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Eligibility Operations Memos by Year

MassHealth issues eligibility operations memos (EOM) as needed to communicate procedures, reminders, and other information to MassHealth staff.
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2025

Open PDF file, 172.38 KB,  EOM 25-06: Changes to MassHealth Premium Assistance Plan Eligibility and Deductible Threshold Guidance (English, PDF 172.38 KB)
Open DOCX file, 122.58 KB,  EOM 25-06: Changes to MassHealth Premium Assistance Plan Eligibility and Deductible Threshold Guidance (English, DOCX 122.58 KB)
Open PDF file, 335.62 KB,  EOM 25-05: Updated Application for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 335.62 KB)
Open DOCX file, 121.51 KB,  EOM 25-05: Updated Application for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOCX 121.51 KB)
Open PDF file, 329.96 KB,  EOM 25-04: Updated Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 329.96 KB)
Open DOCX file, 121.01 KB,  EOM 25-04: Updated Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOCX 121.01 KB)
Open PDF file, 119.45 KB,  EOM 25-03: Change to Number of Days Allowed for Long-Term-Care Applicants and Members to Verify Eligibility and Provide Information (English, PDF 119.45 KB)
Open DOCX file, 119.8 KB,  EOM 25-03: Change to Number of Days Allowed for Long-Term-Care Applicants and Members to Verify Eligibility and Provide Information (English, DOCX 119.8 KB)
Open PDF file, 1.35 MB,  EOM 25-02: Federal and State Health Insurance Requirements for Tax Year 2024 (English, PDF 1.35 MB)
Open DOCX file, 1.51 MB,  EOM 25-02: Federal and State Health Insurance Requirements for Tax Year 2024 (English, DOCX 1.51 MB)
Open PDF file, 345.92 KB,  EOM 25-01: Current Applications, Renewals, and Member Forms (English, PDF 345.92 KB)
Open DOCX file, 121.42 KB,  EOM 25-01: Current Applications, Renewals, and Member Forms (English, DOCX 121.42 KB)

2024

Open PDF file, 114.99 KB,  EOM 24-10: Change in Children’s Medical Security Plan (CMSP) Copay and Premium Policy (English, PDF 114.99 KB)
Open DOCX file, 119.19 KB,  EOM 24-10: Change in Children’s Medical Security Plan (CMSP) Copay and Premium Policy (English, DOCX 119.19 KB)
Open PDF file, 136.43 KB,  EOM 24-09: Medex Premium Rate Changes (English, PDF 136.43 KB)
Open DOCX file, 121.65 KB,  EOM 24-09: Medex Premium Rate Changes (English, DOCX 121.65 KB)
Open PDF file, 149.5 KB,  EOM 24-08: Eligibility Changes Concerning Transfers to Pooled Trust (English, PDF 149.5 KB)
Open DOCX file, 121.29 KB,  EOM 24-08: Eligibility Changes Concerning Transfers to Pooled Trust (English, DOCX 121.29 KB)
Open PDF file, 133.53 KB,  EOM 24-07: Average Cost of Nursing Facility Services (English, PDF 133.53 KB)
Open DOCX file, 118.91 KB,  EOM 24-07: Average Cost of Nursing Facility Services (English, DOCX 118.91 KB)
Open PDF file, 140.22 KB,  EOM 24-06: Process for Requesting a Hardship Waiver for a Period of Ineligibility Due to a Disqualifying Transfer of Resources (English, PDF 140.22 KB)
Open DOCX file, 111.39 KB,  EOM 24-06: Process for Requesting a Hardship Waiver for a Period of Ineligibility Due to a Disqualifying Transfer of Resources (English, DOCX 111.39 KB)
Open PDF file, 182.83 KB,  EOM 24-05: Hospital-Determined Presumptive Eligibility (English, PDF 182.83 KB)
Open DOCX file, 114.03 KB,  EOM 24-05: Hospital-Determined Presumptive Eligibility (English, DOCX 114.03 KB)
Open PDF file, 149.53 KB,  EOM 24-04: Electronic Communication Preference for Modified Adjusted Gross Income (MAGI) Members (English, PDF 149.53 KB)
Open DOCX file, 112.18 KB,  EOM 24-04: Electronic Communication Preference for Modified Adjusted Gross Income (MAGI) Members (English, DOCX 112.18 KB)
Open PDF file, 156.38 KB,  EOM 24-03: Medicare Savings Programs, Formerly Known as MassHealth Senior Buy-In and MassHealth Buy-In Programs (English, PDF 156.38 KB)
Open DOCX file, 136.12 KB,  EOM 24-03: Medicare Savings Programs, Formerly Known as MassHealth Senior Buy-In and MassHealth Buy-In Programs (English, DOCX 136.12 KB)
Open PDF file, 337.75 KB,  EOM 24-02: Continuous Eligibility for Certain MassHealth Members (English, PDF 337.75 KB)
Open DOCX file, 111.71 KB,  EOM 24-02: Continuous Eligibility for Certain MassHealth Members (English, DOCX 111.71 KB)
Open PDF file, 1.37 MB,  EOM 24-01: Federal and State Health Insurance Requirements for Tax Year 2023 (English, PDF 1.37 MB)
Open DOCX file, 1.54 MB,  EOM 24-01: Federal and State Health Insurance Requirements for Tax Year 2023 (English, DOCX 1.54 MB)

