I have given up the online enrollment and returned to faxing in a written enrollment. Almost every time, the correct plan enrollment is done and the wrong physician is added. It’s frustrating that its become the new normal for me to explain to the client that this will likely happen, then I have to […]
Hi, Is anyone else having issue calling the assister line and once a rep answer you are being asked all the question and you are placed on hold and after transferred to Customer services? It is ridiculous having to explain the issue and with no warning you are just being transferred being on hold for […]
Mass Law Reform Institute (MLRI) created a website, masshealthproject.org, that provides resources for advocates and community members to navigate the recent redetermination policies enacted by Masshealth. The website currently includes a calendar of local redetermination/enrollment events, flyers and guides about member eligibility and alternative coverage options, and links to other informational resources. “Knowing that many […]
Hi, is anyone having issue calling the ID Proofing line this morning? when we are calling, we are being instructed to call a different number 833-612-1026? once i called spend 15 mins on the line the called dropped. thank you, Reina
Do you know if members received “Retro Enrollment Notices” during the protection? We are having a 90 day retro waiver, claim deny and MassHealth is requesting the retro enrollment notice to show proof it was actually approved. The biller called customer service and was told that the person that enrolled or requested the retro enrollment […]
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 […]
If both members of the household are on Commonhealth, is the premium doubled? I always thought the premium was based on total family income. I had a client call that has a 100.00 premium, and his wife is now eligible as well and a MH rep said it would be double.
are the new guidelines out (the chart that mlri.org does each year) I can’t find them online yet… thanks
Has anyone else been having issues with Masshealth regarding NDF’s? I am a navigator and our forms are Agency wide and when a staff member leaves and another navigator takes over their clients, then calls Masshealth for information or assistance, we are being told that they can not assist because the name on the navigator […]
I am working with a client who had BCBS prime and MA 2nd. She entered into a inpatient facility (mental health). Her BCBS termed on 1/2. On 12/29 we enrolled her (online) into the BMC/Wellsense Community, so when the BCBS ended BMC would start with no gap. Trying to be proactive. I know BCBS has […]