MassHealth, Health Care Reform

Enrollments usually slow down during the summertime, but this year, outreach workers are seeing increasing numbers of people needing help. At our July HAN meetings, we also had the opportunity to have some dialogue with Rebecca Balder and Carolyn Minkin of the Health Safety Net about upcoming changes.

"Outreach & enrollment" means much more than putting up posters and helping people fill out MassHealth applications. Recently, over the course of a two hour appointment, my supervisor and I counseled one household on eleven different public health insurance, subsidy and care programs. We helped them file four separate applications to five different insurance programs, putting together a patchwork of care options to cover the hole left by the loss of employer-sponsored insurance.

Starting this week, your clients who use the Health Safety Net should look for redetermination letters. Also, verification requests (VC-1s) for people you NEWLY enroll in MassHealth now go to the Central Processing Unit. ...I'm interested to hear how the redeterminations go for people who use the Health Safety Net.

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.

Nikki Riel from the Women's Health Network in Franklin County sent me contact info for specific places at MassHealth (click the link for a printable PDF), including the Estate Recovery and Appeals units and various premium-paying programs.