ConnectorCare

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ConnectorCare Plan Type 1 ending in January 2026

Vicky Pulos
The Health Connector will be eliminating ConnectorCare Plan Type 1 in January 2026. This is the plan that since 2014 has provided affordable coverage to lawfully present immigrants with income of 100% of the poverty level or less who were not eligible for Medicaid due to their immigration status.…

Fed Litigation against Trump Admin Actions: TROs, PIs, & Stays

Dani Schulkin and Ryan Goodman, Just Security
Webpage provides infographics on how federal courts have ruled as of 8/14/25 on interim relief (temporary restraining orders, preliminary injunctions, blocks pending appeal) in the 378 cases tracked by Just Security which challenge the second Trump administration's executive actions. No case tracked…

Comments on Proposed Marketplace Rules April 2025

Health Connector; MLRI
HHS released a proposed rule affecting Marketplace coverage for comments. Attached are the comments filed by the Massachusetts Health Connector (our state-based Marketplace) and the comments filed by MLRI. Virtually all the proposed changes would make it harder for eligible people to enroll or renew…

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

Vicky Pulos, MLRI
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…

MLRI's Health Program Upper Income Limits Table-updated for 3.1.25

MLRI
Attached is MLRI's March 1, 2025 Table of monthly and weekly upper income limits for  MassHealth, the Medicare Savings Programs, the Health Safety Net, and CMSP reflecting the 2025 increase in the Federal Poverty Level (FPL). The updated figures are not applied by MassHealth until March 1. The…

MassHealth & Health Connector Unwinding Policy Updates (April 2024)

MassHealth & Health Connector
Attached is the  MassHealth & Health Connector Learning Series Update for the Spring 2024 Massachusetts Health Training Forum (MTF). In the MassHealth section it includes information about the status of various policies in place during the unwinding. Some are ending in 2024 in April, June…

2024 Upper Income Limits for MassHealth and other Coverage Programs

MLRI
Attached is MLRI's March 1, 2024 Table upper income limits in MassHealth, MSP, Health Safety Net, CMSP and ConnectorCare, along with the Nov 1 2024 Table (updated Jan 30, 2025) showing the updated income limits for ConnectorCare coverage in 2025; open enrollment for 2025 begins on Nov 1,…

Advocacy Tips for Helping Older Adults Retain MassHealth

Victoria Pulos
Attached is a  powerpoint presentation with citations to authority describing pathways to MassHealth coverage for older adults in the community whose countable income  exceeds 100% FPL and/or whose countable assets exceed $2000/$3000. It is intended to assist legal aid lawyers and…

HIX System Changes in Dec 2023

MassHealth & the Health Connector
Attached is an Assister Update  describing a series of December 2023 changes to the HIX system that determines eligibility for MassHealth for most people under 65 and for ConnectorCare and premium tax credits from the Health Connector. The update describes new questions and messages in the…

MassHealth Webinar on Understanding Citizenship & Immigration Requirements for Health Programs

MassHealth & Health Connector
Attached are slides of this Jan 2024 webinar in the Massachusetts Health Training Form (MTF) Learnings Series developed by MassHealth and the Health Connector called Understanding  Citizenship and Immigration Requirements for Health Programs.  A YouTube recording of the webinar is…

2023 Upper Income Limits in MassHealth and Health Connector

MLRI & MassHealth
MassHealth updates its income standards with the current year's poverty level on March 1. Attached is MLRI's table showing the upper income levels for MassHealth and Health Connector programs, updated to show the cost of living adjustments for 2023 that take effect in MassHealth…

ConnectorCare 2024: Open Enrollment begins Nov 1 2023

Health Connector
Massachusetts Health Connector: Open Enrollment 2024 Open Enrollment for the Health Connector is just around the corner, Nov 1, 2023 –Jan 23, 2024 for coverage starting in 2024. The Health Connector sent out preliminary redetermination notices to its current members and an opportunity to update…