2023

Open PDF file, 352.79 KB,  Eligibility Operations Memo 23-28: Updated Changes to Streamline MassHealth CommonHealth Eligibility for Adults (English, PDF 352.79 KB)
Open DOCX file, 27.15 KB,  Eligibility Operations Memo 23-28: Updated Changes to Streamline MassHealth CommonHealth Eligibility for Adults (English, DOCX 27.15 KB)
Open PDF file, 166.91 KB,  Eligibility Operations Memo 23-27: Prehearing Resolution (English, PDF 166.91 KB)
Open DOCX file, 41.13 KB,  Eligibility Operations Memo 23-27: Prehearing Resolution (English, DOCX 41.13 KB)
Open PDF file, 162.53 KB,  Eligibility Operations Memo 23-26: Medex Premium Rate Changes (English, PDF 162.53 KB)
Open DOCX file, 55.39 KB,  Eligibility Operations Memo 23-26: Medex Premium Rate Changes (English, DOCX 55.39 KB)
Open PDF file, 172.04 KB,  Eligibility Operations Memo 23-25: Average Cost of Nursing Facility Services (English, PDF 172.04 KB)
Open DOCX file, 26.11 KB,  Eligibility Operations Memo 23-25: Average Cost of Nursing Facility Services (English, DOCX 26.11 KB)
Open PDF file, 158.13 KB,  Eligibility Operations Memo 23-24: Applying for Home- and Community-Based Services Waivers (English, PDF 158.13 KB)
Open DOCX file, 35.35 KB,  Eligibility Operations Memo 23-24: Applying for Home- and Community-Based Services Waivers (English, DOCX 35.35 KB)
Open PDF file, 192.55 KB,  Eligibility Operations Memo 23-23: Disregard of Certain Assets for Those Subject to Post-Eligibility Treatment of Income (PETI) and the Holyoke Soldiers’ Home Settlement (English, PDF 192.55 KB)
Open DOCX file, 35.16 KB,  Eligibility Operations Memo 23-23: Disregard of Certain Assets for Those Subject to Post-Eligibility Treatment of Income (PETI) and the Holyoke Soldiers’ Home Settlement (English, DOCX 35.16 KB)
Open PDF file, 191.8 KB,  Eligibility Operations Memo 23-22: Updated Fair Hearing Request Form (English, PDF 191.8 KB)
Open DOCX file, 37.85 KB,  Eligibility Operations Memo 23-22: Updated Fair Hearing Request Form (English, DOCX 37.85 KB)
Open PDF file, 149.29 KB,  Eligibility Operations Memo 23-21: Updated Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 149.29 KB)
Open DOCX file, 33.53 KB,  Eligibility Operations Memo 23-21: Updated Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOCX 33.53 KB)
Open PDF file, 190.68 KB,  Eligibility Operations Memo 23-20: Updated Application for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 190.68 KB)
Open DOCX file, 31.83 KB,  Eligibility Operations Memo 23-20: Updated Application for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOCX 31.83 KB)
Open PDF file, 146.05 KB,  Eligibility Operations Memo 23-19: Updated - Changes to MassHealth CommonHealth Eligibility for Seniors (English, PDF 146.05 KB)
Open DOCX file, 28.17 KB,  Eligibility Operations Memo 23-19: Updated - Changes to MassHealth CommonHealth Eligibility for Seniors (English, DOCX 28.17 KB)
Open PDF file, 198.27 KB,  EOM 23-18: MassHealth Policy Updates to Support Return to Normal Business Operations (April 1, 2023 – March 31, 2024) (English, PDF 198.27 KB)
Open DOCX file, 31.69 KB,  EOM 23-18: MassHealth Policy Updates to Support Return to Normal Business Operations (April 1, 2023 – March 31, 2024) (English, DOCX 31.69 KB)
Open PDF file, 386.67 KB,  EOM 23-17: Pathway to Short-Term and Long-Term-Care for Family Assistance Members at a Chronic Disease and Rehabilitation Hospital or Nursing Facility – Updated (English, PDF 386.67 KB)
Open DOCX file, 36.32 KB,  EOM 23-17: Pathway to Short-Term and Long-Term-Care for Family Assistance Members at a Chronic Disease and Rehabilitation Hospital or Nursing Facility – Updated (English, DOCX 36.32 KB)
Open PDF file, 381.76 KB,  EOM-23-16: Level-of-Care Conversion Screening Process – Updated (English, PDF 381.76 KB)
Open DOCX file, 32.77 KB,  EOM-23-16: Level-of-Care Conversion Screening Process – Updated (English, DOCX 32.77 KB)
Open PDF file, 177.75 KB,  EOM 23-15: Eligibility Changes Concerning Transfers to Pooled Trusts – [RESCINDED - See EOM 24-08] (English, PDF 177.75 KB)
Open DOCX file, 30.4 KB,  EOM 23-15: Eligibility Changes Concerning Transfers to Pooled Trusts – [RESCINDED - See EOM 24-08] (English, DOCX 30.4 KB)
Open PDF file, 254.91 KB,  EOM 23-14: Legal Requirements of Valid Electronic Signatures (English, PDF 254.91 KB)
Open DOCX file, 32.35 KB,  EOM 23-14: Legal Requirements of Valid Electronic Signatures (English, DOCX 32.35 KB)
Open PDF file, 185.82 KB,  EOM 23-13: MassHealth Policy Updates to Support Return to Normal Business Operations (April 1, 2023 – March 31, 2024) (English, PDF 185.82 KB)
Open DOCX file, 31.58 KB,  EOM 23-13: MassHealth Policy Updates to Support Return to Normal Business Operations (April 1, 2023 – March 31, 2024) (English, DOCX 31.58 KB)
Open PDF file, 391.36 KB,  EOM 23-12: UPDATED: Calculating the Value of Life Estates and Remainder Interests (English, PDF 391.36 KB)
Open DOCX file, 31.68 KB,  EOM 23-12: UPDATED: Calculating the Value of Life Estates and Remainder Interests (English, DOCX 31.68 KB)
Open PDF file, 192.46 KB,  EOM 23-11: Ending Temporary Eligibility Policies Established during the Federal Public Health Emergency (COVID-19 Pandemic) (English, PDF 192.46 KB)
Open DOCX file, 48.71 KB,  EOM 23-11: Ending Temporary Eligibility Policies Established during the Federal Public Health Emergency (COVID-19 Pandemic) (English, DOCX 48.71 KB)
Open PDF file, 173.96 KB,  EOM 23-10: Revised Authorized Representative Designation Form (English, PDF 173.96 KB)
Open DOCX file, 27.38 KB,  EOM 23-10: Revised Authorized Representative Designation Form (English, DOCX 27.38 KB)
Open PDF file, 138.74 KB,  EOM 23-09: Extension of Number of Days to Verify Eligibility Factors, Provide Corroborative Information, and Complete Renewal after the Due Date (English, PDF 138.74 KB)
Open DOCX file, 27.19 KB,  EOM 23-09: Extension of Number of Days to Verify Eligibility Factors, Provide Corroborative Information, and Complete Renewal after the Due Date (English, DOCX 27.19 KB)
Open PDF file, 208.54 KB,  EOM 23-08: Updated Application for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 208.54 KB)
Open DOCX file, 31.8 KB,  EOM 23-08: Updated Application for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOCX 31.8 KB)
Open PDF file, 179.66 KB,  EOM 23-07: Updated Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 179.66 KB)
Open DOCX file, 33.53 KB,  EOM 23-07: Updated Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOCX 33.53 KB)
Open PDF file, 186.41 KB,  EOM 23-06: MassHealth Renewal Application for Certain Seniors Living in the Community (SACA-2-UND) (English, PDF 186.41 KB)
Open DOCX file, 30.23 KB,  EOM 23-06: MassHealth Renewal Application for Certain Seniors Living in the Community (SACA-2-UND) (English, DOCX 30.23 KB)
Open PDF file, 147.91 KB,  EOM 23-05: Clarification of MassHealth Fair Hearing Rules Related to Aid Pending (English, PDF 147.91 KB)
Open DOCX file, 27.41 KB,  EOM 23-05: Clarification of MassHealth Fair Hearing Rules Related to Aid Pending (English, DOCX 27.41 KB)
Open PDF file, 237.35 KB,  EOM 23-04: Medicare Savings (Buy-In) Programs (English, PDF 237.35 KB)
Open DOCX file, 42.66 KB,  EOM 23-04: Medicare Savings (Buy-In) Programs (English, DOCX 42.66 KB)
Open PDF file, 173.14 KB,  EOM 23-03: Hospital-Determined Presumptive Eligibility (HPE): Updates for Non-MAGI Individuals (English, PDF 173.14 KB)
Open DOCX file, 38 KB,  EOM 23-03: Hospital-Determined Presumptive Eligibility (HPE): Updates for Non-MAGI Individuals (English, DOCX 38 KB)
Open PDF file, 178.42 KB,  EOM 23-02: Revised Permission to Share Information Form—Updated (English, PDF 178.42 KB)
Open DOCX file, 30.56 KB,  EOM 23-02: Revised Permission to Share Information Form—Updated (English, DOCX 30.56 KB)
Open PDF file, 1.9 MB,  EOM 23-01: Federal and State Health Insurance Requirements for Tax Year 2022 (English, PDF 1.9 MB)
Open DOCX file, 1.86 MB,  EOM 23-01: Federal and State Health Insurance Requirements for Tax Year 2022 (English, DOCX 1.86 MB)

