The documents and brochures available for download below are intended to assist users of the Common Intake, and Eligibility Screening tools.


Forms

  • Updated 9/25/12!

    The Desk Guide includes recent changes to the signature requirements for Common Intake MassHealth applications. This guide contains important information on how and where to send documentation to MassHealth for online and paper applications.

    MassHealth Common Intake Change of Information Cover Sheet pdf format of    MH Common Intake Change of Information Cover Sheet  doc format of MH Common Intake Change of Information Cover Sheet
    Use this form to make corrections to application data recently submitted using Common Intake. This form must be completed and faxed to the CPU or MEC, depending on the type of MassHealth application and when you are sending the corrections.

Job Aids

The following are quick reference documents intended to assist providers on the job.

Common Intake Best Practice Guides

The following are best practice guides intended to assist providers on the job:

 


This information is provided by the Virtual Gateway within Health and Human Services.