Category: Plan selection

MassHealth Frustrations

I really just have to share my frustrations with MassHealth: Their online choices website, which had been working fine for months, is basically non-functional (again) at this point. There are agents on Assister IDP line telling multiple members of my staff that they’re no longer performing manual IDP over the phone at all and that […]

Navigator Designation Form (NDF) – When to fill one out

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 […]

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 […]

How to apply for CommonHealth

Happy 2022 everyone.  I have a question regarding a client who is 62 years of age who wants to apply for CommonHealth.  Her spouse is 66 years of age.  Here are some facts: The couple have an active application via the Health Connector.  Both are currently enrolled in a CC plan. The wife has Medicare […]

Exceptions for ACOs/MCOs that are locked into their plans

Hello We have had luck changing patients who are locked into their plans by explaining that they have been our patients for a long period of time and this is used as the “exception”.  Recently, patients who move and are assigned a plan close to their new homes are not being changed back to their […]