2022

Open PDF file, 144.63 KB,  EOM 22-18: Three-Month Retroactive Eligibility for Certain MassHealth Applicants (English, PDF 144.63 KB)
Open DOCX file, 31.48 KB,  EOM 22-18: Three-Month Retroactive Eligibility for Certain MassHealth Applicants (English, DOCX 31.48 KB)
Open PDF file, 138.5 KB,  EOM 22-17: Changes to Streamline MassHealth CommonHealth Eligibility for Adults (English, PDF 138.5 KB)
Open DOCX file, 27.1 KB,  EOM 22-17: Changes to Streamline MassHealth CommonHealth Eligibility for Adults (English, DOCX 27.1 KB)
Open PDF file, 126.78 KB,  EOM 22-16: Revised Long-Term Care Eligibility Review Form (English, PDF 126.78 KB)
Open DOCX file, 25.79 KB,  EOM 22-16: Revised Long-Term Care Eligibility Review Form (English, DOCX 25.79 KB)
Open PDF file, 377.18 KB,  EOM 22-15: Medex Premium Rate Changes (English, PDF 377.18 KB)
Open DOCX file, 33.94 KB,  EOM 22-15: Medex Premium Rate Changes (English, DOCX 33.94 KB)
Open PDF file, 171.61 KB,  EOM 22-14: Federal Public Health Emergency Resource Updates (English, PDF 171.61 KB)
Open DOCX file, 28.02 KB,  EOM 22-14: Federal Public Health Emergency Resource Updates (English, DOCX 28.02 KB)
Open PDF file, 125.51 KB,  EOM 22-13: Average Cost of Nursing Facility Services (English, PDF 125.51 KB)
Open DOCX file, 23.49 KB,  EOM 22-13: Average Cost of Nursing Facility Services (English, DOCX 23.49 KB)
Open PDF file, 162.6 KB,  EOM 22-12: Extension of Postpartum Coverage for Eligible Individuals – Revised Eligibility Criteria (English, PDF 162.6 KB)
Open DOCX file, 27.14 KB,  EOM 22-12: Extension of Postpartum Coverage for Eligible Individuals – Revised Eligibility Criteria (English, DOCX 27.14 KB)
Open PDF file, 166.03 KB,  EOM 22-11: Eligibility for Displaced Ukrainian Citizens (English, PDF 166.03 KB)
Open DOCX file, 29.31 KB,  EOM 22-11: Eligibility for Displaced Ukrainian Citizens (English, DOCX 29.31 KB)
Open PDF file, 180.65 KB,  EOM 22-10: Updated MassHealth Response to Coronavirus Disease (COVID-19) (English, PDF 180.65 KB)
Open DOCX file, 36.19 KB,  EOM 22-10: Updated MassHealth Response to Coronavirus Disease (COVID-19) (English, DOCX 36.19 KB)
Open PDF file, 179.01 KB,  EOM 22-09: Updates to Premium Hardship Waiver Regulations (English, PDF 179.01 KB)
Open DOCX file, 28.93 KB,  EOM 22-09: Updates to Premium Hardship Waiver Regulations (English, DOCX 28.93 KB)
Open PDF file, 143.44 KB,  EOM 22-08: Updated Extension of Postpartum Coverage for Eligible Individuals (English, PDF 143.44 KB)
Open DOCX file, 28 KB,  EOM 22-08: Updated Extension of Postpartum Coverage for Eligible Individuals (English, DOCX 28 KB)
Open PDF file, 159.36 KB,  EOM 22-07: Extension of Postpartum Coverage for Eligible Individuals (English, PDF 159.36 KB)
Open DOCX file, 27.54 KB,  EOM 22-07: Extension of Postpartum Coverage for Eligible Individuals (English, DOCX 27.54 KB)
Open PDF file, 190.35 KB,  EOM 22-06: Updated Application for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 190.35 KB)
Open DOCX file, 46.98 KB,  EOM 22-06: Updated Application for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOCX 46.98 KB)
Open PDF file, 263.73 KB,  EOM 22-05: Updated Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 263.73 KB)
Open DOCX file, 33.05 KB,  EOM 22-05: Updated Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOCX 33.05 KB)
Open PDF file, 285.18 KB,  EOM 22-04: Verification of PRUCOL Status (English, PDF 285.18 KB)
Open DOCX file, 62.07 KB,  EOM 22-04: Verification of PRUCOL Status (English, DOCX 62.07 KB)
Open PDF file, 594.21 KB,  EOM 22-03: Eligibility Rules for Cuban and Haitian Entrants (English, PDF 594.21 KB)
Open DOCX file, 72.07 KB,  EOM 22-03: Eligibility Rules for Cuban and Haitian Entrants (English, DOCX 72.07 KB)
Open PDF file, 311.8 KB,  EOM 22-02: Updated Statutory Lien and Release of Lien Forms (English, PDF 311.8 KB)
Open DOCX file, 281.85 KB,  EOM 22-02: Updated Statutory Lien and Release of Lien Forms (English, DOCX 281.85 KB)
Open PDF file, 1.57 MB,  EOM 22-01: Federal and State Health Insurance Requirements for Tax Year 2021 (English, PDF 1.57 MB)
Open DOCX file, 1.56 MB,  EOM 22-01: Federal and State Health Insurance Requirements for Tax Year 2021 (English, DOCX 1.56 MB)

