MassHealth Member Records Request

Contact information for MassHealth Member Records Requests.

If you are a MassHealth applicant or member seeking access to your own records, or you are an individual with legal authority to receive a member’s records, please submit your request in one of the following ways.

1. MassHealth Privacy Request Form (Fastest Request Method) 
2. Email [e-mail] or mail your written request to the following address:

MassHealth Privacy Office
One Ashburton Place, Room 1109
Boston, MA 02108.

Your written request must be signed, dated, and include the following information.

1. Name
2. Date of birth
3. MassHealth number or the last four digits of your social security number
4. Description of the information you are seeking (e.g., applications, claims, or notices)
5. Email or mailing address where you would like to receive your records
6. If you are an individual with legal authority to receive a member’s records, please provide your complete legal authority.

Please Note:

• If you are looking for medical records, please contact your health care provider directly, as MassHealth does not have those records.
• If you have questions about accessing your personal record, please contact the MassHealth Privacy Office at [e-mail] or [phone]. 
• For all other issues, please see the Contact MassHealth page or contact MassHealth Customer Service by calling [phone].