This winter, about 100,000 households in the Commonwealth were protected from losing their heat, electricity and other utilities by the state utility shut-off protection laws, which prevents shut-off for households whose circumstances meet certain conditions. This protection ended on May 1, and people have begun getting shut-off notices. These notices are bad news, but CAN be used to request a MassHealth premium waiver or Commonwealth Care premium waiver.
Making sure people who apply for Commonwealth Care are able to get and keep their coverage was on the minds of outreach workers at the Western Massachusetts HAN meeting in April, which featured a presentation by the Director of Commonwealth Care, Melissa Boudreault.
Our last Boston HAN meeting came in the wake of the Connector Board’s decisions to shift more of the costs of Health Care Reform to consumers by raising co-pays and premiums for Commonwealth Care. Advocates continue to oppose these cost increases and push for sharing the costs more evenly with businesses. Meanwhile, outreach and enrollment workers are seeing an increase in administrative barriers to enrollment in Commonwealth Care and MassHealth.
Recently, I have seen an increase in the number of Exceptions Forms sent to Commonwealth Care applicants who the state believes have access to employer-sponsored insurance. These clients are not eligible for Commonwealth Care until they return the Form – but it can be hard to understand what makes the state mail it to these individuals in the first place.
I decided at the last minute to "live blog" the HCFA conference. I wanted to send some of the conference out to outreach and enrollment workers who are in their offices enrolling as I write. John McDonough & Nancy Turnbull, two of the smartest, savviest policy makers, graciously agreed to my blogging them. Here are my impressions.
As I carefully placed a paper cup full of coffee on the note-taking table, a stream of people both familiar & new passed by the pastry table and settled in for our March 7 Western Health Access Network Meeting. Nearly every chair in the circle was full with HAN members who had driven to Amherst from as far as Leominster and Great Barrington to share enrollment concerns and have a discussion about estate recovery rules (PDF).
In response to our post about our poll on the shortened window for Health Safety Net (HSN) applications, several people wrote that increasingly their clients need to submit hardship waivers and/or face bills for uncompensated medical services, even though they are likely HSN eligible.
Responding to outreach workers' concerns, we recently polled the Health Access Network to learn whether the reduced application timelines for the Health Safety Net are affecting people’s access. From what we've heard, the answer is likely yes.
At Health Care For All’s Helpline, we have heard from numerous would-be applicants who refuse to sign up for state health insurance programs because they are concerned that MassHealth may recover assets from their estate. We want to get the message out that this requirement does not apply to Commonwealth Care members.
Our recent email about how to apply for a MassHealth premium waiver or reduction has just become especially relevant. Our colleagues at the Massachusetts Law Reform Institute (MLRI) tell us that MassHealth is getting serious about collecting overdue premiums.
