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MassHealth CommonHealth Program

Details: For health insurance premiums other than Part B, a copy of the monthly premium bill must be submitted in order for it to be counted towards the deductible. All health insurance deductibles and/or co-pays. Remedial services (non-medical services made necessary by the medical condition of the individuals, such

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Health Safety Net (HSN) Overview - Typepad

Details: The Health Safety Net (HSN) is a program for Massachusetts residents who are not eligible for health insurance or can't afford to buy it. The Health Safety Net replaced the Uncompensated Care Pool (also called Free Care) on October 1, 2007. The goal of the Safety Net is to make sure that all Massachusetts residents

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Health Safety Net Pharmacy Locations - Typepad

Details: Health Safety Net Pharmacy Locations (Community Health Centers and Hospitals) In most cases, HSN pharmacies are only able to fill prescriptions written by a clinician at the pharmacy's parent organization. Known locations that can fill any prescription are in bold

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Health Coverage Mail/Fax Cover Sheet - Typepad

Details: Health Insurance Processing Center P.O. Box 4405 Taunton, MA 02780 NEW Fax: 857-323-8300 » New paper applications for unsubsidized (no assistance with paying) health insurance through the Health Connector » Closed Enrollment verification for Health Connector plan Unsubsidized applications and verifications for

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MassHealth Application Checklist - Typepad

Details: This checklist is intended for use by SHINE clients who are applying for MassHealth. It includes some of the most common verifications requested of MassHealth applicants who are 65 years or older.

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Request for sevices - Typepad

Details: Mental health services Assisted living Home health aide Grocery shopping/delivery Social worker services Congregate housing Personal care/homemaker Other: Additional information 1. Is the home or apartment available for the member or applicant? yes no 2. Is there a caregiver to assist the member in the community?

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MassHealth: Where to Send What

Details: MassHealth: Where to Send What New Applications and Related Verifications *Excluding new nursing home applications and related verifications

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MassHealth your monthly income IF your assets are AND

Details: health-care proxy, or if the applicant or member has died, the estate’s administrator or executor. Permission to share information If you want us to share your personal health information, including sending copies of your eligibility notices, with someone who is not your eligibility representative, you can do this by giving us written permission.

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Health Coverage Mail/Fax Cover Sheet - Typepad

Details: Health Insurance Processing Center P.O. Box 4405 Taunton, MA 02780 Fax: 857-323-8300 » New paper applications for unsubsidized (no assistance with paying) health insurance through the Health Connector » Closed Enrollment verification for Health Connector plan Unsubsidized applications and verifications for

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Preferred Pharmacies for Medicare Prescription Drug Plans

Details: First Health Part D Value Plus Preferred Pharmacies: Walgreens, Target, Walmart, Kroger, Rite Aid First Health Part D Value Plus Preferred Pharmacies Other Network Pharmacies Tier 1: Preferred Generic $3 $10 Tier 2: Non‐Preferred Generic $11 $33 Tier 3: Preferred Brand $37 $45

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MassHealth CommonHealth Monthly Premiums

Details: Rev. 5/2012 MassHealth CommonHealth Monthly Premiums Please note that these figures should be used as estimates only for your client. Only MassHealth can determine the exact premium amount.

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MassHealth Eligibility Criteria (under 65)

Details: C = Citizen AWSS= Alien with Special Status DMH = Department of Mental Health QA= Qualified Alien NQA = Non‐qualified Alien EAEDC = Emergency Aid to Elderly, Disabled, and Children PA = Protected Alien

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Medical Benefit Request (MBR)

Details: Health Safety Net*. MassHealth gives health-care coverage and helps pay for health-insurance premiums for families, children, and individuals. The kind of coverage you get depends on your family size, income, and other circumstances. After your application is filled out and reviewed, MassHealth will give you

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The MassHealth Application

Details: Applicant’s Responsibilities zMembers must notify MassHealth within 10 days of any changes in zIncome zAssets zHealth insurance zDisability status zImmigration status zAddress zOther health insurance zMembers must apply for and enroll in any health insurance available to them at no cost, including Medicare zMembers must keep Medicare if they already have it

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MassHealth CommonHealth Program

Details: Date: To: MassHealth Enrollment Center Subject: Letter to verify employment for application for CommonHealth ----- Dear Enrollment Center,

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Clinical Assessment and Eligibility Program

Details: • Adult Day Health (ADH) • Adult Foster Care (AFC); only if ASAP is a MassHealth provider of this service • Group Adult Foster Care (GAFC); only if ASAP is a MassHealth provider of this service • Home and Community Based Waiver(s) (HCBW) for Frail Elder (Frail Elder Waiver- FEW) (SCO/FEW)

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Preferred Pharmacies for Medicare Prescription Drug Plans

Details: First Health Part D Preferred Pharmacies: Walgreens, Target, Wal‐Mart, KMART First Health Part D Value Plus Preferred Pharmacies Other Network Pharmacies Tier 1: Generic 0 7 Tier 2: Preferred Brand 35 45 Tier 3: Non‐Preferred Brand 70 95 Tier 4: Specialty 33% 33%

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The MassHealth Application

Details: zAll types of health insurance policies can be used to meet spend-down or as deduction for nursing home patient pay amount zVerify in the form of a recent premium bill Health Insurance Accident or Injury Information z“Yes” to any of these questions and applicant will be required to complete the Third Party Recovery forms

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Case Study George Bell

Details: the group health insurance policy provided by his wife’s employer. He wants to wait to enroll in Medicare Part B after his wife retires in 2 years. Delaying enrollment will result in an additional 10% penalty added to the monthly premium for each year he could have been enrolled in Part B but was not. True ___ False ___ 4.

