Background Starting November 1, people who are in the Deferred Action for Childhood Arrivals (DACA) program became eligible for Affordable Care Act coverage through the Health Connector. These individuals are also known as Dreamers. On December 9, a judge blocked that coverage in 19 states. Massachusetts is not one of the states in the judge’s… Continue Reading Health Connector Coverage for DACA Recipients Update
The Health Connector has newly updated promotional materials, online shopping tools and downloadable member resources – in more languages – to help people make decisions about their health insurance coverage for plan year 2025. Many of the resources described below can be easily accessed from the Health Connector’s renewal page: MAhealthconnector.org/renew. Help promote Open Enrollment: The Health Connector’s… Continue Reading Open Enrollment Promotion, Health Connector Shopping Tools and Member Resources
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
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 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
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)
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
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
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
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
