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Updates from MassHealth and Other Resources

March 10, 2022

2022 MassHealth Income Standards and Federal Poverty Guidelines

Effective March 1, 2022, the Federal Poverty Level (FPL) standards increased:

    • 100% FPL for one individual went from $1,074 to $1,133
 
The 2022 MassHealth Income Standards and Federal Poverty Guidelines is posted and available for download and print at the MassHealth website.
 
Reminder: The Health Connector continues to use the 2021 FPL guidelines for all determinations about the 2022 coverage year.

Updated ACA-3 and SACA-2 Applications and Member Booklets

MassHealth has updated the applications and member booklets for the Health and Dental Coverage and Help Paying Costs (ACA-3) and the Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2). They are available for download and print at:
 
 
Supplies and Use of Revised Forms

The March 2022, as well as the July 2021 version of the ACA-3 and SACA-2 applications, will be accepted through December 31, 2022.
 
Ordering Materials:
 
Medicare Savings Program or MassHealth Buy-In Update
 
Individuals on Medicare with limited income and assets may qualify for help paying Medicare costs. MassHealth offers Medicare Savings Programs (MSP), also known as MassHealth Buy-In (MHBI) to help with these costs.
 
The Medicare Savings Program can help pay some out-of-pocket costs, including:
 
    • Monthly Medicare Part B premium
    • Prescription drug costs through the Part D Extra Help program, which individuals automatically qualify for with a Medicare Savings Program
    • In certain cases, out-of-pocket Part A and Part B costs, such as coinsurance and deductibles
    • In certain cases, Part A premium, if applicable
 
Effective March 1, 2022, the MSP income and asset standard increased to:
 
 
Note: The income amounts may change as of March 1 of each year.
The asset amounts may change as of January 1 of each year.
 
Additionally, the Assistance with Medicare Costs Medicare Savings (also known as MassHealth Buy-In) Program Application was updated March 2022. The application can be used by individuals of any age who are receiving Medicare and are only seeking help with payment of their Medicare premiums and cost sharing.
 
Individuals who want to apply for other MassHealth benefits, (as well as assistance with Medicare costs), call MassHealth Customer Service at (800) 841-2900, TTY: (800) 497-4648 for people who are deaf, hard of hearing, or speech disabled for a different application. Please make sure to print clearly and fill out all sections.
 
Additional Resources
 
Eligibility figures for residents of a long-term-care facility
The figures are used in determining eligibility for a MassHealth member who lives in a long term-care facility.
 
Eligibility figures — community residents aged 65 or older
The figures are used in determining eligibility for a MassHealth member who is aged 65 or older and who lives in the community.
 
Figures Used to Determine Minimum-Monthly-Maintenance-Needs Allowance (MMMNA)
The figures in the table are used to determine the minimum-monthly-maintenance-needs allowance (MMMNA) for the community spouse of a MassHealth member who lives in a long-term-care facility.