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..
Happy 2022 everyone. I have a question regarding a client who is 62 years of age who wants to apply for CommonHealth. Her spouse is 66 years of age. Here are some facts: The couple have an active application via the Health Connector. Both are currently enrolled in a CC plan. The wife has Medicare […]
We are having a issues with MH faxes… We fax in an application and get confirmation of the # of pages sent… Then when we call to ask about it, they say they only received some of it. Also, we will call to as about a case, and the fax they are looking at are […]
Hello We have had luck changing patients who are locked into their plans by explaining that they have been our patients for a long period of time and this is used as the “exception”. Recently, patients who move and are assigned a plan close to their new homes are not being changed back to their […]
Hello Loopers Mass Health CSRs are confused about what they can and can’t accept, again. Yesterday we were told they could not go retro 3 months anymore, today that they could not take verbal income verification. Is anybody else having issues? Can they be updated as to what we are told they are still accepting, […]
Urgent Coverage Alert for Dually Eligible MassHealth Members –July 19, 2021 Over the fourth of July weekend, MassHealth ended COVID continuous coverage protections for elderly & disabled individuals who are dually eligible for MassHealth and Medicare and who — are no longer eligible for their current MassHealth coverage, are eligible for Medicare Savings Programs also known […]
Hopefully somebody else is experiencing this also! We have people crossing the border who have a document that says “Order of Release on Recognizance”, does MH need this document? Should we scan it? Does it make any difference in the insurance they will get? We have a lot of patients coming in from the border, […]
Hello everybody! Today we have had 5 patients with Limited/HSN bringing letters saying that on July 1st they will have a $10.00 copay cap for pharmacy benefits. Did I miss a Mass Health email explaining CACs that this letter was being sent? Is this just for Limited/HSN patients? Should we just tell the patients who […]
Does anyone know if the MassHealth protection was extended for another 90 days? I had 2 members call and said they received letters for MassHealth and Health Connector requesting Proof of income. 1 of the letters sounded like a Job Update Form, I have not seen a copy of the letter. But the letter stated, […]