Hello everyone, I am looking for a blueprint from soup to nuts on getting to know the how, when and where to plan an Outreach or Enrollment event. How to get started in the process. When to know it’s the right time to act. Where would be the perfect location for the type of outing […]
I recently submitted an unsbsidized paper dental application for an over 65 yr old client. Several days later I received a call from the connector asking that we resubmit the application online. When I asked the reason for this I was told “so that his income can be determined.” I questioned why this information could not be […]
Hi All, We just found out that HNE is no longer going to be offered by Mass Health Care Plus. http://www.masslive.com/news/index.ssf/2015/11/16000_masshealth_users_affected_by_health_new_england_decision_to_drop_careplus.html#incart_river_home This is going to be a big problem for our patients and members in the community here.. Is anyone else concerned?
Hi, Others may already know this, but I just discovered this info so I am sharing. We are seeing many termination letters from NHP for clients who are being switched from ConnectorCare to MassHealth Care Plus. When I check MMIS, the client shows as eligible/active with CarePlus, but as having their current (but soon-to-end) ConnectorCare health […]
Hello! I have a question about changing a member’s Careplus MCO to better suit a member’s geographical location and provider needs. Are there guidelines about when/for what reasons a member can change their MCO? Specifically, we have a client with an urgent (but not emergent) care need whose Careplus MCO is Celticare ; she lives in South […]
Hi, I called MassHealth to link an existing paper application to a member’s existing online account. An account was created through the online system and an online application was oddly also started (but not completed) at a similar time. When I asked MassHealth MEC to link the online profile to the paper application that was […]
Hi all, I am planning to gather data on ConnectorCare plans (and carriers) accepted by specific major hospitals and health centers in preparation for Open Enrollment. Any ideas about the best way to go about doing this, i.e. the best department/staff to call at the hospital or health center? Thank you in advance. George Hastie MA HIV […]
We have found on multiple occasions that when a patient is enrolled in a different doctor/PCC plan and we use the MCO form to enroll them in our health center, often MMIS will show BOTH the old and new provider. Is anyone else seeing this?
Does anyone know if Masshealth will be updating the “Enroll in a Health Plan” online information to include PCC as an option for MH careplus members? http://www.mass.gov/eohhs/consumer/insurance/enroll-in-a-health-plan/plans-available-for-members-in-masshealth-careplus.html
Hi all, I just got off of an important phone call with the Health Connector. I reported the issues you all are seeing with the online application and they would like to research your cases to help to resolve them. Please call (617-275-2912) or email me (ksegel@hcfama.org) TODAY with the following information: Full name of the […]