Section 505.001 - Introduction130 CMR 505.000 explains the categorical requirements and financial standards that must be met to qualify for a MassHealth coverage type. The rules of financial responsibility and calculation of financial eligibility are detailed in 130 CMR 506.000: Health Care Reform: MassHealth: Financial Requirements.
(A) The MassHealth coverage types are the following: (1) MassHealth Standard S for people who are pregnant, children, parents and caretaker relatives, young adults, disabled individuals, certain persons who are HIV positive, individuals with breast or cervical cancer, independent foster care adolescents, Department of Mental Health (DMH) members, and medically frail as such term is defined in 130 CMR 505.008(F);(2) MassHealth CommonHealth - for disabled adults, disabled young adults, and disabled children who are not eligible for MassHealth Standard;(3) MassHealth CarePlus - for adults 21 through 64 years old who are not eligible for MassHealth Standard;(4) MassHealth Family Assistance - for children, young adults, certain noncitizens and persons who are HIV positive who are not eligible for MassHealth Standard, MassHealth CommonHealth, or MassHealth CarePlus;(5) MassHealth Limited - for certain lawfully present immigrants as described in 130 CMR 504.003(A): Lawfully Present Immigrants, nonqualified PRUCOLs, and other noncitizens as described in 130 CMR 504.003: Immigrants; and(6) MassHealth Medicare Savings Programs (MSP, also called Senior Buy-in and Buy-in)-for certain Medicare beneficiaries.(B) The financial standards referred to in 130 CMR 505.000 use MassHealth modified adjusted gross income (MAGI) household or MassHealth Disabled Adult household, as defined in130 CMR 506.002: Household Composition.Amended by Mass Register Issue 1347, eff. 9/8/2017.Amended by Mass Register Issue 1496, eff. 5/12/2023 (EMERGENCY).Amended by Mass Register Issue 1500, eff. 7/21/2023.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.