130 Mass. Reg. 519.012

Current through Register 1519, April 12, 2024
Section 519.012 - MassHealth CommonHealth
(A)Working Disabled Adults.
(1)Eligibility Requirements. MassHealth CommonHealth for working disabled adults is available to community residents 65 years of age or older in the same manner as it is available to those younger than 65 years old. This means that eligible applicants must meet the requirements of 130 CMR 505.004(B)(2), (3) and (5) to be eligible for CommonHealth.
(2)Other Provisions. The following provisions apply to CommonHealth applicants and members 65 years of age or older: 130 CMR 505.004(A)(2), (H) through (J), (M)(1) and (2), and (N).
(B)Certain Disabled Institutionalized Who Are Noncitizens Children.
(1)Eligibility Requirements. MassHealth CommonHealth is available to institutionalized disabled children who meet the requirements of 130 CMR 505.004(G): Disabled Children Younger than 18 Years Old, and 130 CMR 519.006(A)(2), and who
(a) have attained the immigration status described in 130 CMR 518.003(A)(2): Qualified Noncitizens Barred, and five years have not passed from the date they attained such status;
(b) are noncitizens under the Immigration and Nationality Act (INA); or
(c) are noncitizens paroled into the United States under the INA § 212(d)(5) for less than one year.
(2)Other Provisions. The following provisions apply to CommonHealth applicants and members who are described in 130 CMR 519.012(B)(1), 130 CMR 505.004(A)(2), (H) and (J), and (M)(1) and (2).
(C)Financial Eligibility. Financial eligibility for all MassHealth CommonHealth applicants and members is based on 130 CMR 506.000: Health Care Reform: MassHealth: Financial Requirements. 130 CMR 520.000: MassHealth: Financial Eligibility does not apply.
(D)Medicare Premium Payment.
(1) MassHealth also pays the cost of the monthly Medicare Part B premium through the Qualifying Individual program under 130 CMR 519.011(B) on behalf of members who meet the requirements of 130 CMR 505.004: MassHealth CommonHealth and who have modified adjusted gross income of the MassHealth Disabled Adult household that is less than or equal to 135% of the FPL.
(2) The coverage described in 130 CMR 505.004(L)(1) begins on the first day of the month following the date of the MassHealth eligibility determination and may be retroactive up to three months prior to the date the application was received by MassHealth.

130 CMR 519.012

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.