What does My Ombudsman do?

My Ombudsman helps MassHealth members who need help accessing their covered benefits and services. We are mediators and help keep the lines of communication open between members, MassHealth, providers, or other parties. We offer support, and we respect everyone's unique story, boundaries, and goals. 

We help MassHealth members with all kinds of issues. Some reasons people contact us include: wanting help filing an appeal or grievance; problems getting approval for Personal Care Attendant (PCA) or other home and community-based services; disputes about a medical bill; or difficulty accessing their MassHealth benefits, like non-emergency medical transportation or medical supplies. 

These are just some of the issues we can help with. If you aren’t sure whether we can work with you, you are always welcome to reach out and ask.