Applying for disability with MassHealth

MassHealth applicants or members may qualify or receive additional benefits if they have a confirmed disability.

Some MassHealth applicants may already be qualified as disabled through other means, such as the Social Security Administration (SSA) or the Massachusetts Commission for the Blind (MCB). Other applicants may need to complete an application through the MassHealth Disability Evaluation Services (DES).

If your disability is confirmed

If you have a confirmed disability, you may be eligible for MassHealth Standard or CommonHealth, depending on your income and other factors. If you are disabled with income over 133%, you may be eligible for MassHealth CommonHealth.

If you have questions about your MassHealth eligibility, contact MassHealth Customer Service [phone], TDD/TTY: 711.

If your disability is not confirmed

MassHealth requires you to complete a Disability Supplement form if you are not confirmed for disability through SSA, MCB, or other means. There are two different supplements, depending on your age. 

• If you are 18 years or older, you should complete the Adult Disability Supplement.
• If you or your child are under 18 years old, you should complete the Child Disability Supplement.

If you need help filling out the form, call a DES representative: [phone], TDD/TTY: 711.

How to fill out and submit the Adult Disability Supplement form

Download and print the Adult Disability Supplement PDF to fill it out.

Each supplement includes five copies of the Authorization to Release Protected Health Information Form (MADS-MR). You must complete a separate MADS-MR form for every medical and mental health provider that you include in your supplement. 

If you want someone to help you complete the form and receive information for you, or if someone has legal authority to act on your behalf, please attach the corresponding, completed legal paperwork to your printed disability supplement (for example, an Authorized Representative Designation Form, guardianship form, or power of attorney form).

Once your Disability Supplement form is complete, you can mail or fax the forms.

Mail:
Disability Evaluation Services (DES)
PO Box 2796
Worcester, MA 01613-2796

Fax: [phone]

How to fill out and submit the Child Disability Supplement form

Download and print the Child Disability Supplement PDF to fill it out.

Each supplement includes five copies of the Authorization to Release Protected Health Information Form (MADS-MR). You must complete a separate MADS-MR form for every medical and mental health provider that you include in your supplement.

If you want someone to help you complete the form and receive information for you, or if someone has legal authority to act on your behalf, please attach the corresponding, completed legal paperwork to your printed disability supplement (for example, an Authorized Representative Designation Form, guardianship form, or power of attorney form).

Once your Disability Supplement form is complete, you can mail or fax the forms.

Mail:
Disability Evaluation Services (DES)
PO Box 2796
Worcester, MA 01613-2796

Fax: [phone]

Forms

Date published:	July 31, 2025