THE REVERE ADVOCATE – Friday, December 6, 2019 Page 23 PRESERVING YOUR RIGHTS WITH FILING OF APPEAL W h e n f i l i n g f o r a MassHealth application for either long-term nursing home benefits or for community MassHealth benefits, more often than not, a denial letter will follow after the first Request for Information is sent out to the applicant’s representative. It is important to file for an appeal with the Board of Hearings within the time period allowed by law. When you file a MassHealth application, benefits can be paid retroactively as far as the first day of the third month “prior” to the date of submission of the application. It is important to have MassHealth held by the original application date and the original date that benefits are requested, as the applicant may have no more funds available with which to pay the nursing home or for caregiving expenses while at home. If an applicant receives a denial letter due to missing information and subsequently submits the missing information within the 30-day time period allowed, MassHealth treats that as if there was a new application thereby creating a new application date. This has the effect of delaying the start date of MassHealth benefits by pushing the start date out further than what the applicant was initially asking for. As an example, assume that an application was submitted on December 1, 2019 asking for an effective date of benefits of September 1, 2019. Medicare may have stopped paying benefits for someone in rehab, for example, as the care being provided to the individual was no longer considered rehabilitative, but rather custodial in nature only. Further assume that a Denial notice is received on February 1, 2020 as a result of missing information. If the applicant submits the inforYOUR FINANCIAL FOCUS | SEE PAGE 26 Snow Shovelers Wanted (Everett, Revere, Chelsea) Experienced Bartender/Server wanted for restaurant in Everett Square. Call (617) 387-9810 * Pressure Release Systems * Mold Remediation * Stucco Application * Downspout Drainage * Vapor Barriers * Concrete Floor Painting * Masonry * Encapsulations * Foundation Crack Repair * Pump & Battery Backup (617) 416-9403 www.squarewaterproofing.com Earn extra money! Need to be in good health to shovel snow, spread salt, and run a snow blower. Pays $20 per hour, based on experience. Call Anthony at (617) 212-2003 ~ Help Wanted ~ Insurance Customer Service Representative (Everett) Established and growing Insurance Agency just north of Boston is seeking a full time Personal Lines Account Specialist. Applicants should have at least 2 years of insurance experience and be proficient in all areas of personal lines including Auto, Home, Umbrella, and Flood. Knowledge of coverage is essential. A Massachusetts Property and Casualty Insurance License is preferred or a willingness to obtain one within three months of employment. In addition to a competitive salary and benefits package, we offer a fast paced and positive work environment where team efforts and an ability to work independently are key. Please forward resumes to Danielle@mastrocolainsurance.com EOE Like us on Facebook advocate newspaper Facebook.com/Advocate.news.ma
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