Good morning, I am just wondering if any other hospitals are running into the same issues as we are. We have several newborn babies that receive their MA Health benefit thru the DTA, and the MA Health is not covering from the DOB. They all seemed to start few days after birth. Example baby born […]
Hello dear Loopers, In order to ensure that PII is handled correctly, once a verification is uploaded into the HIX system we are not able to review it once more. Can someone help us to let MassHealth know about the lost of this access please? Thank you and have a Happy New Year 2024✨🎊🎈✨
I have had a few clients try to renew there Masshealth, or fix issues with their Masshealth only to find out that they do not have an application in HIX and to be told by MEC that they get their Masshealth through Social Security. I have always referred clients back to the Social Security office […]
MOVEit Global Data Security Incident Yesterday, UMass Chan Medical School (“UMass Chan”), began notifying certain individuals currently or previously enrolled in certain state programs, including MassHealth, that their personal information may have been involved in a recent third-party data security incident. Those primarily impacted are State Supplement Program (SSP) participants (including recipients, other members of […]
I know HIX just had an update and new (optional) sexual orientation and gender questions have been added. Has it been explained why they are collecting this? When I click the “Additional information about MassHealth & the Health Connector’s efforts to improve health equity can be found here” The link brings me to the 1115 […]
Hi all, MassHealth published a transcript of the Q&A from webinar about 2023 renewals and I want to ask your thoughts about the answer to the final question about HSN eligibility after losing MassHealth. Doc is located here: Doc is located here Question: “Some members will lose coverage due to ineligibility and will enroll in […]
Hi all, Can someone explain to me whether the rules for completing an NDF differ between MassHealth and the Health Connector? My understanding is that each Navigator needs to have their own completed NDF on file for any client they are representing. At the bottom of Page 2 of the NDF form under Can I […]
Hi, I have a client who is transgender and has not legally changed their name yet. However they use a different name than that on their social security card. I was able to use their *new* name on the application and list their old name (deadname) on the application under the “is this the name […]
Hi all, A bit of a detailed question, but does anyone have any insight into why MassHealth (and consequently the ACO plans) will not cover Ozempic for the use of weight loss? We have a few providers trying to prescribe it, but it is not covered by Medicaid yet is covered by private insurers. It […]
Hi all, Has anyone else seen a large increase in the number of patients who are enrolled in a Medicare Part C (Medicare Advantage) plan with WellCare? This has been happening for the last few months and when we ask patients, they seem to have no knowledge that they were enrolled. In some cases, it […]