Category: MassHealth

MassHealth Documentation for Disability for Exemption

Hi all, I have a number of clients who are on CarePlus and disabled, but not on Social Security or MassHealth based on disability yet. Is there any documentation about proving disability to be exempt from the work requirements for 2027?  Will a neuropsych report or letter frm an MD with diagnosis and issues be […]

Update from MassHealth on the Assister Line

Update: MassHealth’s Assister Line   The MassHealth Assister Line provides Certified Assisters with expedited access to MassHealth customer service representatives (CSRs) and eligibility workers when they are actively working with an applicant or member.   MassHealth recently made several updates to its Contact Center phone menu (or “IVR”) to improve the member experience.  However, these changes have […]

Telephonic Signature

Hello Loopers, Has anyone experienced difficulty when calling the Assister Line with getting the Telephonic signature completed so we can do an application over the phone.  I recently had two separate representatives advised me that there was no such thing.  I even referenced the Telephonic Assister Guidance issued 10/2025. Thanks Laura

Updated MassHealth FPL Chart

Hello Loopers, MassHealth’s FPL limit has been updated to reflect the COLA adjustment to the federal poverty level that goes into effect March 1. MLRI has updated their chart. Both resources are located on the ‘Issue Specific Resources’ page.  Reminder that the Health Connector uses 2025 FPL guidelines for the calendar year. -Hannah

Preliminary injunction stopping DHS from using any Medicaid data for immigration purposes extended until January 5, 2026.

The injunction preventing CMS from sharing Medicaid member data with DHS has been extended until January 5th. The talking points we shared after the initial injunction remains accurate: English Spanish Portuguese Haitian Creole French