Eligibility
Resources in this Category
ALL Administrative Decisions Agency Rules & Procedures Policy Advocacy Practice Materials Other
Title  | Date | ||
|---|---|---|---|
 | 1999 MassHealth El-Ops Memo on income from self employment A recent fair hearing decision cited to this 1999 memo describing how MassHealth treats self-employment income including the limited situations where a net loss can offset other income. | 10/3/2008 | |
| | 2007-2008 MassHealth Income/Poverty Level Tables Tables showing upper income limits in MassHealth and other health care programs. | 10/19/2007 | |
 | Advocate's Desk Guide to NonCitizen Eligibility -Part 2 of 2 Additional tables showing the key to codes on certain types of immigration documents | 7/6/2007 | |
| | An Advocate's Desk Guide to Non Citizen Eligibility for MassHealth-Part 1 of 2 Charts summarizing immigrant eligibility rules & identifying documents and codes that establish different types of immigration status for MassHealth and Commonwealth Care | 7/6/2007 | |
| | CMS fact sheet on requirement that US citizens verify citizenship The federal Medicaid agency (CMS) has published interim final rules implementing the provision of the DRA requiring US citizens to verify citizenship & identity. Unlike earlier guidance, the rules exempt citizens who are SSI & Medicare recipients from having to prove citizenship. The attached fact sheet summarizes the rules. | 7/10/2006 | |
| | Continuing disability -nonreceipt of renewal form Hearing officer believes applicant who says he didn't receive disability review form and reinstates MassHealth pending disability review. Congratulations to Nancy Lorenz of GBLS. | 11/20/2007 | |
| | Eligibility Operations Memo 01-03 on Rental Income Calculations Clarification of policy explaining how rental income is calculated in determing applicant household's MassHealth eligibility | 3/1/2001 | |
| | Field Op 01-015 Temporary MassHealth Cards for TAFDC and EAEDC Applicants and Recipients | 3/12/2001 | |
 | Hearing Memo on Mass Health Standard income limit for individual within a household GBLS hearing memo which, after being sent to DMA Legal, led to DMA reversing its decision and approving the appellant's application. DMA had denied the application finding that the appellant, whose sole income is SSDI, was over the income limit when viewed as a household with her teenage daughter who receives SS dependent's benefits. GBLS argued that the appellant should qualify individually for QMB Medicaid benefits because she receives Medicare, and DMA Legal agreed. | 7/11/2005 | |
| | MassHealth Announcement of Verification Requirement for US Citizens This is the announcement MassHealth has prepared describing how it will implement a new federal law requiring US citizens applying for Medicaid after July 1, 2006 to verify that they are citizens | 6/30/2006 | |
| | MassHealth Breast & Cervical Cancer Program Flyer MLRI has prepared a flyer on the MassHealth Breast & Cervical Cancer program --more affordable and comprehensive benefits for uninsured women AND women on Commonwealth Care or MassHealth Essential | 9/19/2008 | |
| | MassHealth Changes on July 1, 2006 Changes in MassHealth effective July 1 include: restoration of optional benefits to adults; new smoking cessation benefit; increase in income eligibility for children & youth under age 19 to 300% of poverty, and implementation of federal rules requiring US citizens to verify citizenship & imposing harsher transfer of asset penalties for those seeking nursing home care. | 6/30/2006 | |
| MassHealth Coverage - Relatives Caring for Minor Children | 6/6/2000 | ||
| | MassHealth expands eligibility for children to 300% of poverty This is the notice of the emergency rule & proposed final rule increasing the income eligibility for children in Family Assistance from 200% to 300% of poverty; adding a new requirement of 6-months without insurance to discourage families from dropping private coverage, and new premium charges. The rule itself is posted at www.mass.gov/masshealth. Comments can be filed through July 22. | 6/30/2006 | |
| | MassHealth HIV/AIDS Brochure | 4/3/2001 | |
 | MassHealth Income Standards and Federal Poverty Guidelines | 7/31/2007 | |
| | MBR (DMA's Application - Spanish) | ||
| | MBR (DMA's application form - English) Application for all non-institutionalized MassHealth applicants under age 65. | ||
| | Member Information-- Division of Medical Assistance | ||
| | Notice to 9000 CMSP children of upgrade to MassHealth This is a notice MassHealth sent to about 9000 children now on CMSP who will qualify for MassHealth Family Assistance after July 1, 2006. These children will be automatically enrolled in early July and sent a second notice of decision & additional information about their new coverage | 6/30/2006 | |
| | Notice to Members of New & Restored Benefits This is the notice MassHealth mailed to members telling them about the July 1 2006 benefit improvements; more detailed information for providers and emergency rules are now or will soon be posted at www.mass.gov/masshealth | 6/30/2006 | |
| | Office of Medicaid Guidance on Cuban-Haitian Entrants This 5-14-2008 memo from the Office of Medicaid provides information on how to identify Cuban-Haitian entrants who are "qualifed aliens" eligible for medical benefits on the same terms as US citizens. | 5/15/2008 | |
| | Part 6 Eligibility Criteria for Pregnant Women Medicaid Advocacy Guide | ||
| | Part 3 Universal Eligibility Criteria MassHealth Advocacy Guide | ||
| | Practice Memo: Services Available to non-citizens denied MassHealth Long Term Care Services Updated 2007 version intentended for health care providers | 2/27/2004 | |
| | PS 01-8 Processing a DMA case with an open DTA case in progress. | 12/14/2001 | |
| | Revised Office of Medicaid Form for Massachusetts birth certificate The Office of Medicaid has revised the form to be used to request a record of Massachusetts birth from the Vital Statistics Office. The birth record will be sent back to the Office of Medicaid not the applicant. An applicant born in Mass. who needs a copy of the birth certificates can obtain it at no charge from the Vital Stats. Office but not by using this form. | 3/29/2007 | |
| | Summary of Health Access Developments in FY 2008 Summary of fiscal 2008 budget items and administrative developments affecting access to MassHealth, CMSP, Prescription Advantage, Free Care (Health Safety Net), Commonwealth Care and implementation of the "Individual Mandate" to have health insurance--with citations. | 9/13/2007 | |
| TMA VICTORY and MassHealth for Non-Parent Relatives | 3/27/2000 | ||
| | Updated PRUCOL Memo from Office of Medicaid This 5-14-2008 provides clearer guidance and additional examples of how to identify immigrants eligible for medical benefits as PRUCOL. It updates an earlier Office of Medicaid memo in March 2007. | 5/15/2008 | |
| | What advocates need to know about expanded coverage under the new health reform law This January 2007 memo outlines new coverage options for people under 300% of the poverty level under the 2006 health reform law including Commonwealth Care for uninsured adults and expanded Family Assistance for children. | 1/22/2007 | |
