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Click ‘Get Form’ to open the MassHealth Eligibility Review form in the editor.
Begin by filling out your personal information, including your name, address, and Social Security Number (SSN). Ensure all details are accurate to avoid processing delays.
In the income section, report your current income sources. Attach any necessary documentation that proves your income before deductions.
Complete the asset section by listing all relevant assets. Remember to include copies of immigration status documents if applicable.
If you have a Personal Care Attendant (PCA), fill out the PCA Supplement included with the form. Make sure to sign and date the review form before submission.
Review all sections for completeness and accuracy. If needed, use our platform's features to add notes or additional information.
Once completed, download or print the filled form and send it back to the designated MassHealth Enrollment Center address provided in your notice.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

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How do I verify eligibility for MassHealth?

For families, pregnant women, and people under age 65: Call the MassHealth Customer Service Center at 800-841-2900 or 800-497-4648 (TTY) to request a MassHealth Application (MHA) for Seniors and People Needing Long-Term-Care Services.

What is the income limit for MassHealth eligibility?

If you have a unique situation or question that you would like to discuss further with Customer Service MassHealth Customer Service can be docHubed by phone at (800)-841-2900, TDD/TTY: 711 MassHealth | Mass.gov Health Connector Customer Service can be docHubed by phone at: 1-877-MA-ENROLL (1-877-623-6765), or TTY: 711

Does MassHealth check income?

MassHealth members can have MassHealth and Medicare at the same time. If you have Medicare and MassHealth, Medicare is considered a liable third party or TPL. This means Medicare is billed as the primary insurer and MassHealth is the secondary coverage.

What is the phone number for MassHealth eligibility?

As of 2024, MassHealth imposes income and asset limits for eligibility as follows: For individuals aged 65 and older, the income limit is $2,382 per month, while the asset limit is $2,000 in countable assets.

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