Good Morning, As may you may be experiencing high call volumes of new applicants from Puerto Rico trying to apply for masshealth, these people are moving here with relatives , need medications , doctor visits and more. The state of Florida is overwhelmed with this situation, is there a place where we can send them to […]
Hello, I found out from MH that there is a new DOR form. Is it possible to provide us a copy in fillable version. Thanks
We had a mom come in about her 3mo old newborn. Needed to change MCO plans. My counselor called Cust Service and they said they had to wait until the end of the year. I had her call back and get someone else. He also told her she did not have a qualifying reason. I […]
What REF ID number do you put on the Fax Cover Sheet and the CAC Permission Forms? There seems to be different REF ID Numbers at end of the application, when you go back into the application on the details page and even profile page? Which one do you use? I want to make sure it […]
Hi… We have faxed verification’s dating back to December that are still not logged in. I called today and they said Taunton is backed up for “weeks”. This is a huge problem for documents that need to be received by a certain date, at least those cases will pend if it received. I have 2 […]
Has anyone else experienced issues with ConnectorCare enrollments on the carrier end, particularly Tufts? We continue to encounter cases where an individual selects a carrier through the Connector, pays their premium (if applicable), and then doesn’t get enrolled with the carrier. Or, if the Health Connector makes an adjustment to an enrolled member’s effective dates, the carrier doesn’t […]
One of the categories of MH members who are excluded from MCO participation is “a member who is receiving hospice care through MassHealth on a fee-for-service basis, or who is terminally ill as documented by a medical prognosis of a life expectancy of six months or less”. Does anyone know which MH unit is responsible […]
Good Morning! Does any Looper out there have the correct phone number to call when the HSN PD has not been approved in 8 days? Or if a patient under 100% got approved for a Partial PD? I just called the HSN Customer Services Number given to us in the May 26th training (877-910-2100) and they […]
Good Morning If a patient has a qualifying event, enrolls and pays her plan is she then qualifyied to have HSN temp until her new plan kicks in the next month? We are having problems seeing hsn temp eligibility in MMIS even though MH says it shows in their system. MMIS still shows HSN+DENTAL only. […]
Hi all, Got a household that should be ConnectorCare eligible, but one spouse we checked as having disabilities, and not sure if that’s why, but we’re getting the right CC determination for one non-disabled spouse (non-disabled), and “Health Connector Plans” for the disabled spouse. MassHealth doesn’t recognize that he’s eligible for CommonHealth or anything, no TPL […]