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The document is the Massachusetts Application for Health and Dental Coverage, detailing how to apply for health insurance and assistance programs like SNAP. It outlines various application submission methods, eligibility criteria, required information, and instructions for individuals seeking health or dental coverage in Massachusetts. The application is designed for residents under 65 years old or parents of children under 19, emphasizing the importance of providing accurate household information to determine eligibility for various health coverage options.

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Versions	Form popularity	Fillable & printable
2021	4.8 Satisfied (263 Votes)
2017	4.3 Satisfied (134 Votes)
2016	4.3 Satisfied (86 Votes)
2014	4 Satisfied (57 Votes)

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Where to mail a MassHealth application?

Mail your filled-out, signed application to Health Insurance Processing Center PO Box 4405 Taunton, MA 02780. Fax your filled-out, signed application to (857) 323-8300. Call us at (800) 841-2900, TDD/TTY: 711, or (877) MA ENROLL ([877] 623-6765). Visit a MassHealth Enrollment Center (MEC).

How long does it take for a MassHealth application to be approved?

MassHealth has a 60-day timeline to process applications. However, a complete application submission will generally be processed within 30 days. If your submitted application is incomplete, a representative from MassHealth will reach out to the contact person listed on the application.

How do I apply for assistance in Michigan?

One way to apply is online through the MDHHS website, MI Bridges . However, if you need immediate help you can also apply in person at your local MDHHS office. Your local MDHHS office will give you an application form , but it may be easier to print an application form and fill it out completely before going to MDHHS.

Where can I get a MassHealth application?

If MassHealth members or applicants need support or have any questions they should contact the Customer Service Center at (800) 841-2900, TDD/TTY: 711. In addition, applicants can apply for benefits online at .mahealthconnector.org.

How do I send forms to MassHealth?

You can fax your MassHealth Health Plan Enrollment Form to (617) 988-8903.

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What documents are needed for Medicaid in Michigan?

What to bring to your DHS appointment Proof of Income. Pay Stub(s) from the last 30 days. Bank Statement from the last 30 days. Social Security awards letter. Tax Return. Unemployment letter. Social Security Number. Identification. Drivers License. State ID. Proof of Address. ID with current address. Utility Bill.

How to track MI Bridges application?

If you recently submitted an application, you can check the status on your MI Bridges dashboard. Login to MI Bridges and click on the Application Status button.

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Where to mail a MassHealth application?

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How do I apply for assistance in Michigan?

Where can I get a MassHealth application?

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