MassHealth

Enrolling Qualified Medicare Beneficiary (QMB) Members in Medicare

MassHealth requires members to enroll in health insurance they have access to that’s at no cost to them, including Medicare. This is because MassHealth is the payer of last resort and pays for health care and related services only when no other source of payment is available, except when required by federal law. Qualified Medicare… Continue Reading Enrolling Qualified Medicare Beneficiary (QMB) Members in Medicare

Updates to Health Connector Special Enrollment Period Effective Dates and Updated Applications

Health Connector Special Enrollment Period Effective Dates System and Process Update: When a member reports a change that opens a Special Enrollment Period (SEP) after the 23rd the month, the online application will now automatically offer an effective date option for the following month. Previously, when a member reported a move on 3/24, the earliest… Continue Reading Updates to Health Connector Special Enrollment Period Effective Dates and Updated Applications

New MassHealth dental Third-Party Administrator

MassHealth will be transitioning to a new dental third-party administrator for MassHealth, the Children’s Medical Security Plan (CMSP), and Health Safety Net (HSN) members. The new anticipated start date for the new dental administrator, BeneCare, is April 1, 2025. The current MassHealth dental administrator, DentaQuest, will continue until March 31, 2025. For more information on… Continue Reading New MassHealth dental Third-Party Administrator

MassHealth Announcement: Standing Orders for Prenatal Vitamins, OTC Oral Hormonal Birth Control

As of January 27, 2025, MassHealth has issued a standing order for prenatal vitamins and a standing order for over-the-counter (OTC) oral hormonal birth control. MassHealth members and Health Safety Net (HSN) patients are now able to get these medications free-of-charge without a prescription from their prescriber. Learn more about the standing orders at Publications, Notices,… Continue Reading MassHealth Announcement: Standing Orders for Prenatal Vitamins, OTC Oral Hormonal Birth Control

Health Connector and MassHealth Tax Forms Mailed

Health Connector Member Tax Forms The Health Connector has completed the mailing of 1095-A tax forms for those members who had coverage in 2024. Mailed forms should be received during the week of February 3rd based on a member’s mailing preference. If a member selected paperless, they will get an email that informs them the 1095-A… Continue Reading Health Connector and MassHealth Tax Forms Mailed

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

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

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