Eligibility
Effective Jan 10, 2020Mass. Register #1408MGL c. 19A, § 39Executive Office of Aging & Independence (AGE)
(1) A Member of the Plan must be a Resident of the Commonwealth who is not eligible for MassHealth and:
(a) 1. is 65 years of age or older and is not eligible for Medicare; or
- 2. is 65 years of age or older and is eligible for Medicare and has Gross Household Income less than or equal to 500% of the poverty guidelines updated periodically in the Federal Register by the U.S. Department of Health and Human Services; or
(b) has a Gross Annual Household Income less than or equal to 188% of the Federal Poverty Level, does not work more than 40 hours per month and meets:
- 1. the disability requirement of the CommonHealth program as referenced under M.G.L. c. 118E, § 9A(2)(h), notwithstanding the income eligibility requirements under M.G.L. c. 118E, § 9A(2)(h); or
- 2. the disability requirements of the CommonHealth program as referenced under M.G.L. c. 118E, § 16, notwithstanding the income eligibility requirement under M.G.L. c. 118E, §9A(2)(h); or
- 3. the disability requirements of the CommonHealth program as referenced under M.G.L. c. 118E, § 16A.
- (2) The Plan may require verification or re-verification of any eligibility requirement at any time.
- (3) Beginning January 1, 2006, in order to be eligible for the Plan, individuals who are eligible for Medicare must be enrolled in a Medicare Part D Plan.