MassHealth after incarceration

Isabel Wanner
Attached is a flyer prepared by MLRI's Health Justice Advocate Isabel Wanner explaining what to do if someone is at risk of losing MassHealth or Health Connector benefits based on incorrect or out of date information that they are incarcerated. The Flyer is in English & Spanish Also attached…

Record of COVID-19 Related changes affecting Health Coverage from March 2020-23

MLRI
UPDATE MAY 11, 2023 END OF FEDERAL COVID-19 PUBLIC HEALTH EMERGENCY On May 11, 2023 the Secretary of HHS ended the federal COVID-19 Public Health Emergency. See related materials here The COVID-19 Health Changes Table was last updated in March 2023 and should only be used as a reference for…

Mass. Health Care Training Forum Notice April 6 2022

MassHealth and Health Connector
This announcement distributed to the Mass. Health Care Training Form email list on April 6, 2022, describes several upgrades to the HIX Eligibility System including- A new option to allow people who will be eligible for ConnectorCare  with income of 150% FPL or less to check a box to be…

March and Nov 2022 Upper Income Limits in MassHealth and Health Connector

MLRI
MassHealth updates its income standards with the current year's poverty level on March 1. Attached are tables from MLRI showing the upper income levels for MassHealth and Health Connector programs, updated to show the cost of living adjustments for 2022 that took effect in MassHealth…

Updated Office of Medicaid Guidance on Cuban-Haitian Entrants

Office of Medicaid
This Feb 2022 Eligibility Operations 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. It updates an earlier June 2020 El Ops Memo to include examples of…

March & Nov 2021 Update of FPL Tables in MassHealth & Health Connector

MassHealth & MLRI
Attached are updated Tables from MassHealth and MLRI showing the upper income levels for MassHealth and Health Connector programs. It is updated to show the cost of living adjustments for 2021 that take effect in MassHealth programs on March 1, 2021. The Health Connector uses the 2020 federal…

What does the American Rescue Plan Act Mean for Affordable Health Coverage and Enhanced Medicaid services in Massachusetts?

MLRI
The American Rescue Plan Act (ARPA) signed by President Biden on March 11, 2021 is the most significant (albeit temporary) expansion of affordable health care coverage since the Affordable Care Act.  This Memo is a first pass at what the ARPA mean for affordable health coverage and…

MAGI Resources

Various
Since 2014, MAGI or Modified Adjusted Gross Income has been the  income methodology used by MassHealth for most people under age 65, and also used by the Connector to determine eligibility for ConnectorCare and Premium Tax Credits. Attached is a set of FAQs about MAGI from the Center on…

Health Connector Updates- MA Health Care Training Forum Materials

Health Connector
Attached is a powerpoint presentation that the Health Connector presented at the July 2020 MA Health Care Training Forum (MTF) meeting regarding Health Connector updates. It describes the most recent COVID-19 related changes, the Health Connector's transition to a new customer…

Understanding the ACA: the minimum income standard for ConnectorCare and how it affects seniors

Vicky Pulos
MLRI has updated its 2016 paper  on a quirky aspect of the law that is affecting a relatively small group of  seniors who may lose eligibility for ConnectorCare (which has no asset test) when their income drops below 100% of poverty or they go from being Lawfully Present to Qualified…

Assister Updates from MassHealth & Health Connector

MassHealth and Health Connector
MassHealth and the Health Connector issue regular updates via email to Certified Application Counselors and Navigators as Assister Updates that we will be posting from time to time. However, please check our Table of COVID-19 changes because some of these polices from Mar-May have changed over…

New Health Connector Mailing Address

Health Connector
On May 19, 2020 The Health Connector changed its mailing address. The new mailing address is Health Connector Processing Center, P.O. Box 4404, Taunton, MA 02780.  The MassHealth-Health Connector Mail/Fax Cover Sheet has been updated to reflect the new mailing…

Applying for Health Coverage: How does unemployment income count?