2021

Open PDF file, 134.46 KB,  EOM 21-20: Average Cost of Nursing Facility Services (English, PDF 134.46 KB)
Open DOCX file, 26.27 KB,  EOM 21-20: Average Cost of Nursing Facility Services (English, DOCX 26.27 KB)
Open PDF file, 88.14 KB,  EOM 21-19: 2022 Medex Premium Rate Changes (English, PDF 88.14 KB)
Open DOCX file, 35.6 KB,  EOM 21-19: 2022 Medex Premium Rate Changes (English, DOCX 35.6 KB)
Open PDF file, 124.24 KB,  EOM 21-18: Updates to MassHealth Eligibility for Compact of Free Association (COFA) Migrants (English, PDF 124.24 KB)
Open DOCX file, 35.34 KB,  EOM 21-18: Updates to MassHealth Eligibility for Compact of Free Association (COFA) Migrants (English, DOCX 35.34 KB)
Open PDF file, 311.7 KB,  EOM 21-17: Updated MassHealth Response to Coronavirus Disease (COVID-19) (English, PDF 311.7 KB)
Open DOCX file, 59.95 KB,  EOM 21-17: Updated MassHealth Response to Coronavirus Disease (COVID-19) (English, DOCX 59.95 KB)
Open PDF file, 197.25 KB,  EOM 21-16: Pathway to Short-Term and Long-Term-Care for Family Assistance Members at a Chronic Disease and Rehabilitation Hospital or Nursing Facility (English, PDF 197.25 KB)
Open DOCX file, 33.58 KB,  EOM 21-16: Pathway to Short-Term and Long-Term-Care for Family Assistance Members at a Chronic Disease and Rehabilitation Hospital or Nursing Facility (English, DOCX 33.58 KB)
Open PDF file, 180.36 KB,  EOM 21-15: MassHealth Benefits for Afghan Immigrant Evacuees (English, PDF 180.36 KB)
Open DOCX file, 29.23 KB,  EOM 21-15: MassHealth Benefits for Afghan Immigrant Evacuees (English, DOCX 29.23 KB)
Open PDF file, 302.38 KB,  EOM 21-14: Updated MassHealth Response to Coronavirus Disease (COVID-19) (English, PDF 302.38 KB)
Open DOCX file, 53.79 KB,  EOM 21-14: Updated MassHealth Response to Coronavirus Disease (COVID-19) (English, DOCX 53.79 KB)
Open PDF file, 118.16 KB,  EOM 21-13: Implementation of Post-Eligibility Treatment of Income (PETI) for members enrolled in the Program of All-Inclusive Care for the Elderly (PACE) (English, PDF 118.16 KB)
Open DOCX file, 26.18 KB,  EOM 21-13: Implementation of Post-Eligibility Treatment of Income (PETI) for members enrolled in the Program of All-Inclusive Care for the Elderly (PACE) (English, DOCX 26.18 KB)
Open PDF file, 339.98 KB,  EOM 21-12: Updated Application for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 339.98 KB)
Open DOCX file, 33.86 KB,  EOM 21-12: Updated Application for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOCX 33.86 KB)
Open PDF file, 172.46 KB,  EOM 21-11: Updated MassHealth Medical Records Release Form (English, PDF 172.46 KB)
Open DOCX file, 40.11 KB,  EOM 21-11: Updated MassHealth Medical Records Release Form (English, DOCX 40.11 KB)
Open PDF file, 177.11 KB,  EOM 21-10: Updated Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 177.11 KB)
Open DOCX file, 31.37 KB,  EOM 21-10: Updated Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOCX 31.37 KB)
Open PDF file, 191.35 KB,  EOM 21-09: MassHealth Response to Coronavirus Disease (COVID-19) (English, PDF 191.35 KB)
Open DOCX file, 35.9 KB,  EOM 21-09: MassHealth Response to Coronavirus Disease (COVID-19) (English, DOCX 35.9 KB)
Open PDF file, 360.48 KB,  EOM 21-08: Updates to the MassHealth Estate Recovery Policy (English, PDF 360.48 KB)
Open DOCX file, 43.18 KB,  EOM 21-08: Updates to the MassHealth Estate Recovery Policy (English, DOCX 43.18 KB)
Open PDF file, 198.32 KB,  EOM 21-07: Change in Pharmacy Copay and Premium Policies (English, PDF 198.32 KB)
Open DOCX file, 51.1 KB,  EOM 21-07: Change in Pharmacy Copay and Premium Policies (English, DOCX 51.1 KB)
Open PDF file, 171.75 KB,  EOM 21-06: Verification of PRUCOL Status During the COVID-19 Emergency (English, PDF 171.75 KB)
Open DOCX file, 37.57 KB,  EOM 21-06: Verification of PRUCOL Status During the COVID-19 Emergency (English, DOCX 37.57 KB)
Open PDF file, 209.21 KB,  EOM 21-05: Updated Packet for Member Booklet (ACA-1) and Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 209.21 KB)
Open DOCX file, 32.64 KB,  EOM 21-05: Updated Packet for Member Booklet (ACA-1) and Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOCX 32.64 KB)
Open PDF file, 272.9 KB,  EOM 21-04: Updated Application Packet for Seniors and People Needing Long-Term-Care Services (SACA-2-Packet) (English, PDF 272.9 KB)
Open DOCX file, 32.28 KB,  EOM 21-04: Updated Application Packet for Seniors and People Needing Long-Term-Care Services (SACA-2-Packet) (English, DOCX 32.28 KB)
Open PDF file, 284.75 KB,  EOM 21-03: Massachusetts Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 284.75 KB)
Open DOCX file, 35.49 KB,  EOM 21-03: Massachusetts Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOCX 35.49 KB)
Open PDF file, 238.57 KB,  EOM 21-02: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 238.57 KB)
Open DOCX file, 32.4 KB,  EOM 21-02: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOCX 32.4 KB)
Open PDF file, 1.75 MB,  EOM 21-01: Federal and State Health Insurance Requirements for Tax Year 2020 (English, PDF 1.75 MB)
Open DOCX file, 1.81 MB,  EOM 21-01: Federal and State Health Insurance Requirements for Tax Year 2020 (English, DOCX 1.81 MB)

