Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 517.000 - MassHealth: Universal Eligibility Requirements
Section 517.008 - Potential Sources of Health Care

Universal Citation: 130 MA Code of Regs 130.517

Current through Register 1531, September 27, 2024

The MassHealth agency is payer of last resort and pays for health care and related services only when no other source of payment is available, except as otherwise required by federal law.

(A) Health Insurance. Every applicant and member must obtain and maintain health insurance available at no cost to the member including, but not limited to, Medicare and insurance purchased by the MassHealth agency in accordance with 130 CMR 506.012: Premium Assistance Payments. Failure to do so may result in loss of eligibility.

(B) Use of Benefits. The MassHealth agency does not pay for any health care and related services that are available

(1) through the member's health insurance, if any; or

(2) at no cost to the member including, but not limited to, any such services that are available through any agency of the local, state, or federal government, or any entity legally obligated to provide those services.

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.
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