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130 CMR: DIVISION OF MEDICAL ASSISTANCE

Trans. by E.L. 254 Rev. February 13, 2026

130 CMR 505.000: HEALTH CARE REFORM: MASSHEALTH: COVERAGE TYPES

505.004: MassHealth CommonHealth

(A) Overview. (1) 130 CMR 505.004 contains the categorical requirements and financial standards for MassHealth CommonHealth coverage available to disabled children and disabled adults. (2) Persons eligible for MassHealth CommonHealth coverage are eligible for medical benefits as described in 130 CMR 450.105(E): MassHealth CommonHealth.

(B) Disabled Adults. Disabled adults must meet the following requirements: (1) be 21 through 64 years old; (2) (a) be permanently and totally disabled, as defined in 130 CMR 501.001: Definition of Terms; or (b) be HIV positive and have a modified adjusted gross income of the MassHealth Disabled Adult household that is less than or equal to 200% of the federal poverty level (FPL); (3) be ineligible for MassHealth Standard; (4) be a citizen as described in 130 CMR 504.002: U.S. Citizens or a qualified noncitizen as described in 130 CMR 504.003(A)(1): Qualified Noncitizens; and (5) comply with 130 CMR 505.004(J).

(C) Disabled Young Adults. Disabled young adults are eligible for MassHealth CommonHealth if they meet the following requirements: (1) (a) be permanently and totally disabled, as defined in 130 CMR 501.001: Definition of Terms (b) be HIV positive and have a modified adjusted gross income of the MassHealth Disabled Adult household that is less than or equal to 200% of the FPL; (2) be ineligible for MassHealth Standard; (3) (a) be a citizen as described at 130 CMR 504.002: U.S. Citizens or qualified noncitizen as described in 130 CMR 504.003(A)(1): Qualified Noncitizens; or (b) be a nonqualified PRUCOL as described in 130 CMR 504.003(C): Nonqualified Persons Residing under Color of Law (Nonqualified PRUCOLs) with a modified adjusted gross income of the MassHealth Disabled Adult household income that is less than or equal to 150% of the FPL; and (4) comply with 130 CMR 505.004(J).

(D) Disabled 18-year-olds. Disabled 18-year-olds must meet the following requirements: (1) be ineligible for MassHealth Standard; (2) be a citizen as described at 130 CMR 504.002: U.S. Citizens or lawfully present immigrant or a nonqualified PRUCOL, as described in 130 CMR 504.003: Immigrants, and either (a) if not working, be permanently and totally disabled, as defined in 130 CMR 501.001: Definition of Terms; or (b) if working, be permanently and totally disabled (except for engagement in substantial gainful activity), as defined in 130 CMR 501.001: Definition of Terms.