MassHealth, Speaking up!

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.

Doral Dental has been operating as the administrator for the MassHealth Dental Program for just over a year now - so how are they doing?

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.

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.