EOHHS Virtual Gateway - Massachusetts Health Care Training Forum

Commonwealth of Massachusetts
Executive Office of Health and Human Services
EOHHS Virtual Gateway:
MTF Updates
Commonwealth of Massachusetts
April 2011
EOHHS Virtual Gateway
NEW: Residency Questions
New Required
Questions!
• First question is
required
• Second question
will appear and
is required ONLY
if response to
first question is
“Yes”
EOHHS Virtual Gateway
UPDATE: Fishing Partnership Question
Fishing Industry Insurance Access Information
 Fisherman’s Partnership no longer offering insurance as of June 30th
 MA21 work underway to remove logic that blocked Fisherman Partnership
folks from being eligible for Commonwealth Care
 Question about Fisherman’s Partnership access will be removed in next
round of applications
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EOHHS Virtual Gateway
REMINDER: Citizenship Verification on the VG
Easier, quicker
than paper
form!
EOHHS Virtual Gateway
REMINDER: Citizenship Verification on the VG
EOHHS Virtual Gateway
REMINDER: Check MAP and VC-1’s
Reminder: Always Check MAP and VC-1’s
• Always check My Account Page to view
which verifications have been requested
by a VC-1 and appropriate address / fax
number for submitting the proofs.
• Appropriate address and phone number
will always be posted at the top of VC-1
notices.
EOHHS Virtual Gateway
REMINDER: “Best Practice” Refreshers
Looking Forward to Seeing You –
Unique Opportunity to Hear the Latest from MassHealth Staff!
• Sign up for “Best Practice”
sessions at today’s MTF!
• Two ways to get on board:
• Special form attached to your MTF
packet – just fill out and submit to staff
today, or
• Contact Wanda Montes at
[email protected]
617-847-1289
• We will also reach out to offer our
assistance where it appears users
are having difficulty submitting
applications consistent with
MassHealth rules and regulations
EOHHS Virtual Gateway
Quality Assurance
Tips to Ensure
Complete & Accurate VG Applications
• Always include all household family group members;
• Always include the correct household income amount;
• Don’t omit household income if there is income;
• Answer all Absent Parent questions as required;
• List 18 year olds as children in their parents’ household.
Remember that MassHealth rules state that age 19 is the cutoff age, not 18;
• Don’t omit household assets for community elders if there are
assets (e.g., checking accounts used for Social Security
Administration direct deposits).
EOHHS Virtual Gateway
Quality Assurance
Reminders for Employees and Contractors
Who Assist Health Assistance Applicants
• Seek and disclose information on family size and income that
is accurate and correct;
• Answer questions in the detail required;
• Do not leave out any important information that could result
in an incorrect eligibility determination;
• Never fill out paper ERV or MBR with automatic or default
responses that don't accurately reflect the applicant's /
member's situation
• Inform applicants that falsifying or withholding information to
obtain benefits could result in fines or criminal penalties.
EOHHS Virtual Gateway
Consumers can screen for potential eligibility, and
apply for SNAP. Heads of Households (individual who
signed the application) currently receiving benefits
can register / log into member-facing MAP
EOHHS Virtual Gateway
Poster and Flyer – Member Facing MAP – For Heads of Households
• Download,
photocopy, and
distribute flyer to
your clients and
patients!
• Order free flyers
and posters: Call
1-800-841-2900.
Press “1” then “8”
at the prompts.
http://www.mass.gov/Eeohhs2/docs/masshealth/provider_services
/forms/map-flyer.pdf
EOHHS Virtual Gateway
24 / 7 Phone Service
EOHHS Virtual Gateway
Questions?
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