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MassHealth EOM 24-03 March 2024 Page 4 of 5 This means HSN may pay some costs after Medicare has been billed. HSN may also pay for services Medicare does not cover, if the person gets the care at a hospital or CHC. There is no member card for HSN. Estate Recovery Estate recovery does not apply to MSPs. A person’s estate does not have to repay MassHealth for their MSP benefits after they die. This is true no matter which application they use to qualify for MSP. However, if they have full MassHealth coverage, MassHealth may be obligated to recover the money it spent for their care from their estate. This is called estate recovery. For more information, please see mass.gov/estaterecoverydetails. QMB Billing Information Under federal law, it is illegal for Medicare providers and suppliers—even those that do not accept Medicaid—to bill QMB beneficiaries for Medicare cost sharing for any Medicare Part A and B covered services. QMB members should show their MassHealth card to providers so they know the member is enrolled. The Centers for Medicare & Medicaid Services (CMS) advises providers and suppliers to establish processes to routinely identify the QMB status of their patients before billing, including those enrolled in Original Medicare and Medicare Advantage plans. CMS also says that providers and suppliers that have mistakenly billed a QMB beneficiary must recall the charges (including referrals to collection agencies) and refund the charges paid. See cms.gov/outreach-and-education/outreach/npc/downloads/2018-06-06-qmb-call-faqs.pdf. Providers that violate these requirements may be subject to state or federal prosecution, including by the Massachusetts Attorney General and the U.S. Attorney. Members can contact Medicare at (800) MEDICARE, (800) 633-4227, TTY: (877) 486-2048. See All Provider Bulletin 386 for more information. Medicare Part D Extra Help People who are enrolled in an MSP are automatically enrolled in Medicare Part D Extra Help. Extra Help is a Medicare program that helps people with limited income and resources pay Medicare drug coverage (Part D) premiums, deductibles, coinsurance, and other costs. Extra Help also limits prescription drug copay amounts. Recipients can sign up for Medicare Part D any time of year, with no late enrollment penalty. Regulations 130 CMR 505.000: MassHealth Coverage Types is effective as of November 24, 2023. 130 CMR 519.000: MassHealth Coverage Types is effective as of November 24, 2023.