Category: Other

Wrong Approval for Health Connector Plans

Hi, I have a client who was just approved for Social Security disability in January.  She also has a job.  Between the two incomes her FPL is 237.01%.  For some reason her eligibility is for a Health Connector Plan instead of a ConnectorCare 3A plan.  Her premium in 2018 was $44.00.  In January 2019 her […]

2019 Seasonal Worker Income Calculation

Hi, If a client is on unemployment as of January 1, 2019 and has not yet worked his seasonal job for 2019 why should their 2018 seasonal income be included for this year?  They may not be hired back for the 2019 season.  Shouldn’t this income be added once the client starts working again?  And what […]

Masshealth Enrollment Center (Chelsea office)

We have many patients that tell us about their experience when they go visit the MEC in Chelsea. Patients complain that they go prepared to the Chelsea office to renew, and representatives tell them that they will assist with their renewals but renewals are not being processed and no eligibility is given to the member. When they […]

Diabetic supplies

Hello everyone, Whenever we have a diabetic patient that is getting discharged I have told the providers to write the scripts for Freestyle Lite glucometer. I was just recently told from a patient that Masshealth now only covers Accusure NOT Freestyle Lite. I tried calling Masshealth and the person that answered the phone was not helpful. […]

+65 versus -65 Self Employed

Hi, I am assisting a client who is over 65 and self-employed.  She is approved for partial HSN instead of full.  The client sent in her 2017 Form 1040 and accompanying schedules.  We called MassHealth to dispute what they are using as her income which takes her over the 150% FPL for HSN.  I thought that income […]