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 […]
Hello, First of all I would like to say that I am very thankful for the Masshealth Assister Line since we have that, I have been able to resolve patients Masshealth/health Connector issues faster but on the other hand lately I have been contacting the assister line over 65 and been getting very unpleasant customer […]
Hello CACs I had a pregnant patient today who could not enroll in a Health Connector plan as the household is “over the 300% FPL” according to the Rep. This is the first time Patient completes an ACA as she just arrived from overseas. Patient completed the application on 04/19/2016. Rep. stated the Pt. needs a Qualifying Life […]
Hi, The link you have available for information on “Affordability & Individual Mandate Policies – Affordable Care Act and Massachusetts 2014” is all well and good, however, as the title says its for 2014! Any chance that will be updated?
We just faxed to the CAC dedicated ID proofing (to 617-988-8952), waited our 15 minutes and called 844-811-3384. Jennifer from Boston MEC told our CAC that she had no idea what she was talking about. That she needed to fax to the regular ID proofing fax number and wait up to 7 days. That the dedicated […]