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Massachusetts Community Health Center and Hospital

Details: Island Health Care Island Health Care 245 Edgartown Vineyard Haven Rd. 02539 (508) 939-9358 Everett Mass General Hospital MGH - Chelsea Health Center 19-23 Norwood St. 02149 (617) 394-7500 Fall River HealthFirst Family Care Center, Inc. HealthFirst Family Care Center 102 County St. 02723-

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MassHealth CommonHealth Program - Typepad

Details: All health insurance deductibles and/or co-pays. Remedial services (non-medical services made necessary by the medical condition of the individuals, such as the installation of a ramp in the home of a person who uses a wheelchair).

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IF MassHealth Buy-In

Details: the Health Connector a copy of the applicable legal document stating that this person is lawfully representing you or your estate. This person may be a legal guardian, conservator, holder of power of attorney, or health care proxy, or if the applicant or member has died, the estate’s administrator or executor. Permission to Share Information

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Commonwealth Care Member Monthly Premiums

Details: Health Plan Neighborhood Health Plan Network Health Boston/Greater Boston Boston - Primary P380 $ 118.00 $ 147.00 N/A $ 182.00 $ 126.00 Quincy P260 $ 118.00 $ 147.00 N/A $ 182.00 $ 126.00 Revere P270 $ 118.00 $ 147.00 N/A $ 182.00 $ 126.00

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Preferred Pharmacies for 2015 Medicare Prescription Drug Plans

Details: First Health Part D Premiere Plus Preferred Pharmacies Other Network Pharmacies Tier 1: Preferred Generic $0 $4 Tier 2: Preferred Brand $3 $7 Tier 3: Non-Preferred Brand $45 $45 Tier 4: Non-Preferred Brand 50% 50% Tier 5: Specialty 33% 33% First Health Part D Value Plus Preferred Pharmacies: CVS, Walmart First Health Part D Value Plus

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MassHealth Long-Term Services and Supports: An Overview

Details: Day Services: Adult Day Health Services Adult Day Health (ADH) 130 CMR 404.000 Program Manager: Karen Seck Description: ADH centers offer daily services in a day program setting that include but are not limited to: nursing and health care oversight, therapy, assistance with ADLs, nutritional services, individual and family

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Application for Health Coverage for Seniors and People

Details: Limited), the Health Safety Net, or the Health Connector plans. • Copies of your current health insurance premium bills (like Medex) if you are applying for long-term-care services in a medical facility. (You do not have to send copies of your Medicare cards.) Generally, you do not need to give us the citizenship or

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Massachusetts Community Health Center Dental Program Directory

Details: health center dental program was developed in the late 1960’s. Today there are more than 50 community health centers and satellites providing comprehensive dental services statewide. In 2010, these health centers had more than 381,000 dental patient visits. Community health centers accept

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Commonwealth Choice - Typepad

Details: cost and ability to access preferred health care providers and local hospitals. Below is the contact information for each insurance plan offering Commonwealth Choice plans. Blue Cross Blue Shield of Massachusetts 1-800-422-3545 BMC HealthNet Plan 1-800-792-4355 CeltiCare Health Plan of Massachusetts 1-866-895-1786

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Health Safety Net (HSN)

Details: Health Safety Net (HSN) Updated 2/17 HSN is a program that helps low-income Massachusetts residents of all ages pay for medically necessary health services at designated Massachusetts Community Health Centers (CHCs) and hospitals. People with Medicare may also be eligible to use HSN as secondary coverage for Medicare co-pays and deductibles.

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Typepad

Details: Typepad

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HSN Massachusetts Health Center Locations (2015)

Details: Springfield Caring Health Center, Richard E. Neal Complex 1049 Main Street 01103 (413) 739-1100 Springfield Caring Health Center in the South End 1040 Main Street 01103 (413) 739-1100 Springfield Caring Health Center, Forest Park at the "X" 532 Sumner Avenue 01108 (413) 739-1100

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GIC Health Insurance for Retired State Employees (Annual

Details: GIC Health Insurance for Retired State Employees (Annual Open Enrollment: Early April – Early May, Coverage Effective July 1) Retired State employees eligible for Medicare: The Group Insurance Commission (GIC) offers Medicare supplements to retired State employees who are eligible for Medicare Part A.*

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MassHealth for Parents and Caretaker Relatives

Details: MassHealth for Parents and Caretaker Relatives To qualify, applicants must: Be the parent or caretaker relative* of a child under age 19

