MassHealth plans don't all depend on having low income.
Your family member may qualify for special MassHealth plans for people with certain types of disabilities.
If you have the right MassHealth plan, you can save money and get extra services that can make your life easier. You can reapply at any time to see if your family member qualifies for MassHealth Standard or MassHealth CommonHealth.
Here's what you can do:
What you can do to apply or renew:
Go to the MassHealth website Application for Families and People with Disabilities. It will tell you how to apply in any of these ways:
This is the fastest way to apply
Visit MAhealthconnector.org, create an account, and fill out the application
Click the link at the bottom of the page to download a PDF of the MassHealth application
Fill it out and mail it to: Health Insurance Processing Center P.O. Box 4405Taunton, MA 02780Or fax: 1-857-323-8300
Call MassHealth at 1-800-841-2900 (TTY: 1-800-497-4648)
This is an automated phone system. Listen carefully, and be patient!
Tips on filling out the form:
Fill it out completely
Fill out the Supplements if they apply to you. If your family member is over the age of 18 and you do not have guardianship, click the links below to download a copy of the Authorized Representative Form that you can include with your application.
If you fill out any extra pages or forms, attach them to the application when you send it in
If your family member gets Supplemental Security Income (SSI) in Massachusetts, they automatically qualify for MassHealth. Learn more in the Exceptional Lives SSI Guide.
Need more help?
If you need more help with this process, call any of these other helpful resources:
- HealthCare For All’s free Health Hotline: Call 1-800-272-4232
- The Family-to-Family Health Information Center :You can get free, confidential help navigating the MassHealth system. Staff can help you through the process of applying, and help you understand the coverage options. This service is offered by Mass Family Voices, a project of the Federation for Children with Special Needs.
- The UMass Disability Evaluation Services (DES) Help Line: Call 1-888-497-9890
Sources:Commonwealth of MA, MassHealth, MA Health Connector
What you can do:
1. Click the MassHealth Child Disability Application form at the bottom of the page to download a PDF of the MassHealth Disability Supplement Form (Child)
2. If you are not the parent or legal guardian, click the button below to download a PDF of the MassHealth Authorized Representative Designation Form. This will give you permission to sign other forms for your family member.
3. Read the directions carefully and give as much detail as possible. Use extra sheets of paper if you need more room to explain, and attach them to the application.
What to do next:
Make a copy of the completed Disability Supplement form and keep for your records
Mail the form to the address below. Since this is an important form, try to mail it from the post office and ask for a return receipt (this is your proof that you mailed the form). Mail everything to: Disability Evaluation Services UMass Medical DES P.O. Box 2796 Worcester, MA 01613-2796
MassHealth will send you a decision letter within 90 days of getting the form. You can call the MassHealth Enrollment Center at 1-888-665-9993 (TTY: 1-888-665-9997) for more information
4. If MassHealth decides your family member does not qualify for coverage or for disability status, you have the right to appeal. Click the button below and follow the steps.
To request a fair hearing, click the MassHealth Fair Hearing Request Form link below to download a PDF of the form.
If your family member is over 18 and you havePower of Attorney or Guardianship, you must include a copy of those documents AND the MassHealth Authorized Representative Designation form.
Click the link at the bottom of the page to download a PDF of the form.
After you fill out the form, you can mail it to:
Board of Hearings
Office of Medicaid
100 Hancock Street, 6th Floor
Quincy, MA 02171
If you do not request a hearing within 30 days after you receive the denial letter, there is a different process you must go through.
Click the Letter Template - Eligibility Appeal More than 30 Days link at the bottom of the page to download a PDF of the form.
Sources: Health Care for All, Health Law Advocates, MassHealth
What you can do:
Click the button below to download a PDF copy of the form
Read the directions carefully
Fill it out completely, and give as much detail as possible
Use extra sheets paper if you need more room to answer any of the questions. Attach them to the application
Fill out other forms as needed and attach them
4. Once you have MassHealth, if you're having trouble with the payments, you may request a Hardship Waiver. Click the button below to learn more.
Sometimes things are happening in your life that make it hard for you to pay the monthly premiums.
If this is the case, you may be able to waive (not pay) these payments for up to six months.
To apply for this waiver, click the Hardship Waiver link at the bottom of the page to download the form and fill it out.
Have questions? Click the button below to find local resources to help you.
We understand how hard it can be to fill out the MassHealth paperwork!
If you still need help after reading this Guide, here are some other ways to get help. (Remember, you can print out this list and keep it handy!)
- Call MassHealth: 1-800-841-2900. If you need an interpreter, they will get one.
- Call the Family-to-Family Health Information Center at 1-800-331-0688 ext. 301:You can get free, confidential help navigating the MassHealth system. Staff can help you through the process of applying, and help you understand the coverage options. This service is offered by Mass Family Voices, a project of the Federation for Children with Special Needs.You can also email them at email@example.com
- Call the UMass/Disability Evaluation Services (DES) Help Line: 1-888-497-9890
- If your family member has an autism diagnosis, you can contact the Autism Insurance Resource Center or one of the state's 7 Autism Support Centers:
Autism Insurance Resource Center:
Autism Alliance of Metrowest (Natick)- serves Metrowest, Middlesex West
Autism Resource Center (West Boylston) - serves Worcester, North Central & South Valley areas
Autism Support Center (Danvers) - serves Northeast region
978-777-9135 or 1-800-728-8476
Family Autism Center (Westwood) - serves Norfolk County
781-762-4001, ext. 310
Community Autism Resources (Swansea) - serves Southeastern region, Cape Cod & Islands
508-379-0371 or 1-800-588-9239
Community Resources For People With Autism (Easthampton) - serves Western region
413-529-2428, ext. 121 or 1-800-892-7003
TILL & Boston Families for Autism (Dedham) - serves Greater Boston