130 CMR, § 501.003

Current through Register 1531, September 27, 2024
Section 501.003 - MassHealth Coverage Types
(A) The MassHealth agency provides access to health care by determining eligibility for the coverage type that provides the most comprehensive benefits for an individual who may be eligible.
(B) MassHealth offers several coverage types: Standard, CommonHealth, CarePlus, Family Assistance, and Limited. The coverage type for which a person is eligible is determined based on the individual's income and circumstances, as described in 130 CMR 503.000 through 505.000, and immigration status, as described in 130 CMR 504.000: Health Care Reform: MassHealth: Citizenship and Immigration.
(C) The MassHealth agency may limit the number of people who can be enrolled in MassHealth Family Assistance. When the MassHealth agency imposes such a limit, no new adult applicants (21 years of age or older) subject to these limitations will be added to MassHealth Family Assistance, and current adult members in these coverage types who have lost eligibility for more than 30 days for any reason will not be allowed to reenroll until the MassHealth agency is able to reopen enrollment for adults in MassHealth Family Assistance.

130 CMR, § 501.003

Amended by Mass Register Issue 1343, eff. 7/14/2017.
Amended by Mass Register Issue 1349, eff. 7/14/2017.
Amended by Mass Register Issue 1354, eff. 12/18/2017.
Amended by Mass Register Issue 1396, eff. 12/18/2017.
Amended by Mass Register Issue 1500, eff. 7/21/2023.