Vicky Pulos
This guide describes where to enter unemployment income on the combined application form used to apply for both MassHealth and help paying for private insurance from the Health Connector. It includes pictures of what some of  the key screens of the online health application look like…

MassHealth Training Forum April 2020 Materials

MassHealth & Health Connector
This website contains materials from the April 2020 MassHealth Training Forum --Powerpoint presentations covering the major COVID-19 related changes over the last 2 months including slides from MassHealth addressing the MassHealth termination moratorium; verifying eligibility by self-attestions,…

How MassHealth & the Health Connector Treat New Payments under the CARES ACT

MLRI
This MLRI Table shows how MassHealth and the Health Connector count new payments authorized by the Coronavirus Aid, Relief, and Economic Security (CARES) Act: a one-time tax rebate from the IRS in the amount of $1200 per eligible adult and $500 per qualifying child under 17, extended Unemployment…

2020 Upper Income Levels for MassHealth & Other Health Programs

MLRI and EOHHS
Attached are updated income tables for 2020 showing the upper income limits in MassHealth and Other Health programs. One table is the MassHealth Desk Guide showing the annual and monthly amounts that correspond to different percentages of the federal poverty level used by MassHealth; the 5%…

MassHealth & Temporary Census Earnings

Vicky Pulos
Temporary census work is currently available but MassHealth members may have concerns that the added income will jeopardize their continued eligibility for MassHealth.  This Q & A for providers & advocates describes how MassHealth treats temporary census earnings for individuals…

October 2019 Health Update: Open Enrollment & More

Vicky Pulos

Open Enrollment 2020 & ConnectorCare

Vicky Pulos
Open enrollment for 2020 coverage is from Nov. 1, 2019 to Jan. 23, 2020. People enrolled in ConnectorCare in 2019, should check to see if they will be enrolled in the right plan for them in 2020 or whether they need to take action to update information in their account and/or select a different…

August 2019 State Health Update:

vicky pulos
Attached is an update of several health items in the FY 20 state budget, improvements in the state medical child support law,  improvements in the MassHealth/Connector online system, and several positive changes in MassHealth eligibility policies. 

ConnectorCare Advocacy Guide

MLRI
ConnectorCare Advocacy Guide: An Advocate's Guide to the Massachusetts ConnectorCare Program   This handbook is designed for advocates and attorneys helping low- and moderate-income clients needing access to health care services who are not eligible for MassHealth, but may qualify…

2019 Upper Income Levels for MassHealth & Other Health Programs

MLRI and EOHHS
Attached are updated income tables for 2019 showing the upper income limits in MassHealth and Other Health programs. One Table is the MassHealth Desk Guide showing the annual and monthly amounts that correspond to different percentages of the federal poverty level used by MassHealth; the 5% of FPL…

Open Enrollment 2019

MLRI & others
Open enrollment in Mass. this year is Nov. 1, 2018 to Jan. 23, 2019. This is the time of year when people can buy individual (non-group) insurance on their own or change their non-group coverage for 2019. For people who were eligible for ConnectorCare but missed enrollment deadlines for 2018…

2018 ConnectorCare enrollment options after Jan 23

Health Care for All
People purchasing individual coverage including ConnectorCare can only do so during "open enrollment" or if they have experienced a "qualifying event." Open enrollment for 2018 ended in MA on Jan 23, 2018.  However, it is not too late for people to obtain ConnectorCare…

MassHealth Income Guidelines effective March 1, 2018

MLRI. MassHealth
The MLRI Health Income Chart includes the 5% MAGI allowance, plus the $20 income disregard for MassHealth Senior calculations The MassHealth Desk Guide does not include combined figures.

