Current through Register 1536, December 6, 2024
Section 519.009 - MassHealth Limited(A)Eligibility Requirements. (1) MassHealth Limited is available to community residents 65 years of age or older meeting the financial and categorical requirements of MassHealth Standard coverage as described at 130 CMR 519.005(A) and (B) and who are (a) other noncitizens described in 130 CMR 518.003(D): Other Noncitizens;(b) qualified noncitizens barred as described in 130 CMR 518.003(A)(2): Qualified Noncitizens Barred;(c) nonqualified individuals lawfully present as described in 130 CMR 518.003(A)(3): Nonqualified Individuals Lawfully Present; or(d) nonqualified PRUCOLs as described in 130 CMR 518.003(C): Nonqualified Persons Residing under Color of Law (Nonqualified PRUCOLs).(2) Community residents 65 years of age or older who are qualified noncitizens barred, as described in 130 CMR 518.003(A)(2): Qualified Noncitizens Barred, nonqualified individuals lawfully present, as described in 130 CMR 518.003(A)(3): Nonqualified Individuals Lawfully Present, and nonqualified PRUCOLs, as described in 130 CMR 518.003(C): Nonqualified Persons Residing under Color of Law (Nonqualified PRUCOLs), may also be eligible for MassHealth Family Assistance if they meet the categorical and financial requirements of 130 CMR 519.013.(3) Persons eligible for MassHealth Limited coverage are eligible for medical benefits described at 130 CMR 450.105(F): MassHealth Limited.(B)Use of Potential Benefits. All individuals who meet the requirements of 130 CMR 519.009 must use potential health-insurance benefits in accordance with 130 CMR 517.008: Potential Sources of Health Care and must enroll in health insurance, including Medicare, if available at no greater cost to the applicant or member than he or she would pay without access to health insurance. Members must access those other health-insurance benefits and must show both their private health-insurance card and their MassHealth card to providers at the time services are provided.(C)Coverage Date. The begin date of medical coverage is established in accordance with 130 CMR 516.005: Coverage Date.Amended by Mass Register Issue 1327, eff. 12/2/2016.Amended by Mass Register Issue 1407, eff. 1/1/2020.Amended by Mass Register Issue 1409, eff. 1/1/2020.Amended by Mass Register Issue 1496, eff. 5/12/2023 (EMERGENCY).Amended by Mass Register Issue 1502, eff. 5/12/2023 (EMERGENCY).Amended by Mass Register Issue 1508, eff. 5/12/2023 (EMERGENCY).Amended by Mass Register Issue 1509, eff. 11/24/2023.Amended by Mass Register Issue 1512, eff. 11/24/2023.Amended by Mass Register Issue 1514, eff. 11/24/2023.