Author: EVELYN PASQUARELLO

Is HPE (Hospital-Determined Presumptive Eligibility) the same as HSN Presumptive Determination?

MassHealth put out a provider bulleting talking about the “Hospital-Determined Presumptive Eligibility (HPE)” updated during Covid.   It explains the detailed process on how HPE trained CAC’s may determine whether an individual is eligible for HPE application.     Is this the same as the HSN Presumptive Determination application? I explained that we as CAC’S can’t do […]

Not taking MA and only would like the Connector

Has anyone has success in a member not taking the MassHealth Coverage and taking a Connector Care plan instead? I have a member who is protected due to the PHE.  They WANT a Connector Care plan instead.  I have called MA and they said, call the Health Connector.  I call the Health Connector and they […]