Outside Section 17

MassHealth - Employer-Sponsored Insurance Right of Subrogation

SECTION 17.   Section 9A of chapter 118E of the General Laws, as amended by section 17 of chapter 324 of the acts of 2006, is hereby further amended by adding the following subsection:-

          (16) The executive office of health and human services shall enroll MassHealth members in available employer-sponsored health insurance if that insurance meets the criteria for MassHealth payment of premium assistance, and if federal approval will be obtained to ensure federal reimbursement for premium assistance for that insurance.
 
 

Summary:
This section allows MassHealth to contact an applicant's employer on the applicant's behalf and enroll the member in employer-sponsored insurance (ESI). MassHealth would evaluate cost-effectiveness and coverage of any ESI policy and would purchase or subsidize the cost of the policy for the member. This initiative enables MassHealth to avoid unnecessary spending and improve overall program integrity.