10- 144 C.M.R. ch. 103, § V-5.1

Current through 2024-51, December 18, 2024
Section 144-103-V-5.1 - Overview

Recipients in the "transition" Program are required to pay a premium as a condition of eligibility.

When two (2) members of a household are required to pay a premium, the household may opt to not pay a premium for one of those individuals. Coverage will be closed or denied for that individual electing not to pay a premium.

The Department will provide 12 day advance written notification to recipients informing them of the monthly premium amount. Recipients must sign, date and return the notice form by the end of the month in which the 12 day notice period ends, agreeing to pay the premium to the Department. If the signed and dated form is not returned, coverage will be denied or closed.

Example: A recipient in the basic. Program is determined eligible for the "transition" Program on August 5th effective for September. The individual is provided with the 12 day written notice that s/he is required to pay a premium effective for the month of September.

The signed and dated notice must be returned to the Department by August 30th. The September payment is due September 1st.

10- 144 C.M.R. ch. 103, § V-5.1