I wrote a similar post back 8 months ago, and yet we are still having the same issue…. Verifying Social Security income is an issue! Many of our patients who are on SSDI land in our emergency room with issues with Behavioral health / Psych Issues. Many of these patients have Medicare only and can’t be placed without […]
Allways Health Partners is mailing a letter to ConnectorCare members with the headline “This is your termination of coverage notice”. It states “Dear So & So: We have been notified that your current Allways Health Partners contract has been or will be terminated for the following member on the Termination Date specified below” : 12/31/2019. I […]
Good Morning Are we, as an organization, supposed to sign Section 1, Part B1 or just Part B2 or both? We got a CSR today who said for the past 2 months organizations need to sign both parts. Does anybody know? We have been just completing part B2 since it is the organization part of […]
Good Morning! I’m hoping I can get some help from you all! I have a family that is ConnCare Enrolled and have been for years, their youngest daughter is on Family Assistance. Since the implementation of the ACOs she has had issues with seeing her therapist. Her PCP is part of a Steward and that is […]
Hello, Does anyone know if Family assistance covers transportation via a PT-1 form for children? I was under the impression it did, but our local PCP office was told otherwise. Thanks!
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 […]