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    • Year: 2024

    New Health Connector Eligibility for DACA Recipients

    Overview As of November 1, 2024, Deferred Action for Childhood Arrivals (DACA) recipients are considered lawfully present for Health Connector purposes. This allows DACA recipients to access subsidies (if they meet all subsidy eligibility requirements) and unsubsidized coverage options through the Health Connector. Currently, DACA recipients up to 300% FPL are eligible for MassHealth Family… Continue Reading New Health Connector Eligibility for DACA Recipients

    Posted on Posted in All MTF News, Health Connector

    Understanding Immigration Requirements and Application Completion for Health Insurance Coverage in Massachusetts: Part 2, Session 2

    This webinar is meant for those who want to understand the citizenship and immigration policies that guide the MassHealth and Health Connector programs for individuals younger than 65 and best practices to support applicants and members in completing an application – online or on paper. This session will review scenarios and the application.   Webinar… Continue Reading Understanding Immigration Requirements and Application Completion for Health Insurance Coverage in Massachusetts: Part 2, Session 2

    Posted on Posted in Learning Opportunities, MTF Events

    Understanding Immigration Requirements and Application Completion for Health Insurance Coverage in Massachusetts: Part 2, Session 1

    This webinar is meant for those who want to understand the citizenship and immigration policies that guide the MassHealth and Health Connector programs for individuals younger than 65 and best practices to support applicants and members in completing an application – online or on paper. This session will review scenarios and the application. Webinar Registration… Continue Reading Understanding Immigration Requirements and Application Completion for Health Insurance Coverage in Massachusetts: Part 2, Session 1

    Posted on Posted in Learning Opportunities, MTF Events

    Reminders regarding system updates for the online application at MAhealthconnector.org

    Health Connector Open Enrollment began on Friday, November 1st. Updates were made to the system to accommodate shopping for Health Connector coverage that starts in 2025. It is recommended that following any systems release or update, Assisters or anyone using the online application (including the Assister Portal) should clear their cache or internet history before accessing the… Continue Reading Reminders regarding system updates for the online application at MAhealthconnector.org

    Posted on Posted in All MTF News, Health Connector, MassHealth

    Tufts Health Direct Network Changes for Health Connector Members

    Tufts Health Direct has made two changes to its provider network for plans available through MAhealthconnector.org. Starting on January 1, 2025, hospitals and providers in the UMass Medical Center network and Boston Children’s Hospital network will no longer be available to Health Connector members enrolled in Tufts Health Direct.   Members have the option of staying… Continue Reading Tufts Health Direct Network Changes for Health Connector Members

    Posted on Posted in All MTF News, Health Connector, MassHealth

    Retroactive Medicare Recovery Project (RMRP) 

    This message serves as a reminder to providers about the standard RMRP process. In accordance with 130 CMR 450.316(A)(6) and 130 CMR 450.316(F), RMRP will recover MassHealth claim payments for members who have been awarded retroactive Medicare coverage when:  MassHealth was the primary claims payor at the time when services were rendered, Medicare coverage is… Continue Reading Retroactive Medicare Recovery Project (RMRP) 

    Posted on Posted in All MTF News, MassHealth Provider Services

    Self-Service Tools for MassHealth Providers 

    Effective October 10, 2024, MassHealth launched two new self-service tools for MassHealth providers: a Provider Enrollment Status tool & a Provider Application Status tool. These web-based tools will assist providers and their credentialing staff with Provider Enrollment & Credentialing (PEC) inquiries.  The Provider Enrollment Status tool will allow providers to verify the current enrollment status… Continue Reading Self-Service Tools for MassHealth Providers 

    Posted on Posted in MassHealth Provider Services, Other News and Information

    Virtual Gateway Inactive Account Deactivation 

    Effective October 1, 2024, the MMIS and Virtual Gateway (VG) will begin deactivating accounts that have been inactive for more than 12 months. The initial deactivation event will affect accounts that have not been used since November 1, 2023. Following this initial deactivation event, accounts will be continually monitored for inactivity and subsequently deactivated in… Continue Reading Virtual Gateway Inactive Account Deactivation 

    Posted on Posted in All MTF News, MassHealth Provider Services

    Virtual Gateway Multi-Factor Authentication (MFA) Profile Updates & Transition 

    Effective Sunday, October 20, 2024, the Virtual Gateway (VG) is implementing changes to ensure that the VG and the recently implemented Multi-Factor Authentication (MFA) profile updates via Azure are synchronized. As of October 20, the VG will require that profile changes to the user’s first name, last name, and email address must only be submitted… Continue Reading Virtual Gateway Multi-Factor Authentication (MFA) Profile Updates & Transition 

    Posted on Posted in All MTF News, MassHealth Provider Services

    Health Connector Health and Dental Plans for 2025 

    Each year, the Health Connector reviews Health and Dental plans offered by health and dental carriers to be sold the next year on MAhealthconnector.org. This review and overall process is known as the Seal of Approval.    On Thursday, September 19, 2024, the Health Connector’s Board of Directors approved the health and dental plans to be sold effective… Continue Reading Health Connector Health and Dental Plans for 2025 

    Posted on Posted in All MTF News, Health Connector
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