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130 CMR: DIVISION OF MEDICAL ASSISTANCE

Trans. by E.L. 251 Rev. 02/13/2026

130 CMR 501.000: HEALTH CARE REFORM: MASSHEALTH: GENERAL POLICIES

(C) Disabled Individuals Who Have Met a Deductible. Disabled individuals who were receiving medical assistance on June 30, 1997, as a result of meeting a deductible, or who met a deductible on or after July 1, 1997, will have their continuing eligibility for MassHealth determined in accordance with then-existing MassHealth regulations.

501.006: Children Receiving Benefits under the Children’s Medical Security Plan (CMSP) on August 3, 1998

(A) Eligibility. (1) Children who were receiving benefits under the CMSP on August 3, 1998, as well as any siblings in their family, will be treated as a protected status group under MassHealth if they (a) have submitted a complete application (formerly known as Medical Benefit Request) as defined in 130 CMR 502.001: Application for Benefits by March 31, 1999; (b) meet the eligibility requirements of MassHealth; and (c) have an income less than or equal to 200 % of the FPL. (2) Families of children described in 130 CMR 501.006(A)(1) who are determined eligible for Family Assistance will have the option of choosing purchase of medical benefits or premium assistance under Family Assistance if the MassHealth agency determines the child has access to health insurance from an employer other than the Commonwealth of Massachusetts.

(B) Loss of Protected Status. The protected status of a child described in 130 CMR 501.006(A) will end in the following circumstances: (1) the income exceeds 200% of the FPL; (2) the family fails to cooperate with the MassHealth eligibility review; or (3) the child no longer meets MassHealth requirements.

501.007: Receiving Public Assistance from Another State

People who are receiving public assistance from another state are not eligible for MassHealth.

(130 CMR 501.008 Reserved)