I have a 24 year old client who was on CarePlus and didn’t respond to the request to update his information before the deadline. He informed me that he started working last May (never reported the change in income) and now has a gross income of $1700/month. So he missed the 60 day SEP of the change in […]
Hello Has anybody heard of a patient who failed to renew and was told: “he lost his privilege of applying online now and he has to apply in paper”? The CSRs name was not asked, but that is what she told my staff person right now. She still asked for a Ref ID and is […]
Hi Assisters, My office (MLRI) is doing some work with grandparents raising grandchildren (with no parent in the home –birth parent or adoptive parent) & I wanted to check with you all to confirm that HIX is not counting the grandparent’s income when they apply for the grandchild–whether grandparents claim child as dependent or not […]
I know I can’t be the only having this issue……When a determination is completed by DES it is sent back to Mass Health to enter the information in they system. EVERY time I call to get a determination I am told MH can’t see it? This time the particular case is for a DDU that was […]
Hi, It is our understanding that if a member gets a MassHealth pending status (not approved until required documents are processed), that their start date should be 10 days prior to the date the documents were received. We have seen several cases where the 10 days retro is to the date we call to ask […]
We have been having problems with faxing (857-323-8300 and 617-887-8799) since Tuesday. SACAs fax and ACAs fax are both not responding. Does anybody know what is happening and when will it be fixed? We have not received any notices from MH that the faxes are down yet so I was wondering if anybody had an […]
I have someone that has been on ESI for the last few years and since his job is changing he is applying through the connector. We found out that he was on another application, but he did not know who. When we called the assister line, we figured out that it was his ex-wife’s application […]
Hello Loopers, During open enrollment, we are going into the 2017 application to make the necessary changes. If the changes we make in 2017 are going to be the SAME for 2018 we let the changes carry over automatically. However, if a job or income will be different in 2018, we are then going into 2018 […]
Hi All, I don’t know if anyone is noticing this same problem but if we could bring this up to Masshealth and the Health Connector, it would be appreciated. It is my understanding that they are adding a lot of new staff for Open Enrollment and they are really making a mess of things. I […]
I haven’t seen MassHealth publish this information to the Assister community yet (it was provided to the MCO/ACOs on 10/26/17), but just so everyone is aware, MassHealth assignment logic is no longer allowing members to enroll into MCOs that are being sunsetted on 02/28/2018 (i.e. Celticare, HNE, Fallon, and Neighborhood Health). Members can only select from the non-sunsetting […]