Apply for MassHealth, the Health Safety Net, or the Children's Medical Security Plan

What you need for Apply for MassHealth, the Health Safety Net, or the Children's Medical Security Plan

Who can use this application

Use this application if you need health or dental coverage and help paying for it, and if you:

• Live in Massachusetts
• Are not living in or not about to go into a nursing facility, and
• Are younger than age 65

You may also use this application (regardless of your age, even if you are over age 65) if you:

• Are the parent of a child younger than age 19
• Are the adult relative of a child and you are living with and taking care of that child because that child's parents are not living in the home
• Are disabled and are either:
  • Working 40 or more hours a month or are currently working and have worked at least 240 hours in the six months immediately before the application, or
  • Not working (only if younger than 65)

If you are 65 years or older and do not fit into any of the above categories, or if you need long-term care at any age, please see Apply for MassHealth coverage for seniors and people who need long-term care. 

What you need

To apply, you may need to provide the following information and documents:

• Social Security numbers, if you have them, for every household member who is applying
• Federal tax returns, if you file
• Information about citizenship or national status or immigration status
• Employer and income information for everyone in your household (for example, from paystubs or wage statements)
• Information about any job-related or other health insurance that you are currently enrolled in or have access to

More info about Apply for MassHealth, the Health Safety Net, or the Children's Medical Security Plan

Voter Registration

If you are a U.S. citizen, a resident of Massachusetts, and 18 years old on or before election day, you can register to vote. Just print out this voter registration form and bring or mail it to your town or city hall. If you need help, you can call 800-841-2900 (TTY: 800-497-4648).

Need help?

Call us at 800-841-2900 (TTY: 800-497-4648) if you need:

A Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3)

• A Member Booklet for Health and Dental Coverage and Help Paying Costs in another language

• Interpreter services

• Help filling out the application

• Help with any questions about the application process

For Hurricane Evacuees

Applicants who have evacuated from the storm-affected areas in 2017 may have little documentation. MassHealth has developed processes to streamline the application process for hurricane evacuees. See our Communication for Hurricane Evacuee Applications for details. Applicants affected by a hurricane should fill out the Self-Attestation Form. You can find these in the Downloads section below.