2020

Open PDF file, 204.1 KB,  EOM 20-21: Level-of-Care Conversion Screening Process (English, PDF 204.1 KB)
Open DOCX file, 52.93 KB,  EOM 20-21: Level-of-Care Conversion Screening Process (English, DOCX 52.93 KB)
Open PDF file, 81.42 KB,  EOM 20-20: Medex Premium Rate Changes (English, PDF 81.42 KB)
Open DOCX file, 31.96 KB,  EOM 20-20: Medex Premium Rate Changes (English, DOCX 31.96 KB)
Open PDF file, 245.87 KB,  EOM 20-19: Hospital-Determined Presumptive Eligibility (HPE) Updates during COVID-19 Emergency (English, PDF 245.87 KB)
Open DOCX file, 41.59 KB,  EOM 20-19: Hospital-Determined Presumptive Eligibility (HPE) Updates during COVID-19 Emergency (English, DOCX 41.59 KB)
Open PDF file, 216.46 KB,  EOM 20-18: Hospital-Determined Presumptive Eligibility for Children's Health Insurance Program Eligible Individuals (English, PDF 216.46 KB)
Open DOCX file, 39.44 KB,  EOM 20-18: Hospital-Determined Presumptive Eligibility for Children's Health Insurance Program Eligible Individuals (English, DOCX 39.44 KB)
Open PDF file, 130.41 KB,  EOM 20-17: Average Cost of Nursing Facility Services (English, PDF 130.41 KB)
Open DOCX file, 25.21 KB,  EOM 20-17: Average Cost of Nursing Facility Services (English, DOCX 25.21 KB)
Open PDF file, 121.27 KB,  EOM 20-16: Calculating the Value of a Life Estate and Remainder Interest for Individuals and Couples (English, PDF 121.27 KB)
Open DOCX file, 39.7 KB,  EOM 20-16: Calculating the Value of a Life Estate and Remainder Interest for Individuals and Couples (English, DOCX 39.7 KB)
Open PDF file, 292.53 KB,  EOM 20-15: Permanent Family Assistance Coverage Expansion for MassHealth Chronic Disease and Rehabilitation Hospitals and Nursing Facilities (English, PDF 292.53 KB)
Open DOCX file, 33.13 KB,  EOM 20-15: Permanent Family Assistance Coverage Expansion for MassHealth Chronic Disease and Rehabilitation Hospitals and Nursing Facilities (English, DOCX 33.13 KB)
Open PDF file, 283.29 KB,  EOM 20-14: Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (English, PDF 283.29 KB)
Open DOCX file, 33.33 KB,  EOM 20-14: Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (English, DOCX 33.33 KB)
Open PDF file, 281.63 KB,  Eligibility Operations Memo 20-13: Hospital-Determined Presumptive Eligibility (HPE) Updates during COVID-19 Emergency (English, PDF 281.63 KB)
Open DOCX file, 43.14 KB,  Eligibility Operations Memo 20-13: Hospital-Determined Presumptive Eligibility (HPE) Updates during COVID-19 Emergency (English, DOCX 43.14 KB)
Open PDF file, 169.59 KB,  EOM 20-12: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 169.59 KB)
Open DOCX file, 32.33 KB,  EOM 20-12: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOCX 32.33 KB)
Open PDF file, 397.9 KB,  EOM 20-11: Eligibility Rules for Cuban and Haitian Entrants (English, PDF 397.9 KB)
Open DOCX file, 42.86 KB,  EOM 20-11: Eligibility Rules for Cuban and Haitian Entrants (English, DOCX 42.86 KB)
Open PDF file, 152.77 KB,  EOM 20-10: Hospital-Determined Presumptive Eligibility (HPE) Flexibilities during COVID-19 Emergency (English, PDF 152.77 KB)
Open DOCX file, 33.03 KB,  EOM 20-10: Hospital-Determined Presumptive Eligibility (HPE) Flexibilities during COVID-19 Emergency (English, DOCX 33.03 KB)
Open PDF file, 199.73 KB,  EOM 20-09: MassHealth Response to Coronavirus Disease 2019 (COVID-19) (English, PDF 199.73 KB)
Open DOCX file, 34.68 KB,  EOM 20-09: MassHealth Response to Coronavirus Disease 2019 (COVID-19) (English, DOCX 34.68 KB)
Open PDF file, 268 KB,  EOM 20-08: Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 268 KB)
Open DOCX file, 32.21 KB,  EOM 20-08: Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOCX 32.21 KB)
Open PDF file, 165.26 KB,  EOM 20-07: Updates to Hospital-Determined Presumptive Eligibility (HPE) Application Process (English, PDF 165.26 KB)
Open DOCX file, 56.09 KB,  EOM 20-07: Updates to Hospital-Determined Presumptive Eligibility (HPE) Application Process (English, DOCX 56.09 KB)
Open PDF file, 222.81 KB,  EOM 20-06: Updates to the Hospital-Determined Presumptive Eligibility (HPE) Application Process (English, PDF 222.81 KB)
Open DOCX file, 34.79 KB,  EOM 20-06: Updates to the Hospital-Determined Presumptive Eligibility (HPE) Application Process (English, DOCX 34.79 KB)
Open PDF file, 109 KB,  EOM 20-05: Medex Premium Rate Changes (English, PDF 109 KB)
Open DOCX file, 26.05 KB,  EOM 20-05: Medex Premium Rate Changes (English, DOCX 26.05 KB)
Open PDF file, 122.9 KB,  EOM 20-04: Determination of Countability of Irrevocable Trusts (English, PDF 122.9 KB)
Open DOCX file, 23.99 KB,  EOM 20-04: Determination of Countability of Irrevocable Trusts (English, DOCX 23.99 KB)
Open PDF file, 143.87 KB,  EOM 20-03: Medicare Savings (Buy-In) Programs (English, PDF 143.87 KB)
Open DOCX file, 27.07 KB,  EOM 20-03: Medicare Savings (Buy-In) Programs (English, DOCX 27.07 KB)
Open PDF file, 72.79 KB,  EOM 20-02: Automatic Voter Registration (English, PDF 72.79 KB)
Open DOCX file, 29.21 KB,  EOM 20-02: Automatic Voter Registration (English, DOCX 29.21 KB)
Open PDF file, 1.61 MB,  EOM 20-01: Federal and State Health Insurance Requirements for Tax Year 2019 (English, PDF 1.61 MB)
Open DOCX file, 1.59 MB,  EOM 20-01: Federal and State Health Insurance Requirements for Tax Year 2019 (English, DOCX 1.59 MB)

