I have a client that is on SS disability. We did a MH application but he was not approved for Commonhealth because they want a MH disability supplement completed. Is this correct? He is deemed disabled by SS already. Thanks…
Hi all, The main MassHealth fax line (857-323-8300) continues to cause issues for us. Unfortunately we can’t always create online accounts for folks and need to fax in various proofs. What is everyone else doing when they are unable to fax? MassHealth sent an email on October 3rd, but I haven’t heard an update since. […]
I have a patient who is having his PT-1s denied, and the only reason I can think of is because he does not have a home address listed on his application? I have listed the hotel as his physical address, but now they are requesting proof of residency. Is there a better way to handle […]
I am looking for some guidance on how EAEDC coverage works. I was told that when a members insurance status is displaying as emergency aid it means that they are currently uninsured but have applied for EAEDC, not yet approved and that coverage only covers the EAEDC visit to get the paperwork completed. So, we […]
MBTA riders between the ages of 18 and 64 enrolled in a state assistance program, including MassHealth, are eligible for MBTA’s new reduced fair program. Individuals can apply online or in person. Here’s the full list of approved state assistance programs: Emergency Aid to the Elderly, Disabled & Children (EAEDC) MASSGrant MassHealth CarePlus MassHealth Family […]
I know that MSP is exempt from estate recovery, and that LTSS programs are explicitly subject to them, and that MassHealth has the right to recovery payments for other Medicaid programs. But I’ve not found a clear statement on which programs are at risk for estate recovery? MassHealth Standard, CommonHealth, HSN, Extra Help, etc. Can […]
Is there a link to any info what services are covered by Senior Buy In? I know the letter says it covers Medicare Ded/Coins/Copays … I try to generally explain that if it’s not covered by Medicare, the balance is not eligible for Sr Buy In. But I’m getting questions about Copays in a SNF. […]
At the last MTF meeting, we were told about the regs change about people with income over 135% of the FPL being unable to have both CommonHealth and MSP. Letters have been going to clients about this change. The dollar amounts for the cutoff are different on the letter ($1695) from the 2024-5 income levels […]
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!