Massachusetts law about Medicaid (MassHealth)

A compilation of laws, regulations, cases and web sources on MassHealth.

Table of Contents

Best bets

MassHealth, Mass. Department of Health and Human Services.
Includes an overview of the program, information for recipients, information for providers, how to apply, and more.

MassHealth Advocacy Guide, Mass. Law Reform Institute, 2012. Online version of the popular book includes detailed guidance on eligibility, covered services and appeals.

Medicaid, US Dept. of Health and Human Services. Includes general information, enrollment and coverage, and more.

Massachusetts laws

MGL c.118E Division of Medical Assistance. Also see new or newly-revised sections:

  • § 9D Senior care options initiative; senior care organizations; enrollment choices; advisory committee; report
  • § 10K Coverage for certain services and contraceptive methods
  • § 12A Supplemental rebates
  • § 25 Exempt income and resources
  • § 25A Exempt income for the Qualified Medicare Beneficiary, Specified Low-Income Medicare Beneficiary and Qualified Individual programs
  • § 33 Long term care insurance purchasers; liability for medical assistance paid
  • § 38A Retroactive claims denial for mental health services

Massachusetts regulations

130 CMR 501-610 MassHealth regulations

Federal laws

42 USC 1396 et seq Medical Assistance Programs

Federal regulations

42 CFR 430-456 US Medicaid Regulations

Web sources

Member Booklet for health and dental coverage and help paying costs,  Executive Office of Health and Human Services, March 2018
Includes how to get MassHealth, details about coverage, and more

Medicaid Application Process in MA (MassHealth), The Forum for Massachusetts Law
Provides "a checklist of necessary documentation" to gather when beginning the process of applying for MassHealth

Requiring Adult Children to Pay for Aging Parents, ElderLaw Answers.
Helpful information on laws that may require adult children to support their parents. See also, Massachusetts' filial responsibility law, Chapter 273, section 20.

Print sources

Elder Law (Mass. Practice v.56) , Thomson/West, annual. Chapters 8 and 9. 

Estate Planning for the Aging or Incapacitated Client in Massachusetts, Chapter 34: MassHealth and Resource Planning, MCLE.

Massachusetts Elder Law, LexisNexis Matthew Bender

The MassHealth Process from Application to Approval, MCLE, 2016

Maximizing Community Benefits, Suffolk University Center for Advanced Legal Studies, Center for CLE & Academic Conferences, 2009

Medicare and Medicaid Claims and Procedures, West, with supplement

Preserving and Transferring Your Client's Principal Residence, MCLE, 2014

Contact

Phone

Within Massachusetts only

Within Massachusetts only

Online

Reference librarians online Chat with a law librarian 
Reference librarians via email masslawlib@gmail.com

Address

Administrative office (no law library at this location)
2 Center Plaza
9th Floor
Boston, MA 02108
Last updated: August 14, 2019
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