2019

Open PDF file, 70.3 KB,  EOM 19-18: Average Cost of Nursing Facility Services (English, PDF 70.3 KB)
Open DOCX file, 23.95 KB,  EOM 19-18: Average Cost of Nursing Facility Services (English, DOCX 23.95 KB)
Open PDF file, 152.25 KB,  EOM 19-17: Updated Incarcerated Inpatient Hospital and Pre-Release Coverage Process (English, PDF 152.25 KB)
Open DOCX file, 28.92 KB,  EOM 19-17: Updated Incarcerated Inpatient Hospital and Pre-Release Coverage Process (English, DOCX 28.92 KB)
Open PDF file, 136.88 KB,  EOM 19-16: State Veterans’ Annuity Payments (English, PDF 136.88 KB)
Open DOCX file, 24.88 KB,  EOM 19-16: State Veterans’ Annuity Payments (English, DOCX 24.88 KB)
Open PDF file, 135.49 KB,  EOM 19-15: Affidavits for Proof of Zero Income, Massachusetts Residency, and Incarceration Status (English, PDF 135.49 KB)
Open DOCX file, 27.36 KB,  EOM 19-15: Affidavits for Proof of Zero Income, Massachusetts Residency, and Incarceration Status (English, DOCX 27.36 KB)
Open PDF file, 66.8 KB,  EOM 19-14: Administrative Annual Renewals for Members in Long-term Care (English, PDF 66.8 KB)
Open DOCX file, 25.74 KB,  EOM 19-14: Administrative Annual Renewals for Members in Long-term Care (English, DOCX 25.74 KB)
Open PDF file, 160.4 KB,  EOM 19-13: Post-Eligibility Treatment of Income (PETI) for Home- and Community-Based Services (HCBS) Waiver Members in the Special Income Eligibility Group (English, PDF 160.4 KB)
Open DOCX file, 23.79 KB,  EOM 19-13: Post-Eligibility Treatment of Income (PETI) for Home- and Community-Based Services (HCBS) Waiver Members in the Special Income Eligibility Group (English, DOCX 23.79 KB)
Open PDF file, 148.14 KB,  EOM 19-12: Calculating the Value of a Life Estate and Remainder Interest (English, PDF 148.14 KB)
Open DOCX file, 31.14 KB,  EOM 19-12: Calculating the Value of a Life Estate and Remainder Interest (English, DOCX 31.14 KB)
Open PDF file, 68.53 KB,  EOM 19-11: Updated Incarcerated Inpatient Hospital and Pre-Release Coverage Process (English, PDF 68.53 KB)
Open DOCX file, 28.04 KB,  EOM 19-11: Updated Incarcerated Inpatient Hospital and Pre-Release Coverage Process (English, DOCX 28.04 KB)
Open PDF file, 144.42 KB,  EOM 19-10: Updated Massachusetts Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 144.42 KB)
Open DOCX file, 26.22 KB,  EOM 19-10: Updated Massachusetts Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOCX 26.22 KB)
Open PDF file, 147.35 KB,  EOM 19-09: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 147.35 KB)
Open DOCX file, 26.17 KB,  EOM 19-09: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOCX 26.17 KB)
Open PDF file, 142 KB,  EOM 19-08: The Act Relative to Veterans Benefits, Rights, Appreciation, Validation, and Enforcement (BRAVE Act) (English, PDF 142 KB)
Open DOCX file, 23.56 KB,  EOM 19-08: The Act Relative to Veterans Benefits, Rights, Appreciation, Validation, and Enforcement (BRAVE Act) (English, DOCX 23.56 KB)
Open PDF file, 181.54 KB,  EOM 19-07: Updated Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 181.54 KB)
Open DOCX file, 28.55 KB,  EOM 19-07: Updated Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOCX 28.55 KB)
Open PDF file, 156.78 KB,  EOM 19-06: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 156.78 KB)
Open DOCX file, 27.76 KB,  EOM 19-06: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOCX 27.76 KB)
Open PDF file, 118.3 KB,  EOM 19-05: Replacement of the Eligibility Review for Seniors and Certain People Needing Long-Term-Care Services (MER) form (English, PDF 118.3 KB)
Open DOCX file, 23.4 KB,  EOM 19-05: Replacement of the Eligibility Review for Seniors and Certain People Needing Long-Term-Care Services (MER) form (English, DOCX 23.4 KB)
Open PDF file, 59.96 KB,  EOM 19-04: Revised Requirements for CommonHealth Working Disabled Applicants Age 65 or Older (English, PDF 59.96 KB)
Open DOCX file, 25.91 KB,  EOM 19-04: Revised Requirements for CommonHealth Working Disabled Applicants Age 65 or Older (English, DOCX 25.91 KB)
Open PDF file, 41.13 KB,  EOM 19-03: Change of Address and Fax Number for EDMC/HIPC (English, PDF 41.13 KB)
Open DOC file, 34.5 KB,  EOM 19-03: Change of Address and Fax Number for EDMC/HIPC (English, DOC 34.5 KB)
Open PDF file, 391.18 KB,  EOM 19-02: Federal and State Health Insurance Requirements for Tax Year 2018 (English, PDF 391.18 KB)
Open DOCX file, 144.13 KB,  EOM 19-02: Federal and State Health Insurance Requirements for Tax Year 2018 (English, DOCX 144.13 KB)
Open PDF file, 70.76 KB,  EOM 19-01: Medex Premium Rate Changes (English, PDF 70.76 KB)
Open DOCX file, 33.94 KB,  EOM 19-01: Medex Premium Rate Changes (English, DOCX 33.94 KB)

2018

Open PDF file, 67.36 KB,  EOM 18-08: Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 67.36 KB)
Open DOCX file, 69.86 KB,  EOM 18-08: Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOCX 69.86 KB)
Open PDF file, 168.24 KB,  EOM 18-07: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 168.24 KB)
Open DOCX file, 65.21 KB,  EOM 18-07: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOCX 65.21 KB)
Open PDF file, 114.81 KB,  EOM 18-06: Average Cost of Nursing Facility Services (English, PDF 114.81 KB)
Open DOCX file, 27.34 KB,  EOM 18-06: Average Cost of Nursing Facility Services (English, DOCX 27.34 KB)
Open PDF file, 56.89 KB,  EOM 18-05: Amended Definition of a Special-Needs Trust (English, PDF 56.89 KB)
Open DOCX file, 63.64 KB,  EOM 18-05: Amended Definition of a Special-Needs Trust (English, DOCX 63.64 KB)
Open PDF file, 187.11 KB,  EOM 18-04: Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 187.11 KB)
Open DOC file, 94.5 KB,  EOM 18-04: Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOC 94.5 KB)
Open PDF file, 184.83 KB,  EOM 18-03: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 184.83 KB)
Open DOC file, 48 KB,  EOM 18-03: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOC 48 KB)
Open PDF file, 167.15 KB,  EOM 18-02: Changes to Provisional Eligibility and Clarification of Coverage Start Date Rules (English, PDF 167.15 KB)
Open DOC file, 61 KB,  EOM 18-02: Changes to Provisional Eligibility and Clarification of Coverage Start Date Rules (English, DOC 61 KB)
Open PDF file, 182.57 KB,  EOM 18-01: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 182.57 KB)
Open DOC file, 49.5 KB,  EOM 18-01: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOC 49.5 KB)

