Hello- I am having a hard time with health plan enrollment. I have enrolled a number of people approved for Masshealth on Masshealthchoices.com and the enrollments are not going through- for multiple people the enrollments are still pending two weeks later. I don’t know what to do in these case- we have called the assister […]
Anyone else having problems (once again) with the MH Choices website? We’ve been having to fax a lot of plan elections in for new members because the website just gives the “Sorry, we could not verify the member info entered. Please contact MassHealth Contact Center at 800-841-2900. Thank you” error message, no matter how long […]
I really just have to share my frustrations with MassHealth: Their online choices website, which had been working fine for months, is basically non-functional (again) at this point. There are agents on Assister IDP line telling multiple members of my staff that they’re no longer performing manual IDP over the phone at all and that […]
Has anyone been having issues with the MassHealthChoices website to do enrollments? Along with not being able to get a fax to go through successfully to enroll them in the plan they need? I called and as a Navigator I am not allowed to enroll someone or change their enrollment. Thank you.
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 everyone, Can someone on an ACO or MCO change her plan during Health Connector open enrollment (i.e., now)? Or can they only change plans once a year during plan selection period which I understand is the 90 days starting on the anniversary of the MassHealth enrollment? Thanks.
I am having a brain freeze. I have a client that is signing up for a “Health Connector” plan for July. Does the plan deductible go from Jan to Dec. Or would it be from July to July ? I understand that a calendar year deductible would be Jan to Dec and the plan renewal […]
Hi fellow Navigators, My name is Buliah Mae, Lead Navigator for the Hilltown Community Health Centers. Our three-person team is currently considering new ways to track our monthly report data and are interested in how other health centers do this. What are the pros and cons? Is the program web based? Is the program customized […]
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 […]
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 […]