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Case Study — George Bell

Details: the group health insurance policy provided by his wife’s employer. He wants to wait to enroll in Medicare Part B after his wife retires in 2 years. Delaying enrollment will result in an additional 10% penalty added to the monthly premium for each year he could have been enrolled in Part B but was not. True ___ False ___

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Health Coverage Mail/Fax Cover Sheet - Typepad

Details: Health Insurance Processing Center . P.O. Box 4405 . Taunton, MA 02780 . Fax: 617-887-8770 . All new paper applications for unsubsidized (no assistance with paying) health insurance through the Health Connector . Unsubsidized applications should be sent to: Massachusetts Health Connector . 133 Portland Street, 1st Floor . Boston, MA 02114-1707

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Application for Health Coverage for Seniors and People

Details: The Health Connector uses Modified Adjusted Gross Income (MAGI) rules to determine eligibility. See the Senior Guide for more information. Page b APPLICATION FOR HEALTH COVERAGE FOR SENIORS AND PEOPLE NEEDING LONG-TERM-CARE-SERVICES SACA-2 (Rev. 06/16) WHAT YOU NEED WHEN YOU APPLY

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Case Study — George Bell

Details: health insurance policy provided by his wife’s employer. He wants to wait to enroll in Medicare Part B after his wife retires in 2 years. Delaying enrollment will result in an additional 10% penalty added to the monthly premium for each year he could have been enrolled in Part B but was not. True ___ False _X__ 4.

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Typepad

Details: Created Date: 20100223123846Z

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Self Help Packet for Home Health Care Appeals Including

Details: Home health claims are suitable for Medicare coverage, and appeal if they have been denied, if they meet the following criteria: 1. A physician has signed or will sign a plan of care for home health services. 2. The patient is homebound. This criterion is met if leaving home requires a considerable and taxing effort

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Prescription Advantage 2016 Medicare Part D Plans

Details: Health New England 1-800-546-5677 1-413-787-0010 Catamaran/ Welldyne Yes www.healthnewengland.com Updated 11/07/15: General number Mail order Website Tufts 1-800-701-9000 1-800-701-9000 CVS Caremark Yes www.tuftsmedicarepreffered.org UHC AARP MAPD 1-800-643-4845 1-800-547-5514 OptumRx 1-800-562-6223 Yes - mbrs set up account with Optum

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Veteran Healthcare Programs and Benefits – Federal & State

Details: Health care services are provided within VA Health facilities with small co-pays and no monthly premiums. VA health care includes “creditable” prescription coverage (co-pays are no more than $9 for all drugs) VA prescription formulary is almost entirely generic drugs and has a very limited formulary

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Medicaid/MassHealth

Details: Health Safety Net: Pays for services provided by an acute hospital or community health center in the state of Massachusetts. CommonHealth: For individuals who were disabled before turning 65. After turning 65, they must meet a work requirement of 40 hours per month to be eligible for CommonHealth. There are no income or asset limits for this

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MassHealth Office of Long Term Services and Supports SCO

Details: •Tufts Health Plan: non-profit, offered by Massachusetts based Tufts Health Plan Coverage is nearly statewide- excluding Dukes, Nantucket, Berkshire and parts of Hampshire, Hampton and Franklin Counties . 10 Senior Care Options Program All of the Senior Care Organizations hold the same contract

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DEPARTMENT OF HEALTH SERVICES

Details: 431.107(b)(4), if it is a provider of home health or personal care services. 13. The Provider agrees to provide services to eligible members without regard to religion, race, color, or national origin in compliance with Title VI of the Civil Rights Act of 1964 (42 U.S.C. § 2000d et

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SHINE (Serving the Health Insurance Needs of Everyone

Details: SHINE (Serving the Health Insurance Needs of Everyone) Regional Office Directory Call 1‐800‐AGE‐INFO (1‐800‐243‐4636) to connect to your regional SHINE office or call the corresponding number below. Chinese‐speaking individuals can call the Greater Boston Chinese Golden Age Center at 617‐357‐0226. City or Town Abington Acton

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2016 MassHealth Income Standards and Federal Poverty

Details: Family Size MassHealth Income Standards 100% Federal Poverty Level 5% Federal Poverty Level 120% Federal Poverty Level 133% Federal Poverty Level 135%

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CENTERS FOR MEDICARE & MEDICAID SERVICES You

Details: Health and Human Services. Welcome to “Medicare & You” 2013 . This year’s handbook is full of important information to help answer questions about your Medicare benefits, coverage options, rights, and more. Medicare is stronger than ever and we’re working hard to make sure you have reliable, high-quality health care at a cost you can

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Massachusetts Community Health Center Dental Program Directory

Details: The first community health center in the United States was established in Boston, Massachusetts in 1965, and is known today as the Geiger-Gibson Community Health Center. Community health centers are programs developed by the residents of a community to provide culturally and

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PI-94-11 Non-Homemaker Purchased Services

Details: from a Certified Home Health Agency shall complete a nursing assessment to determine the type, amount and frequency of Home Health Services needed. A health service care plan shall be developed in coordination with the clients' comprehensive service plan. The Home Care Corporation and the Certified Home Health Agency shall agree on the service

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