Commonwealth of Massachusetts Executive Office of Health and Human Services Office of Medicaid 600 Washington Street Boston, MA 02111 www.mass.gov/masshealth MassHealth All Provider Bulletin 183 February 2009 TO: All Providers Participating in MassHealth FROM: Tom Dehner, Medicaid Director RE: Member Eligibility REVS Responses Provided Between 12/17/08 and 01/13/09 Incorrect Responses MassHealth has discovered that a small number of members who used Given to Certain the automated voice response (AVR) system to check their eligibility may Members Checking have received incorrect information about their eligibility coverage with Eligibility MassHealth or Commonwealth Care. The incorrect information was limited to only certain members who used the AVR between December 17, 2008, and January 13, 2009. Further research has revealed that a majority of those members have since spoken with a MassHealth Customer Service representative or checked with their managed care plan or physician to verify their eligibility status. MassHealth has notified all the affected members who did not subsequently contact MassHealth Customer Service, their MCO, or their physician. In the letter to affected members, we asked members to contact MassHealth Customer Service if they are still confused about their eligibility after rechecking their status using the AVR. No Impact to REVS The Recipient Eligibility Verification System (REVS) that is accessed by Used by Providers MassHealth providers was not affected by this error. Providers using REVS to check member eligibility during this period received accurate information. Questions If you have any questions about the information in this bulletin, please contact MassHealth Customer Service at 1-800-841-2900, e-mail your inquiry to providersupport@mahealth.net, or fax your inquiry to 617-988-8974.