1. (A) Medical expenses must be verified by a bill or written statement from a health-care provider with the exception of expenses for nonprescription drugs, which must be verified by a receipt from the provider of the drug. Any unpaid bill incurred before the deductible period must be verified by a bill dated within the six-month deductible period.

2. (B) Verifications must include all of the following information:

   1. (1) the name of the provider;
   2. (2) the type of service provided;
   3. (3) the name of the individual for whom the service was provided;
   4. (4) the amount charged for the service including the current balance; and
   5. (5) the date of service.

Trans. by E.L. 248 Rev. 04/01/24

MASSHEALTH

FINANCIAL ELIGIBILITY

Chapter 520 Page 520.034