Current through Register 1531, September 27, 2024
(A)
Eligibility
Requirements. Except as provided in
130
CMR 519.005(C),
noninstitutionalized individuals 65 years of age and older may establish
eligibility for MassHealth Standard coverage provided they meet the following
requirements:
(1) the countable income amount,
as defined in
130
CMR 520.009: Countable-income
Amount, of the individual or couple is less than or equal to 100% of
the federal poverty level; and
(2)
the countable assets of an individual are $2,000 or less, and those of a
married couple living together are $3,000 or less.
(B)
Financial Standards Not
Met. Except as provided in
130
CMR 519.005(C), individuals
whose income, assets, or both exceed the standards set forth in
130
CMR 519.005(A) may
establish eligibility for MassHealth Standard by reducing their assets in
accordance with130 CMR 520.004:
Asset Reduction, meeting a deductible as described at
130
CMR 520.028: Eligibility for a
Deductible through 520.035: Conclusion of the Deductible
Process, or both.
(C)
Parents and Caretaker Relatives of Children Younger than 19 Years
Old.
(1)
Eligibility
Requirements. Adults who are 65 years of age and older and are the
parents or caretaker relatives of a child younger than 19 years old receive
MassHealth Standard if they meet the requirements of
130
CMR 505.002(C):
Eligibility Requirements for Parents and Caretaker Relatives
or (L): Extended Eligibility.
(2)
Other
Provisions. The following provisions apply to adults described in
130
CMR 519.005(C)(1) and
130
CMR 505.002(A)(6), (M):
Use of Potential Health insurance benefits, (O):
Medicare Premium Payment, and (P): Medical Coverage
Date.
(3)
Countable Income. Eligibility for adults described in
130
CMR 519.005(C)(1) is based
on the individual's modified adjusted gross income of the MassHealth MAGI
household and the income rules described at
130
CMR 506.002: Household
Composition through 506.003: Countable Household
Income.
(4)
Exemption from Asset Limits. The asset limits in
130
CMR 520.003: Asset Limit do
not apply to applicants or members described in
130
CMR 519.005(C)(1).
