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MassHealth and COVID-19 Update: MassHealth Self-Attestation for Eligibility Factors Update

April 30, 2020

We are reaching out to provide important updates about our response to 2019 Novel Coronavirus Disease (COVID-19). We thank you for the support you provide individuals to obtain and maintain health coverage especially during this difficult time. 

Self-Attestation for Eligibility Factors

During the COVID-19 outbreak national emergency and through the end of the month in which this emergency period ends, MassHealth will accept self-attestation for certain eligibility requests if a member is not able to send the proofs to MassHealth by the due date on the letter received. 

MassHealth will accept self-attestation for the following eligibility requests:

  • Massachusetts Residency
  • Disability Status
  • Proof of Income
  • Assets
  • Relationship
  • Access to health insurance
  • Pregnancy
  • Breast and cervical cancer diagnosis and/or treatment
  • HIV status

MassHealth will continue to data match to verify eligibility factors. Individuals may still receive Request for Information (RFI/VC-1) notices when they apply, renew their application, or report a change. Self-attestation will only be accepted if MassHealth is unable to electronically data match, and if documentation is not readily accessible for the member or applicant to submit.

Disability Status

If an applicant or member indicates they have an injury, illness or disability, they may contact Disability Evaluation Services (DES) to expedite the decision process. Disability Evaluation Services (DES) will process the disability self-attestations. Contact DES at (833) 517-0250, TTY: (866) 693-1390.

Citizenship and Immigration

MassHealth CANNOT accept self-attestation for proof of citizenship or immigration status.

If a member or applicant receives a letter requesting proof of citizenship and immigration, the member or applicant must follow the instructions on the letter received to get verification documentation to MassHealth within the timeframe requested.

Reasonable Opportunity:

MassHealth provides all applicants and members a reasonable opportunity period to provide satisfactory documentary evidence of citizenship and identity or immigration status if MassHealth's electronic data matches are unable to verify the applicant's citizenship or immigration status. Applicants or members who have made a good faith effort to resolve inconsistencies or obtain verification of citizenship and identity or immigration status may receive a 90-day extension.

Note, this is available to all MassHealth members and applicants.

Clinical Assessment

Self-attestation for clinical assessments necessary to establish eligibility for Home and Community Based Waiver Program, the Program of All-inclusive Care for the Elderly (PACE), and Nursing Facility Care (Long-Term Care) will not be accepted at this time.

How Applicants and Members Can Self-Attest

Applicants and members can self-attest to eligibility factors verbally, or through a written attestation.

Verbal Attestations

Verbal self-attestations can be accepted telephonically by calling MassHealth Customer Service at (800) 841-2900 TTY: (800) 497-4648.

Written Attestations

A self-attestation form is available on for applicants and members to use. They are not required to use this document to provide written self-attestation. Written attestations not using the available form, must include the following information: a member's name, date, signature, social security number or MassHealth ID number, and the information that they are self-attesting to.

Submit written self-attestations by:

  • Document Upload: 
    • Members with an online account at or Assisters on behalf of applicants or members, may upload written self-attestations by using the document upload feature.
    • Upload documents using the dropdown option: MassHealth - Self-Attestation Form (SAF-CVD) and Retro Eligibility Request
  • Fax to the Health Insurance Processing Center at 857-323-8300
  • Mail To: 

Health Insurance Processing Center

PO BOX 4405 

Taunton, MA 02180

Important to note: Individuals that self-attest will need to submit documentation to verify any eligibility factors that were self-attested to, following the emergency period.