I have a client who was on EAEDC and CarePlus. Was approved for SSDI (retroactively for 2 years) with Medicare and checks starting in June. We’ve submitted proof of SSDI letter and Medicare info, but he’s not showing on a cross match with Social Security database so MassHealth says they can’t enroll him in CommonHealth […]
Hi all, Can someone explain to me whether the rules for completing an NDF differ between MassHealth and the Health Connector? My understanding is that each Navigator needs to have their own completed NDF on file for any client they are representing. At the bottom of Page 2 of the NDF form under Can I […]
Hi all, Something weird has come up twice for staff at our CHC this week. When helping a patient with a renewal, the customer service rep says they have to play a recording of the MassHealth Rights & Responsibilties. It takes the rep a few minutes to pull up the recording and then the recording […]
Question… We got a call that they are no longer accepting the email confirmation attached to a CAC form… Stating they need is signed by the applicant. We are still doing a majority of applications by phone. Also, on the CAC roles and responsibilities it states you only need to sign a CAC form once, […]
Hi all, Is the SACA-2-erv-0323 available? I only see the 2021 version. Thank you, Teresa
Hello Loopers, MassHealth posted an Eligibility Operations Memo regarding their policy updates returning to normal business operations. As of April 1, MassHealth is redetermining all members to ensure that they still qualify for their current benefits. Whenever possible, MassHealth will automatically process a member’s renewal by matching their information against state and federal data. If […]
Hello Loopers, MassHealth released an Eligibility Operations Memo with an update on their signature policy: All initial applications must be signed “under penalty of perjury.” Federal and state laws reinforce that electronic signatures must be accepted and have the same effect as paper-based versions. Electronic signatures, An electronic signature is defined by the Massachusetts Uniform […]
Hello Loopers, In the bi-weekly MassHealth redetermination call there were a couple of eligibility policies announced: No pharmacy co-pays through 3/31/2024 For the under 65 the income attested to on the application will be considered reasonably compatible if within 20% of the income amount received from data sources Hospital determined-presumptive eligibility for the non-MAGI population […]
Hi Loopers, MassHealth has provided updated guidance on working with MassHealth members post 4/1. To update contact information (address, phone number, email address) members/assisters should call MassHealth CST to make updates to prevent a new eligibility determination from the online system. If you are working with a member that wants to go ahead and be […]
Hi Loopers, MassHealth posted an Eligibility Operations Memo on their approach to the end of continous coverage protections. Here is the memo. Key takeaways: Self-attestation for verifications is no longer accepted. Check out our ‘State Resources’ page for affidavits that are accepted. Waiver of the one-time deductible is no longer available Retroactive coverage for people […]