Financial Eligibility Information for Long-term-care Providers

Learn about health care eligibility requirements for individuals age 65 or older or people who need long-term-care services. MassHealth eligibility is determined using factors, such as income, assets, residency, and household composition. The full list of factors can be found in the MassHealth Member Regulations.  

To find out if you are eligible, you must complete an application. Member eligibility regulations

Eligibility and Application

• Learn about health care eligibility requirements for individuals aged 65 or older or people who need long-term-care services.
• Program financial guidelines for certain MassHealth applicants and members
• Helpful tips for applying for MassHealth Long-Term-Care (LTC) benefits
• MassHealth Long Term Care Eligibility Review Form
• MassHealth Senior Renewal Application
• Authorized Representative Designation Form
• Permission to Share Information Form
• Status Change for a Member in a Nursing Facility or Chronic Disease and Rehabilitation Inpatient Hospital

Frail Elder Waiver

• Frail Elder Waiver
• Information about MassHealth HCBS Waivers ABI and MFP
• ABI Waiver Eligibility and Application Process

How to Appeal

As a MassHealth applicant or member, if you disagree with a MassHealth decision, or if we modify or deny a prior authorization (PA), you have a right to appeal the decision.

How to appeal a MassHealth decision

MassHealth Customer Service Center

• Call [phone]
• Find Enrollment Center addresses and other related information

Date published:	April 3, 2024