Massachusetts Equity Incentive Plan

State:
Multi-State
Control #:
US-CC-4-104E
Format:
Word; 
Rich Text
Instant download

Description

This is a multi-state form covering the subject matter of the title.
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FAQ

If MassHealth members or applicants need support or have any questions they should contact the Customer Service Center at (800) 841-2900, TDD/TTY: 711. In addition, applicants can apply for benefits online at .mahealthconnector.org?.

If you want to see information about your health assistance benefits online, use My Account Page. My Account Page can help you manage your MassHealth, Commonwealth Care, Health Safety Net, Children's Medical Security Plan and Healthy Start benefits.

If you are a MassHealth, Commonwealth Care, or Health Safety Net member or applicant you can get the same information by phone at (888) 665-9993. When you call this number, select a language and then press Option 1. You will be led through a series of easy menus to access your information.

Your written request must be signed, dated, and include the following information. Name. Date of birth. MassHealth number or the last four digits of your social security number. Description of the information you are seeking (e.g., applications, claims, or notices)

MassHealth pays for many important health-care services including doctor visits, hospital stays, rehabilitation and therapeutic services, and behavioral health and substance use disorder services. To get more specific information, call the MassHealth Customer Service Center.

How to ask for your records for any reason other than an appeal. Call the MassHealth Enrollment Center at (800) 841-2900, TDD/TTY: 711. Tell them which records you want and when you want them. The Enrollment Center worker will send you a copy of your record.

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Massachusetts Equity Incentive Plan