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September 1, 2006
MassHealth 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.
Excerpt
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