Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 516.000 - MassHealth: The Eligibility Process
Section 516.006 - Coverage Date
Universal Citation: 130 MA Code of Regs 130.516
Current through Register 1531, September 27, 2024
(A) Start Date of Coverage.
(1) For individuals applying for coverage,
the date of coverage for MassHealth is determined by the coverage type for
which the applicant may be eligible. 130 CMR 519.000: MassHealth:
Coverage Types describes the rules for establishing this
date.
(2) The begin date of
MassHealth Standard, Family Assistance, or Limited coverage may be retroactive
to the first day of the third calendar month before the month of application,
if covered medical services were received during such period, and the applicant
or member would have been eligible at the time services were provided. If more
than one application has been submitted and not denied, the begin date will be
based on the earliest application that is approved. Retroactive eligibility
does not apply to services rendered under a home-and community-based services
waiver provided under section 1915(c) of the Social Security Act.
(B) End Date of Coverage. MassHealth benefits terminate or downgrade no sooner than 14 days from the date of the termination or downgrade notice unless the MassHealth member timely files an appeal and requests continued MassHealth benefits pending such appeal.
Disclaimer: These regulations may not be the most recent version. Massachusetts may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