2017

Open PDF file, 285.13 KB,  EOM 17-08: Change to the Definition of Authorized Representative and Revision of the Authorized Representative Designation Form (ARD) (English, PDF 285.13 KB)
Open DOC file, 93 KB,  EOM 17-08: Change to the Definition of Authorized Representative and Revision of the Authorized Representative Designation Form (ARD) (English, DOC 93 KB)
Open PDF file, 686.98 KB,  EOM 17-07: Federal and State Health Insurance Requirements for Tax Year 2017 (English, PDF 686.98 KB)
Open DOCX file, 168.11 KB,  EOM 17-07: Federal and State Health Insurance Requirements for Tax Year 2017 (English, DOCX 168.11 KB)
Open PDF file, 150.57 KB,  EOM 17-06: Medex Premium Rate Changes (English, PDF 150.57 KB)
Open DOC file, 90.5 KB,  EOM 17-06: Medex Premium Rate Changes (English, DOC 90.5 KB)
Open PDF file, 115.24 KB,  EOM 17-05: Money Follows the Person Home- and Community-based Services Waivers Renamed “The Moving Forward Plan” (English, PDF 115.24 KB)
Open DOC file, 83 KB,  EOM 17-05: Money Follows the Person Home- and Community-based Services Waivers Renamed “The Moving Forward Plan” (English, DOC 83 KB)
Open PDF file, 159.25 KB,  EOM 17-04: Achieving a Better Life Experience (ABLE) Accounts (English, PDF 159.25 KB)
Open DOC file, 80.5 KB,  EOM 17-04: Achieving a Better Life Experience (ABLE) Accounts (English, DOC 80.5 KB)
Open PDF file, 177.95 KB,  EOM 17-03: Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 177.95 KB)
Open DOC file, 45 KB,  EOM 17-03: Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOC 45 KB)
Open PDF file, 153.93 KB,  EOM 17-02: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 153.93 KB)
Open DOC file, 44 KB,  EOM 17-02: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOC 44 KB)
Open PDF file, 166.23 KB,  EOM 17-01: Eligibility Changes for Home- and Community-Based Services Waivers (English, PDF 166.23 KB)
Open DOC file, 78.5 KB,  EOM 17-01: Eligibility Changes for Home- and Community-Based Services Waivers (English, DOC 78.5 KB)

2016

Open PDF file, 173.37 KB,  EOM 16-11: MCO Plan Selection and Fixed Enrollment Periods and Additional Referrals needed for PCC Plans (English, PDF 173.37 KB)
Open DOC file, 98.5 KB,  EOM 16-11: MCO Plan Selection and Fixed Enrollment Periods and Additional Referrals needed for PCC Plans (English, DOC 98.5 KB)
Open PDF file, 199.24 KB,  EOM 16-10: Federal and State Health Insurance Requirements for Tax Year 2016 (English, PDF 199.24 KB)
Open DOC file, 116.5 KB,  EOM 16-10: Federal and State Health Insurance Requirements for Tax Year 2016 (English, DOC 116.5 KB)
Open PDF file, 139.44 KB,  EOM 16-09: Medex Premium Rate Change (English, PDF 139.44 KB)
Open DOC file, 47 KB,  EOM 16-09: Medex Premium Rate Change (English, DOC 47 KB)
Open PDF file, 173.94 KB,  EOM 16-08: Asset Verification System (English, PDF 173.94 KB)
Open DOC file, 96.5 KB,  EOM 16-08: Asset Verification System (English, DOC 96.5 KB)
Open PDF file, 95.88 KB,  EOM 16-07: Move of Springfield MassHealth Enrollment Center (English, PDF 95.88 KB)
Open DOC file, 33.5 KB,  EOM 16-07: Move of Springfield MassHealth Enrollment Center (English, DOC 33.5 KB)
Open PDF file, 96.8 KB,  EOM 16-06: Annuity Transactions Occurring on or after February 8, 2006 (English, PDF 96.8 KB)
Open DOC file, 35.5 KB,  EOM 16-06: Annuity Transactions Occurring on or after February 8, 2006 (English, DOC 35.5 KB)
Open PDF file, 177.05 KB,  EOM 16-05: Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 177.05 KB)
Open DOC file, 43 KB,  EOM 16-05: Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOC 43 KB)
Open PDF file, 156.85 KB,  EOM 16-04: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 156.85 KB)
Open DOC file, 47.5 KB,  EOM 16-04: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOC 47.5 KB)
Open PDF file, 109.39 KB,  EOM 16-03: Average Cost of Nursing Facility Services (English, PDF 109.39 KB)
Open DOC file, 35.5 KB,  EOM 16-03: Average Cost of Nursing Facility Services (English, DOC 35.5 KB)
Open PDF file, 610.74 KB,  EOM 16-02: Incarcerated Inpatient Hospital and Pre-Release Coverage Process (English, PDF 610.74 KB)
Open DOC file, 158 KB,  EOM 16-02: Incarcerated Inpatient Hospital and Pre-Release Coverage Process (English, DOC 158 KB)
Open PDF file, 138.69 KB,  EOM 16-01A: Medex Premium Rate Change (English, PDF 138.69 KB)
Open DOC file, 55.5 KB,  EOM 16-01A: Medex Premium Rate Change (English, DOC 55.5 KB)
Open PDF file, 153.84 KB,  EOM 16-01: Medex Premium Rate Change (English, PDF 153.84 KB)
Open DOC file, 54.5 KB,  EOM 16-01: Medex Premium Rate Change (English, DOC 54.5 KB)

2015

Open PDF file, 59.71 KB,  EOM 15-08: Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, PDF 59.71 KB)
Open DOC file, 53 KB,  EOM 15-08: Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2) (English, DOC 53 KB)
Open PDF file, 2.14 MB,  EOM 15-07: MassHealth Responsibilities under the National Voter Registration Act and the Help America Vote Act (English, PDF 2.14 MB)
Open DOC file, 235.5 KB,  EOM 15-07: MassHealth Responsibilities under the National Voter Registration Act and the Help America Vote Act (English, DOC 235.5 KB)
Open PDF file, 83.76 KB,  EOM 15-06: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 83.76 KB)
Open DOC file, 59 KB,  EOM 15-06: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOC 59 KB)
Open PDF file, 297.62 KB,  EOM 15-05: MassHealth and the Federal and State Health Insurance Requirements for Tax Year 2014 (English, PDF 297.62 KB)
Open DOC file, 93 KB,  EOM 15-05: MassHealth and the Federal and State Health Insurance Requirements for Tax Year 2014 (English, DOC 93 KB)
Open PDF file, 159.48 KB,  EOM 15-04: DOR Automatic Renewal Process (English, PDF 159.48 KB)
Open DOC file, 83 KB,  EOM 15-04: DOR Automatic Renewal Process (English, DOC 83 KB)
Open PDF file, 112.92 KB,  EOM 15-03: New Fax Number for EDMC/HIPC (English, PDF 112.92 KB)
Open DOC file, 33.5 KB,  EOM 15-03: New Fax Number for EDMC/HIPC (English, DOC 33.5 KB)
Open PDF file, 137.61 KB,  EOM 15-02: Average Cost of Nursing Facility Services (English, PDF 137.61 KB)
Open DOC file, 35.5 KB,  EOM 15-02: Average Cost of Nursing Facility Services (English, DOC 35.5 KB)
Open PDF file, 142.09 KB,  EOM 15-01: Medex Premium Rate Change (English, PDF 142.09 KB)
Open DOC file, 45.5 KB,  EOM 15-01: Medex Premium Rate Change (English, DOC 45.5 KB)

