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MassHealth New Year News

Happy New Year to Health Advocates Everywhere,

We will be sending out an update on Open Enrollment, the MassHealth Renewal-Reapplication process and other developments soon.
For now, MLRI is releasing another paper in our Understanding the Affordable Care Act series.  This one is about a quirky aspect of the law that is affecting a relatively small group of seniors who had been enrolled in ConnectorCare in 2015 (and many of them had been enrolled in Commonwealth Care in prior years) but now have been notified that they are not eligible for ConnectorCare because their income is too low.
Yup, you read that right. There is an income floor in ConnectorCare with just one exception for lawfully present immigrants who do not qualify for Medicaid under its more restrictive immigrant eligibility rules (like legal permanent residents subject to the 5 year waiting period). The people affected are seniors who are not enrolled in Medicare (Medicare enrollees are never eligible for ConnectorCare) with low income but assets over the $2000/$4000 asset standard for MassHealth for seniors and who are US citizens or Qualified immigrants. They are looking at a new year with no health coverage.

We haven't been able to find out how many seniors are affected, but  know of 6-8 cases where seniors found their way to lawyers or application assisters for help. The attached paper in Q & A format, lays out the problem, and an array of options that may help at least some seniors qualify for ConnectorCare, MassHealth or other health coverage programs.

Please let us know if you are seeing affected clients and how the solutions we propose have worked out for them.
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