Category: Determining Household and Income (MAGI)

Monthly Report Data Collection

Hi fellow Navigators, My name is Buliah Mae, Lead Navigator for the Hilltown Community Health Centers.  Our three-person team is  currently considering new ways to track our monthly report data and are interested in how other health centers do this. What are the pros and cons? Is the program web based? Is the program customized […]

Exceptionally Long RFI Processing Times

Hello, Now that we are in OE, there is a bit more urgency to having verification documents processed.  We have noticed that some documents uploaded in Sept/Oct are still outstanding.  Cases have been created to process them more quickly, but even that isn’t happening.  Does anyone have insight on what is happening behind the scenes […]

Past unemployment income

Hello Loopers! Do CACs have to call The Connector to report past unemployment income for a patient who is currently back to work? Or is there a question in the online application asking if the patient previously received unemployment during 2021? I know I read the question was coming soon, but I am not sure […]

ESI or MassHealth

Hi;  I have a client was offered a job with ESI.  She and her family are currently on MassHealth.  My question is because of the pandemic emergency can she keep her MassHealth or does she have to enroll her family in her ESI and maybe keep the MH as secondary coverage.   Her ESI would be $500 […]

HC Renewals

Over the past few weeks, I’ve experienced problems with incorrect eligibility determinations for members renewing their Health Connector coverage for 2021.  As instructed, I enter any changes to income, check off whether they have filed taxes and reconciled APTC’s for the prior year, answer that they do not have affordable insurance offered through an employer, […]

Disabled Dependent Adult

Hi, I have a family of five that consists of two disabled adults over 21 years of age.  Both of them receive SSDI and are claimed as dependents on their parents income tax return.  Neither of these individuals is working.  Recently one of the disabled adults was taken off of MassHealth.  When I called to speak […]

Topics and Materials Request

Hello Loopers! We want to hear from you about what resources would help you with your day-to-day enrollment work. Do you have ideas about materials that would be helpful? Is there a topic that you would like a deep dive into? Let us know! You can respond to this post, or email theloop@massloop.org. Hannah

ESI from two jobs

Hi, I spoke with a gentleman today who asked this question.  Both he and his wife work and have ESI via their perspective jobs.  Neither want to do the family plan because it is too expensive.  Can one of them select the individual plan from their job and the other select a plan through the […]