ve come across a couple patients that were on HSN and MH has rerun the case and they are now approved for Sr Buy eff 4/1. The HSN is terminated eff 3/3/24. Shouldn’t HSN go thru 3/31?
Hello Loopers, In an effort to help as many MassHealth members as possible renew their coverage by the end of the redetermination period on March 31, Health Care For All has organized dozens of enrollment events throughout the state. We are currently seeking enrollment assisters who would be willing to help staff the following enrollment […]
I do a lot of Long Term and SACA Applications for our hospital. I am trying to streamline this process. We currently print, fill out and fax the completed applications to MassHealth. They can be up to 60 pages (plus more) with all the required documents. I was recently told about an online application that […]