News & Updates

To allow for system maintenance, the MMIS POSC, Provider Portal, HTS transactions, internal MMIS application, EVS and all eligibility services will be unavailable on Sunday, March 15, 2026, from 4:00 PM to 10:00 PM. MAP, CBHI, MeNoB, member and eligibility web services and Netreveal predictive modeling application servers will also be impacted. We apologize for… Continue Reading MMIS System Outage Notice – Sunday, March 15, 2026

List of frequently used acronyms in MTF quarterly presentations. This document is updated following each MTF quarterly session.  

Each January, the Health Connector prepares tax forms for members enrolled in Health Connector health plans during the previous calendar year. They receive a 1095-A tax form in the mail or via their member portal (if they have selected the paperless option). Health Connector members use the 1095-A tax form when they prepare their federal tax… Continue Reading Health Connector Member Tax Filing Responsibilities and Where to Get Tax Filing Help

1095-A tax forms were mailed at the end of January to anyone who had health insurance through the Health Connector in 2025. Members should receive their forms during the first few weeks of February. To get a duplicate 1095-A form, Health Connector members can either: Download and print a copy of their form from the… Continue Reading Helping Members Access Health Connector 1095-A Tax Forms

MassHealth’s Personal Care Attendant (PCA) Program is self-directed, which means the MassHealth member is responsible for recruiting, hiring, training, scheduling, and managing their PCA. This includes reviewing and approving activities and hours worked, requesting approval for PCAs to work overtime, and terminating PCAs when necessary. The Internal Revenue Service (IRS) recently determined that payments to a personal… Continue Reading Personal Care Attendant (PCA) Difficulty of Care Payments

Health Connector members that are enrolled in a plan for January but have not yet paid for that coverage are considered delinquent. This may include individuals that lost access to premium tax credits or ConnectorCare coverage for Plan Year 2026 and are enrolled in unsubsidized Health Connector coverage for January. How does the Health Connector… Continue Reading Health Connector Members in Delinquency Status

The Health Connector’s Open Enrollment period is ending Friday, January 23, 2026, and is the deadline for individuals and families to apply, shop, and enroll into a plan that starts on February 1, 2026. The Health Connector Customer Service Call Center will be open for support during the following times: Tuesday, January 20 – Friday,… Continue Reading Health Connector Open Enrollment Ending

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

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

Presented by the MA Office for Refugees and Immigrants (ORI) Know Your Rights 3.0 is an in-depth and comprehensive review of rules regarding ICE enforcement beyond basic warrant requirements. It includes topics such as (1) understanding when ICE may be required to show a warrant, (2) overview of the rules regarding when ICE is required… Continue Reading Winter 2026 Know Your Rights Presentation 3.0

The Provider Services Training Series provided updates for MassHealth providers on enrollment self-service enhancements, referral requirements updates and reminders, the new Electronic Data Interface Assistance Request via Mass.gov, and other Mass.gov updates. Additional topics will include prior authorization reminders, dental program information, Long-Term Services and Supports (LTSS) updates, claims operation reminders, and guidance on application… Continue Reading Winter 2026 MassHealth Training Forum Provider Updates

MassHealth provided updates on MassHealth renewals, MassHealth premium schedule, End of Year tax filing process, Medicare Savings Program (MSP), 2026 Social Security Cost of Living Adjustment (COLA), CMS interoperability for members, My Account Page (MAP) for member portal, Eligibility Verification System (EVS), Program of All-inclusive Care for the Elderly (PACE), and recertification of Certified Application… Continue Reading Winter 2026 MassHealth & Health Safety Net Updates

The Health Connector provided updates on Federal Policy changes, how to help former PT1 members access services, the close of Open Enrollment for 2026, Special Enrollment Period (SEP) and qualifying life event rules. MassHealth and the Health Connector reviewed the annual process for End of Year tax filing rules. Download Meeting Materials Download PowerPoint (Coming… Continue Reading Winter 2026 MA Health Care Learning Series

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

Open Enrollment for 2026 is the most complex Open Enrollment the Health Connector has had in many years. To ensure our partners remain up to date with the enrollment trends we are seeing, we are pleased to be able to share a new external dashboard. This dashboard helps interested parties have real-time sightlines into Health… Continue Reading NEW: Health Connector Open Enrollment Public Dashboard

Health Connector updates on Open Enrollment for Plan Year 2026 including updates related to federal policy changes, available health and dental plans, and system updates. Learn how to locate and use shopping tools and updated Health Connector resources, identify changes to the ConnectorCare program for pan year 2026, how to direct new applicants or current… Continue Reading Fall 2025 MA Health Care Learning Series Updates

The Health Connector has promotional materials, online shopping tools and downloadable member resources – in many languages – to help people make decisions about their health insurance coverage for plan year 2026. Many of the resources described below can be easily accessed from the Health Connector’s renewal page: www.mahealthconnector.org/renew. Help Promote Open Enrollment: The Health Connector’s 2026 Open… Continue Reading Open Enrollment Promotion, Health Connector Shopping Tools and Member Resources

Effective 1/1/2026, the following network changes will be in place for the Tufts Direct plan members. Please note, these changes may not reflect the full scope of provider changes that members may experience in plan year 2026; however, these changes should be considered when helping members shop for a Health Connector plan during this open enrollment… Continue Reading Health Connector Network Updates

MassHealth updates on continuous eligibility for over 65 applicants and members, changes to MassHealth premiums and MassHealth’s universal eligibility requirement, MassHealth Health Plans update, 2026 One Care and Senior Care Option (SCO) plans, dental plan update, coverage of vaccines, MassHealth My Account Page (MAP) for members, and Health Connector updates. Health Care For All (HCFA)… Continue Reading Fall 2025 MassHealth and Health Safety Net Updates

Overview Starting January 1, 2026, individuals with income below 100% of the Federal Poverty Level (FPL) will no longer qualify for Advance Premium Tax Credits (APTCs) and ConnectorCare coverage. Impacted members will either qualify for a MassHealth program or be automatically renewed into an unsubsidized Qualified Health Plan (QHP) for 2026. Members enrolled in unsubsidized… Continue Reading AutoPay Cancellation Process: ConnectorCare PT1 in 2025 to Unsubsidized Plans in 2026