How to apply

Go to the MassHealth website. It will tell you how to apply in any of these ways:

Online

• This is the fastest way to apply

• Visit MAhealthconnector.org, create an account, and fill out the application

By Mail

• 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 4405

  • Taunton, MA 02780

  • Or fax: 1-857-323-8300

By Phone

• Call MassHealth at 1-800-841-2900 (TTY: 1-800-497-4648)

• This is an automated phone system. Listen carefully, and be patient!

In Person

• Go to one of the MassHealth Enrollment Centers or make an appointment with an Enrollment Assister who can help you.

• Find out before you go what information and documents you will need to bring.

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 button 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: Call1-888-497-9890

• The Autism Insurance Resource Center (If your family member has an autism diagnosis):

  • Call:774-455-4056or800-642-0249

  • Email: info@disabilityinfo.org

Sources: Commonwealth of MA, MassHealth, MA Health Connector

What you can do:

1. Fill out the MassHealth Child Disability Supplement Form (or download the pdf form at the bottom of the page.)

2. If you are not the parent or legal guardian, click the link at the bottom of the page 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:

1. Make a copy of the completed Disability Supplement form and keep for your records

2. 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

3. 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

Source: MassHealth

What you can do:

1. Click the link at the bottom of the page to download a PDF copy of the form

2. Read the directions carefully

3. Fill it out completely, and give as much detail as possible

4. Use extra sheets paper if you need more room to answer any of the questions. Attach them to the application

5. Fill out other forms as needed and attach them

Source: MassHealth