The documents and brochures available for download below are intended to assist users of the Common Intake, and Eligibility Screening tools.
Forms
- MassHealth Cover Sheets
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
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.
- Verifying MassHealth Member Eligibility using EVS Job Aid (Posted 3/8/12)
This job aid describes how MassHealth providers use EVS to verify a member’s eligibility using the Provider Online Service Center prior to providing services and submitting a claim. EVS - not MAP - is the system of record for all claims and billing issues. - MassHealth Cover Sheets
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. - Contacting the Virtual Gateway Helpdesk
- Virtual Gateway Login Job Aid
Job aid outlining how to access and log in to the Virtual Gateway - MassHealth Common Intake Asset Checklist
Asset checklist for 65+ applications - MassHealth Common Intake Checking if Applicant Known to MassHealth (Posted 11/28/2012)
This quick reference guide details how to check and review My Account Page (MAP) for existing MassHealth member benefit information. - MassHealth Common Intake Determining Family Groups (Posted: 2/9/2012)
file size 2MB
Quick reference for determining a family group according to MassHealth. - MassHealth/SNAP Combo Application Job Aid
This job aid guides a MassHealth Provider through the steps of submitting a SNAP Application as part of the MassHealth Application process. - SNAP (formerly the food stamp program) Benefit Overview
This job aid describes the SNAP application process once an application has been submitted.
Common Intake Best Practice Guides
The following are best practice guides intended to assist providers on the job:
- MassHealth/VG Common Intake Best Practices Guide - Personal Information file size 1MB
file size 2MB
- MassHealth/VG Common Intake Best Practices Guide - Income Information file size 1MB
file size 2MB
- MassHealth/VG Common Intake Best Practices Guide - Insurance Information
file size 1MB
- MassHealth/VG Common Intake Best Practices Guide - Submit Application file size 1MB
file size 2MB
This information is provided by the Virtual Gateway within Health and Human Services.