MassHealth Income Guidelines 2017 & 2018

MLRI, MassHealth
Attached are four tables.  The MLRI MassHealth Income Table for March 1 2017.  This table factors in the 5% MAGI income deduction to the various poverty levels.  Effective in MassHealth Mar 1, 2017 to Feb 28, 2018. Updated for Connector Open Enrollment beginning Nov 1,…

2018 Open Enrollment in Massachusetts

Vicky Pulos, MLRI
Attached is a flyer with basic information about  open enrollment for 2018.  This applies to people who are enrolled in or applying for ConnectorCare or other non-group health insurance. The flyer includes links to key information on the Health Connector website and elsewhere. Also…

MLRI MassHealth/Connector Income Guidelines for Open Enrollment beginning November 1, 2017

MLRI
Attached is a revised MLRI MassHealth Income Chart, revised to reflect the 2017 FPL levels for the Connector programs. 2017 FPL income guidelines are effective in ConnectorCare during the January through December 2018 enrollment period.  Open Enrollment for 2018, begins on November 1st and runs…

ConnectorCare Premiums for 2018

Connector
Attached are the premium charges by plan and by region for ConnectorCare in 2018.  Starting Nov 1, 2017 current enrollees can change plans, and new applicants can sign up for coverage starting Jan. 1, 2018.  ConnectorCare is offering only one "affordable" plan choice and current…

Revised Health Income Guidelines for November 1, 2016 Open Enrollment

MLRI
MLRI's Income Table for MassHealth and Other Health Programs has been updated for the Open Enrollment Period governing the Connector's programs beginning November 1st, 2016. MLRI's Tables shows upper income limits by month and by week including the amount of the standard deduction…

New Health Income Chart for Use in Open Enrollment Beginning November 1st, 2016

MLRI
Attached hereto, please find a new income chart for use in ConnectorCare and Qualified Health Plans for Open Enrollment which begins November 1st, for effective coverage beginning in January 2017.  These new numbers are based on the 2016 Federal Poverty level and are used for benefits for the…

Info for ConnectorCare members who didn't file a 2015 federal tax return

Vicky Pulos
This 2-page flyer is intended for people who received ConnectorCare in 2015 but did not file a federal tax return for 2015. They will not be eligible for ConnectorCare in 2017 unless they file their 2015 return along with a form to account for the advance premium tax credits that are part of…

Connector information in Spanish & other languages

Connector
The on-line application is currently only available in English but if you select a language in the upper right hand corner of the screen much of the information on mahealthconnector.org has been translated into other languages . Paper applications are available in English or Spanish.…

2016 ConnectorCare Materials

Connector
The Connector has updated flyers and other informational materials about ConnectorCare for 2016 coverage.   Follow the link to their "Resource Download Center" for documents that include the 2016 Guide to ConnectorCare; a Guide to subsidized plans explaining how advance…

New FPL Guidelines for Open Enrollment 2015-16

MLRI
Attached are the updated Federal Poverty Standards for the Connector Programs (Connector Care and Qualified Health Plans) for the Open Enrollment period beginning November 1st .  The actual effective date for eligibility purposes is January 1st, but enrollment for January starts in…

ConnectorCare-Basic Info Needed to Select a Plan

Health Connector
ConnectorCare is the name for those private plans purchased through the Health Connector with the lowest premium & cost sharing for individuals with income that does not exceed 300% of the poverty level. It is comparable to the former Commonwealth Care program.  Once found eligible for…

Update on People Losing Health Coverage

Vicky Pulos MLRI
This updated April 10, 2015 Table shows the two different groups of people who had health coverage end recently or will be getting MassHealth termination notices soon.  Both groups need to reapply for coverage but they have different deadlines and different remedies if they miss their…

Enrollment Dashboard for 2015 Open Enrollment

Connector and Office of Medicaid
2015 Open Enrollment started on Nov. 15, 2014 and ended on Feb. 23, 2015. It was the time in which people could freely purchase non-group health insurance on their own and also coincided with a new eligibility and enrollment system for MassHealth & the Connector going live and with various forms…