How to apply

To apply for MassHealth:

Click the boxes below and follow the step-by-step instructions. We'll show you how to fill out the application and the disability supplement forms:

What you can do to apply:

Go to the MassHealth website Application for Families and People with Disabilities. 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

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

Sources: Commonwealth of MA, MassHealth, MA Health Connector

What you can do:

1. Click the link 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 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.

If your family member needs urgent medical or psychological services right away and you need this processed quickly, attach a letter to the front of the disability supplement explaining your situation. Include this sentence: 'I request that DES expedite this disability supplement so that my family member can access the care they need to stay safe and healthy in the community.

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

If your family member needs urgent medical or psychological services right away and you need this processed quickly, attach a letter to the front of the disability supplement explaining your situation. Include this sentence: 'I request that DES expedite this disability supplement so that my family member can access the care they need to stay safe and healthy in the community.

Source: MassHealth

Click the link below to download a PDF of the MassHealth Paper Application.

Source: MassHealth

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