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September 1, 2006

ShareMassHealth Transmittal Letter to Providers About Manual Revisions

This letter advises all providers who participate in MassHealth that there are revisions to the provider manual in Appendix Y due to Commonwealth Care coverage. Effective October 1, 2006, six new messages will be displayed by the Recipient Eligibility Verification System when a member is enrolled or determined eligible to enroll in a new health-care program, the Commonwealth Care Health Insurance Program, also referred to as Commonwealth Care. Commonwealth Care is administered by the Commonwealth Health Insurance Connector Authority (referred to as the "Connector").

Commonwealth Care is a program that provides subsidies toward the purchase of private health insurance on behalf of enrolled Massachusetts residents who are not eligible for MassHealth benefits (other than MassHealth Limited) and who have household incomes at or below 300% of the federal poverty level. Commonwealth Care coverage is not MassHealth, but MassHealth is assisting the Connector in eligibility processing for Commonwealth Care.

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