MassHealth

Updates to the Medicare Savings Program (MSP) Application

The Medicare Savings Program (MSP) helps eligible Medicare beneficiaries pay their Medicare costs. MSP is not insurance plans. They are programs that help lower Medicare premiums and other healthcare costs, including prescriptions. You can apply by completing and submitting the December 2025 version of the Medicare Savings Program (MSP) application. Due to updates from federal… Continue Reading Updates to the Medicare Savings Program (MSP) Application

Increases to MassHealth Premium Billing Amount

As of January 1, 2026, MassHealth is increasing monthly premium billing amounts by 10%. MassHealth expects the increase is between $2 – $10 per month for members with countable income of over 150% of the Federal Poverty Level (FPL). Starting in March of 2027, MassHealth will increase premium billing amounts yearly by the same percentage… Continue Reading Increases to MassHealth Premium Billing Amount

Ending ConnectorCare Plan Type 1 and How to Help Members Access Services

Ending of ConnectorCare Plan Type 1 Effective January 1, 2026, the Health Connector’s ConnectorCare Plan Type 1 will no longer be available as a coverage option because of federal policy changes. Those previously eligible and enrolled ConnectorCare Plan Type 1 members will no longer be eligible for help paying for their coverage. Many people, because… Continue Reading Ending ConnectorCare Plan Type 1 and How to Help Members Access Services

System Update Reminder for the Online Application at MAhealthconnector.org

A system update was made overnight on December 16th, to the online application at MAhealthconnector.org, (also known as the HIX system). It is recommended that following any system release or update, Assisters or anyone using the online application (including the Assister Portal) should clear their cache or internal history before accessing the online application or… Continue Reading System Update Reminder for the Online Application at MAhealthconnector.org

Enrolling Qualified Medicare Beneficiary (QMB) Members in Medicare

MassHealth requires members to enroll in health insurance they have access to that’s at no cost to them, including Medicare. This is because MassHealth is the payer of last resort and pays for health care and related services only when no other source of payment is available, except when required by federal law. Qualified Medicare… Continue Reading Enrolling Qualified Medicare Beneficiary (QMB) Members in Medicare

Updates to Health Connector Special Enrollment Period Effective Dates and Updated Applications

Health Connector Special Enrollment Period Effective Dates System and Process Update: When a member reports a change that opens a Special Enrollment Period (SEP) after the 23rd the month, the online application will now automatically offer an effective date option for the following month. Previously, when a member reported a move on 3/24, the earliest… Continue Reading Updates to Health Connector Special Enrollment Period Effective Dates and Updated Applications

MassHealth Announcement: Standing Orders for Prenatal Vitamins, OTC Oral Hormonal Birth Control

As of January 27, 2025, MassHealth has issued a standing order for prenatal vitamins and a standing order for over-the-counter (OTC) oral hormonal birth control. MassHealth members and Health Safety Net (HSN) patients are now able to get these medications free-of-charge without a prescription from their prescriber. Learn more about the standing orders at Publications, Notices,… Continue Reading MassHealth Announcement: Standing Orders for Prenatal Vitamins, OTC Oral Hormonal Birth Control

Health Connector and MassHealth Tax Forms Mailed

Health Connector Member Tax Forms The Health Connector has completed the mailing of 1095-A tax forms for those members who had coverage in 2024. Mailed forms should be received during the week of February 3rd based on a member’s mailing preference. If a member selected paperless, they will get an email that informs them the 1095-A… Continue Reading Health Connector and MassHealth Tax Forms Mailed

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