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4 130 CMR: DIVISION OF MEDICAL ASSISTANCE

Trans. by E.L. 255 Rev. 02/13/26

130 CMR 515.000: MASSHEALTH: GENERAL POLICIES

Caretaker Relative. An adult who is the primary caregiver for a child; is related to the child by blood, adoption, or marriage; or is a spouse or former spouse of one of those relatives, and who lives in the same home as that child, provided that neither parent is living in the home.

Case File. The collection of written documents and electronic information required to determine eligibility and to provide benefits to applicants and members.

Certified Application Counselor (CAC). An individual who is certified by the MassHealth agency and the Connector to provide assistance in completing applications and renewal forms.

Citizen. See 130 CMR 518.002: U.S. Citizens.

Commonwealth Health Insurance Connector Authority, Health Connector, or Connector. The entity established pursuant to M.G.L. c. 176Q, § 2.

Community Resident. A person who lives in a noninstitutional setting in the community.

Competent Medical Authority. A physician or psychiatrist licensed by any state, a psychologist licensed by the Commonwealth of Massachusetts, or both.

ConnectorCare. The program administered by the Health Connector pursuant to M.G.L. c. 176Q to provide premium assistance payments and point-of-service cost-sharing subsidies to eligible individuals enrolled in health plans.

Countable Income. The types of income that are considered in the determination of eligibility.

Countable-income Amount. Gross income less certain business expenses and income deductions.

Couple. Two persons married to each other according to the laws of the Commonwealth of Massachusetts.

Coverage Start Date (or Start Date of Coverage). The date medical coverage begins.

Coverage Type. A scope of medical services, other benefits, or both that is available to members who meet specific eligibility criteria. MassHealth coverage types include the following: MassHealth Standard (Standard), MassHealth Limited (Limited), MassHealth Family Assistance (Family Assistance), MassHealth Senior Buy-in (Senior Buy-in), and MassHealth Buy-in (Buy-in). The scope of services or covered benefits for each coverage type is found at 130 CMR 450.105: Coverage Types.

Curing of a Transfer. The return following the transfer for less than fair market value of a portion, or the full uncompensated value, of a resource to the individual.

Day. A calendar day, unless a business day is specified.