2014

Open PDF file, 69.4 KB,  EOM 14-02: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, PDF 69.4 KB)
Open DOC file, 48.5 KB,  EOM 14-02: Massachusetts Application for Health and Dental Coverage and Help Paying Costs (ACA-3) (English, DOC 48.5 KB)
Open PDF file, 61.2 KB,  EOM 14-01: Hospital-Determined Presumptive Eligibility (HPE) Application Process (English, PDF 61.2 KB)
Open DOC file, 46 KB,  EOM 14-01: Hospital-Determined Presumptive Eligibility (HPE) Application Process (English, DOC 46 KB)

2013

Open PDF file, 135.54 KB,  EOM 13-08: MassHealth and Health Care Reform Individual Mandate Requirement for 2013 (English, PDF 135.54 KB)
Open DOC file, 46.5 KB,  EOM 13-08: MassHealth and Health Care Reform Individual Mandate Requirement for 2013 (English, DOC 46.5 KB)
Open PDF file, 126.48 KB,  EOM 13-07: The Family Trust of Massachusetts’s Pooled-Trust Accounts (English, PDF 126.48 KB)
Open DOC file, 70.5 KB,  EOM 13-07: The Family Trust of Massachusetts’s Pooled-Trust Accounts (English, DOC 70.5 KB)
Open PDF file, 120.93 KB,  EOM 13-06: Revisions to Income Deductions in Assessing the Patient Paid Amount (English, PDF 120.93 KB)
Open TXT file, 3.18 KB,  EOM 13-06: Revisions to Income Deductions in Assessing the Patient Paid Amount (English, TXT 3.18 KB)
Open PDF file, 82.31 KB,  EOM 13-05: Average Cost of Nursing Facility Services (English, PDF 82.31 KB)
Open DOC file, 23.5 KB,  EOM 13-05: Average Cost of Nursing Facility Services (English, DOC 23.5 KB)
Open PDF file, 94.48 KB,  EOM 13-04: Centralization of Receipt of Senior Medical Benefit Request Forms for Individuals Residing in or Entering a Long-Term-Care Facility (English, PDF 94.48 KB)
Open DOC file, 27.5 KB,  EOM 13-04: Centralization of Receipt of Senior Medical Benefit Request Forms for Individuals Residing in or Entering a Long-Term-Care Facility (English, DOC 27.5 KB)
Open PDF file, 83.1 KB,  EOM 13-03: Identity Verification Required for Health Safety Net Applicants and Members (English, PDF 83.1 KB)
Open DOC file, 23.5 KB,  EOM 13-03: Identity Verification Required for Health Safety Net Applicants and Members (English, DOC 23.5 KB)
Open PDF file, 102.75 KB,  EOM 13-02: Updated Best Practices for Ensuring Effective Communication with Members and Applicants with Disabilities (English, PDF 102.75 KB)
Open TXT file, 9 KB,  EOM 13-02: Updated Best Practices for Ensuring Effective Communication with Members and Applicants with Disabilities (English, TXT 9 KB)
Open PDF file, 92.2 KB,  EOM 13-01: Medex Premium Rate Change (English, PDF 92.2 KB)
Open TXT file, 2.86 KB,  EOM 13-01: Medex Premium Rate Change (English, TXT 2.86 KB)

2012

Open PDF file, 129.71 KB,  EOM 12-08: MassHealth and the Health Care Reform Individual Mandate Requirement for 2012 (English, PDF 129.71 KB)
Open DOC file, 44 KB,  EOM 12-08: MassHealth and the Health Care Reform Individual Mandate Requirement for 2012 (English, DOC 44 KB)
Open PDF file, 1.09 MB,  EOM 12-07: MassHealth Responsibilities under the National Voter Registration Act and the Help America Vote Act (English, PDF 1.09 MB)
Open DOC file, 51 KB,  EOM 12-07: MassHealth Responsibilities under the National Voter Registration Act and the Help America Vote Act (English, DOC 51 KB)
Open PDF file, 118.78 KB,  EOM 12-06: New Department of Revenue (DOR) Job Update Process (English, PDF 118.78 KB)
Open DOC file, 32.5 KB,  EOM 12-06: New Department of Revenue (DOR) Job Update Process (English, DOC 32.5 KB)
Open PDF file, 79.87 KB,  EOM 12-05: Express Lane Renewal Process (English, PDF 79.87 KB)
Open DOC file, 34.5 KB,  EOM 12-05: Express Lane Renewal Process (English, DOC 34.5 KB)
Open PDF file, 96.66 KB,  EOM 12-04: Best Practices for Ensuring Effective Communication with Members and Applicants with Disabilities (English, PDF 96.66 KB)
Open DOC file, 33 KB,  EOM 12-04: Best Practices for Ensuring Effective Communication with Members and Applicants with Disabilities (English, DOC 33 KB)
Open PDF file, 27.21 KB,  EOM 12-03: Average Cost for Nursing Facility Services (English, PDF 27.21 KB)
Open DOC file, 23.5 KB,  EOM 12-03: Average Cost for Nursing Facility Services (English, DOC 23.5 KB)
Open PDF file, 98.04 KB,  EOM 12-02: Move of Revere MassHealth Enrollment Center to Chelsea (English, PDF 98.04 KB)
Open DOC file, 26.5 KB,  EOM 12-02: Move of Revere MassHealth Enrollment Center to Chelsea (English, DOC 26.5 KB)
Open PDF file, 88.54 KB,  EOM 12-01: Change to the Asset Limit for MassHealth Senior Buy-In and MassHealth Buy-In Applicants and Members (English, PDF 88.54 KB)
Open DOC file, 24 KB,  EOM 12-01: Change to the Asset Limit for MassHealth Senior Buy-In and MassHealth Buy-In Applicants and Members (English, DOC 24 KB)

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