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130 CMR: DIVISION OF MEDICAL ASSISTANCE

Trans. by E.L. 253 Rev. 02/13/2026

130 CMR 503.000: HEALTH CARE REFORM: MASSHEALTH: UNIVERSAL ELIGIBILITY REQUIREMENTS

with federal or state agencies or information services. (2) If residency cannot be verified through electronic data matching or there is conflicting information, the MassHealth agency may require documentation to validate residency.

(F) Acceptable proof of Massachusetts residency includes the following, as well as any other verification allowed as determined by the MassHealth agency: (1) copy of deed and record of most recent mortgage payment (if mortgage is paid in full, provide a copy of property tax bill from the most recent year); (2) current utility bill or work order dated within the past 60 days; (3) statement from a homeless shelter or homeless service provider; (4) school records (if school is private, additional documentation may be requested); (5) nursery school or daycare records (if school is private, additional documentation may be requested); (6) Section 8 agreement; (7) homeowner’s insurance agreement; (8) proof of enrollment of custodial dependent in public school; (9) copy of lease and record of most recent rent payment; or (10) affidavit supporting residency signed under pains and penalties of perjury that states the individual is not visiting Massachusetts for personal pleasure or to receive medical care in a setting other than a nursing facility.

(G) Examples of applicants or members who do not meet the residency requirement for MassHealth are (1) individuals who came to Massachusetts for the purpose of receiving medical care in a setting other than a nursing facility, and who maintain a residence outside Massachusetts; (2) individuals visiting Massachusetts for personal pleasure, who maintain a residence outside Massachusetts; and (3) individuals whose whereabouts are unknown.

(H) Inmates of penal institutions may not receive MassHealth benefits except under one of the following conditions, if they are otherwise eligible for MassHealth: (1) they are inpatients in a medical facility; or (2) they are living outside the penal institution, are on parole, probation, or home release, and are not returning to the institution for overnight stays; or (3) they are in their pre-release period under the MassHealth Medicaid and Children’s Health Insurance Plan (CHIP) Section 1115 Demonstration, or the Consolidated Appropriations Act, 2023 (CAA, 2023), or Section 1001 of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act (“the SUPPORT Act”) Public Law 115-271.