Hello, I have a patient that came in yesterday who currently has NHP Careplus. She received the letter from Masshealth Choices about the need to pick a new MCO/ACO and on her letter there was not a suggestion from Masshealth about whom to switch to. She has at least 20 doctors that she sees that […]
Hi, I had four families contact me this week stating they did not receive an invoice from the Connector for December or January. They subsequently lost their coverage although they paid the premiums without the invoice. All their coverages were terminated as of November 30. I checked via the assister portal and all four have 2/1/2018 effective […]
Hello This is a question regarding the new ACO. When the patient has Careplus unenrolled and he enrolls in one of the new ACOs (in this case Tufts together with CHA), are we not going to be able to see him enrolled until March 1st? Is he going to stay unenrolled until then? Is it […]
Good afternoon everyone, Had a situation today I assisted this client earlier this month she was approved for MH CarePlus she enrolled with Tufts. She called me today stating she received a letter telling her to enroll within 14 days. I ran her eligibility and didn’t see anything in regards to her enrolled with Tufts. I re-enrolled her […]
Hi, Where are the dates that used to appear at the top of the page when the Application Summary, Eligibility details, and Current Enrollment pages were printed out? I relied on these date to keep a timeline of changes I made to clients applications via the assister portal. Can this feature be put back?
Hi, Has anyone noticed that the FPL listed in the Tax Filing Status section of the Application Summary page is different from the FPL listed on the Eligibility page? Is this important? I just began noticing it when a client’s income was below 100% but she was approved for CarePlus instead of MH Standard. Any […]
Hi All, I need clarification on the latest update. Did someone really make the decision that the Plan Selection Period available to everyone is NOT beginning this October? This will be devastating to members (and many parents of child members) who have been desperately waiting to change their plans for months and have been unable […]
Hello Loopers, A MassHealth member was told by CST that their pcp accepted BMC HealthNet and that they should select the plan as their MCO. She had previously been enrolled on Tufts as her MCO, and due to issues with verification processing had their coverage temporarily terminated. After being reinstated and talking to MassHealth about their […]
MassHealth assister just informed me that BMC through MassHealth is not available in the southern region!! Come on!! Refered them to their website to no avail! Southern Region * Boston Medical Center HealthNet Plan Neighborhood Health Plan** Primary Care Clinician Plan Tufts Health Plan
Hi, I am seeking clarification regarding the start date for the CarePlus MCOs. We often help our patients who are determined eligible for CarePlus complete the online enrollment form and advise them they will receive information and a card from the carrier but when do these plans typically start? What is the processing time from […]