Category: MassHealth

MassHealth Policy Updates to Support Return to Normal Business Operations (April 1, 2023 – March 31, 2024)

Hello Loopers, MassHealth posted an Eligibility Operations Memo regarding their policy updates returning to normal business operations. As of April 1, MassHealth is redetermining all members to ensure that they still qualify for their current benefits. Whenever possible, MassHealth will automatically process a member’s renewal by matching their information against state and federal data. If […]

Electronic Signatures

Hello Loopers, MassHealth released an Eligibility Operations Memo with an update on their signature policy: All initial applications must be signed “under penalty of perjury.” Federal and state laws reinforce that electronic signatures must be accepted and have the same effect as paper-based versions. Electronic signatures, An electronic signature is defined by the Massachusetts Uniform […]

New Temporary Eligibility Policies in Effect as of 4/1

Hello Loopers, In the bi-weekly MassHealth redetermination call there were a couple of eligibility policies announced: No pharmacy co-pays through 3/31/2024 For the under 65 the income attested to on the application will be considered reasonably compatible if within 20% of the income amount received from data sources Hospital determined-presumptive eligibility for the non-MAGI population […]

Helping MassHealth Members

Hi Loopers, MassHealth has provided updated guidance on working with MassHealth members post 4/1. To update contact information (address, phone number, email address) members/assisters should call MassHealth CST to make updates to prevent a new eligibility determination from the online system. If you are working with a member that wants to go ahead and be […]

Masshealth Operations Memo on End of MOE

Hi Loopers, MassHealth posted an Eligibility Operations Memo on their approach to the end of continous coverage protections. Here is the memo. Key takeaways: Self-attestation for verifications is no longer accepted. Check out our ‘State Resources’ page for affidavits that are accepted. Waiver of the one-time deductible is no longer available Retroactive coverage for people […]

MassHealth Redet Phase 2 Materials

MassHealth released the MassHealth Redetermination Phase 2 Outreach Toolkit. You can read the full update from MassHealth here. You can download materials in 9 languages and share them with the members you work with! You can also have people check out the masshealthrenew.org page as well as HCFA’s page about the outreach campaign. -Hannah