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6 130 CMR: DIVISION OF MEDICAL ASSISTANCE

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

130 CMR 515.000: MASSHEALTH: GENERAL POLICIES

Guardianship Fees and Related Expenses. Fees for guardianship services and incurred expenses that are essential to enable an incompetent applicant or member to gain access to or consent to medical treatment.

Health Insurance. Coverage of healthcare services by a health-insurance company, a hospital- service corporation, a medical-services corporation, a managed care organization, or Medicare. Coverage of healthcare services by MassHealth, Health Safety Net, or Children’s Medical Security Plan (CMSP) is not considered health insurance.

Health Safety Net (HSN). A source of funding for certain healthcare under 101 CMR 613.00: Health Safety Net Eligible Services and 101 CMR 614.00: Health Safety Net Payments and Funding.

Incarceration. The confinement in a penal institution of an individual. An individual is not incarcerated if they are on parole, probation, or home release and do not return to the institution for overnight stays.

Income Deductions. Specified deductions, as described in 130 CMR 520.011 through 520.014, that may be made from the gross income of an applicant or member.

Incompetent Applicant or Member. An applicant or member who has been adjudicated as incompetent and in need of a guardian by the Probate and Family Court under the provisions of M.G.L. c. 201.

Institution (Medical). A public or private facility providing acute, chronic, or long-term care, unless otherwise defined within 130 CMR 515.000 through 522.000: Other Division Programs. This includes acute inpatient hospitals, licensed nursing facilities, state schools, intermediate-care facilities for the mentally retarded (ICF-MRs), public or private institutions for mental diseases, freestanding hospices, and chronic-disease and rehabilitation hospitals.

Institutionalization. Placement of an individual in one or more medical institutions, where placement lasts or is expected to last for a continuous period of at least 30 days.

Interpreter. A person who translates for an applicant or member who has limited English proficiency or a hearing impairment.

Irrevocable Trust. A trust that cannot be in any way revoked by the grantor.

Jointly Held Resources. Resources that are owned by an individual in common with another person or persons in a joint tenancy, tenancy in common, or similar arrangement.

Lawfully Present Immigrants. See 130 CMR 518.003(A): Lawfully Present Immigrants.

Life Estate. An estate established when all of the remainder legal interest in a property is transferred to another, while the legal interest for life rights to use, occupy, or obtain income or profits from the property is retained.