Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 501.000 - Health Care Reform: MassHealth: General Policies
Section 501.005 - Individuals and Families Eligible for or Receiving Medical Assistance on June 30, 1997
Universal Citation: 130 MA Code of Regs 130.501
Current through Register 1531, September 27, 2024
(A) Members Who Were Not Subject to a Deductible.
(1) Individuals and families (including
caretaker relatives) who were receiving Medical Assistance on June 30, 1997,
and whose family group gross income on June 30, 1997, exceeded MassHealth
eligibility standards will be provided MassHealth Standard coverage for one
year after the date of MassHealth implementation, except in the following
circumstances:
(a) the individual or family no
longer lives in Massachusetts;
(b)
the individual enters an institution;
(c) the individual turns 65 years
old;
(d) the individual or all
members of the family are deceased; or
(e) the individual or family is no longer
categorically eligible.
(2) Eligibility for continuing coverage will
be reviewed toward the end of this one year period.
(B) Families Who Have Met a Deductible.
(1) Families
(including caretaker relatives) with children younger than 18 years old who
were receiving Medical Assistance on June 30, 1997, as a result of meeting a
deductible, or who were denied with a deductible before July 1, 1997, and
subsequently met a deductible on or after July 1, 1997, and whose family group
gross income exceeds MassHealth standards will be eligible for MassHealth
Standard for one year from the end of the deductible period, except in the
following circumstances:
(a) the individual or
family no longer lives in Massachusetts;
(b) the individual enters an
institution;
(c) the individual
turns 65 years old;
(d) the
individual or all members of the family are deceased; or
(e) the individual or family is no longer
categorically eligible.
(2) A determination of eligibility for
MassHealth will be made toward the end of the one year period.
(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 meet a deductible on or after July 1, 1997, will have their continuing eligibility for MassHealth determined in accordance with 130 CMR 506.009: The One-time Deductible.
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