Understanding immigrants' eligibility for MassHealth & other subsidized coverage, March 2025

This  updated March 2025 memo summarizes the current immigrant eligibility rules that MassHealth and the Health Connector use in making decisions about what kinds of coverage non-citizens with different kinds of status can receive.

It includes Appendices listing different categories of immigrants eligible for different kinds of benefits under health program rules. Two tables summarize the information. It includes citations to state & federal regulations along with links to other resources.

If you know a client's immigration status, use the Find function to see in which Appendix that kind of status is shown, then use the information about whether the status is Qualified, Qualified Barred, Non-Qualified Lawfully Present or PRUCOL in Table 2 to see what kinds of health benefits  the individual may be able to receive based on their immigration status and other factors shown on the Table.  

May 1, 2025 Update: MassHealth has amended the eligibility criteria for the pathway to state-funded coverage of long term services and supports. See, Eligibility Operations Memo 25-08 (May 2025)