Medicare Savings Program (MSP)—Qualified Medicare Beneficiaries (QMBs)
Effective Feb 13, 2026M.G.L. c. 118E s. 7 and 12MassHealth
(A) Eligibility Requirements. MSP (Buy-in) QMB coverage is available to Medicare beneficiaries who
- (1) are entitled to hospital benefits under Medicare Part A;
- (2) have a countable-income amount (including the income of the spouse with whom they live) that is less than or equal to 190% of the federal poverty level; and
- (3) meet the universal requirements of MassHealth benefits in accordance with 130 CMR 503.000: Health Care Reform: MassHealth: Universal Eligibility Requirements or 130 CMR 517.000: MassHealth: Universal Eligibility Requirements, as applicable.
- (B) Benefits. The MassHealth agency pays for Medicare Part A and Part B premiums and for deductibles and coinsurance under Medicare Parts A and B for members who establish eligibility for MSP coverage in accordance with 130 CMR 519.010(A).
- (C) Start Date. The start date for MSP coverage is the first day of the calendar month following the date of the MassHealth eligibility determination.