MassHealth Eligibility Letter 131 May 1, Breast and Cervical Cancer, MassHealth Essential, and Non-countable Income
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1 Commonwealth of Massachusetts Executive Office of Health and Human Services Office of Medicaid 600 Washington Street Boston, MA MassHealth Eligibility Letter 131 May 1, 2005 TO: MassHealth Staff FROM: Beth Waldman, Medicaid Director RE: Breast and Cervical Cancer, MassHealth Essential, and Non-countable Income MassHealth is making three clarifying revisions to regulations. MassHealth is changing the regulation at 130 CMR (F)(3). A sentence is being removed because nonqualified aliens eligible for MassHealth Standard based on 130 CMR (H) can only receive MassHealth Limited. Revisions to 130 CMR (A)(1)(a) and (A)(2)(a) are being made to clarify that longterm unemployment is an eligibility requirement for MassHealth Essential. The revisions to 130 CMR (C) and (E) specifically include, as noncountable income, the veteran s benefits that are based on need and are provided to resident veterans by municipalities. These regulations are effective May 1, MANUAL UPKEEP Insert Remove Trans. By (3 of 3) (3 of 3) E.L (1 of 4) (1 of 4) E.L (2 of 4) (2 of 4) E.L E.L E.L. 91
2 CITIZENSHIP AND IMMIGRATION (3 of 3) (c) MassHealth Family Assistance, if they are children under age 19 or persons under age 19 who are HIV positive, who meet the categorical requirements and financial standards of Family Assistance, as described at 130 CMR The MassHealth agency does not pay the copayments, coinsurance, and deductibles described in 130 CMR (B)(6) for children who receive premium assistance; (d) MassHealth Limited, if they are adults who are parents, pregnant, or disabled and meet the categorical requirements and financial standards of MassHealth Standard, as described in 130 CMR (D), (E), and (F); or (e) MassHealth Essential with MassHealth Limited, if they are long-term unemployed, disabled adults aged 19 through 64, and meet the eligibility requirements of 130 CMR (E). (3) Nonqualified aliens may only receive MassHealth Limited if otherwise eligible for MassHealth Standard. (4) Aliens with special status are not eligible for MassHealth Basic. (G) Verification of Immigration Status. (1) A determination of eligibility is made as of the date the MBR and all required information, except verification of immigration status, is received by the MassHealth agency. (2) The MassHealth agency submits the names of qualified aliens to the DHS for confirmation of immigration status. (3) The MassHealth agency requests verification of immigration status subsequent to the eligibility determination from: (a) qualified aliens who did not submit verification of their immigration status with the MBR, and for whom the DHS has been unable to confirm their status, as described at 130 CMR (G)(2); and (b) aliens with special status who did not submit verification of their immigration status with the MBR. (4) Aliens who fail to submit verification of their immigration status, as described in 130 CMR (G)(3), within 60 days of the MassHealth agency s Request for Information will subsequently be: (a) eligible only for MassHealth Limited if they meet the categorical requirements and financial standards of MassHealth Standard; or (b) ineligible for any MassHealth coverage type if not otherwise eligible for MassHealth Standard.
3 COVERAGE TYPES (1 of 4) (a) They are currently unemployed and: (i) have been unemployed for more than one year; or (ii) during the past 12 months have earned less than the minimum amount of earnings necessary to qualify for unemployment compensation. (b) They are not eligible for unemployment compensation. (c) They have family group gross income less than or equal to 100 percent of the federal-poverty level. (d) Their spouse is: (i) not employed more than 100 hours a month; or (ii) employed 100 hours or less a month, and not eligible for premium assistance payments that provide couple or family coverage in accordance with 130 CMR (C). (2) EAEDC Recipients. Individuals and members of couples who receive EAEDC cash assistance are eligible for premium assistance under MassHealth Basic if they have health insurance. (3) Eligibility Date. Once the MassHealth agency has determined eligibility, premium assistance payments begin in the calendar month following the verification of the member's health insurance information. (4) Extended Premium Assistance. Persons who are no longer eligible for premium assistance payments under MassHealth Basic due to earnings continue to have their premiums paid for a six-calendar-month period following their date of employment if they or their spouse are not otherwise eligible for premium assistance payments, in accordance with 130 CMR (C) : MassHealth Essential (A) Overview. 130 CMR contains the categorical requirements and financial standards for MassHealth Essential. This coverage type is available to individuals or members of a couple who are long-term unemployed and do not meet the eligibility criteria for MassHealth Basic, as described in 130 CMR MassHealth Essential coverage is available either through the purchase of medical benefits or through premium assistance payments. MassHealth Essential benefits afforded to aliens with special status are described in 130 CMR (E). (1) The Purchase of Medical Benefits under MassHealth Essential. (a) The purchase of medical benefits under MassHealth Essential is available to unemployed adults aged 19 through 64 who meet the following conditions:
4 Trans. By E.L. 131 COVERAGE TYPES (2 of 4) (i) are long-term unemployed; and (ii) do not have, or have access to, health insurance, including health insurance offered by the college or university that they attend; or (iii) have health insurance that the MassHealth agency has determined does not cover the applicant s chronic medical condition requiring frequent treatment and medical services, or is of significant cost to the applicant. (b) Persons eligible for the purchase of medical benefits are eligible for medical benefits, as described in 130 CMR (I) and 130 CMR (2) Premium Assistance under MassHealth Essential. (a) Premium assistance under MassHealth Essential is available to unemployed adults aged 19 through 64 who are long-term unemployed and who have health insurance that: (i) the MassHealth agency has determined covers the applicant s chronic medical condition requiring frequent treatment and medical services and for which they must pay a premium; (ii) is not of significant cost to the applicant; (iii) is not available from the college or university that they attend; and (iv) meets the MassHealth agency s cost-effective analysis. (b) Persons eligible for premium assistance payments are eligible for payment of part or all of their health insurance premium. (B) The Purchase of Medical Benefits. (1) Eligibility Requirements. Individuals and members of couples under age 65 are eligible for Essential coverage if they are uninsured, in accordance with 130 CMR (A)(1)(a), and meet all of the conditions in 130 CMR (B)(1)(a) through (e). (a) They are not eligible for MassHealth Basic. (b) They are currently unemployed and: (i) have been unemployed for more than one year; or (ii) during the past 12 months have earned less than the minimum amount of earnings necessary to qualify for unemployment compensation. (c) They are not eligible for unemployment compensation. (d) They have family group gross income less than or equal to 100 percent of the federal poverty level.
5 FINANCIAL REQUIREMENTS : Noncountable Income The following types of income are noncountable in the determination of eligibility. (A) Income received by a TAFDC, EAEDC, or SSI recipient. (B) Sheltered workshop earnings. (C) The portion of federal veterans' benefits identified as aid and attendance benefits, unreimbursed medical expenses, housebound benefits, enhanced benefits, or veterans benefits that are based on need and are provided by municipalities to resident veterans. (D) Income-in-kind. (E) Roomer and boarder income derived from persons residing in the applicant's or member's principal place of residence. (F) Any other income that is excluded by federal laws other than the Social Security Act : Verification of Income (A) Verification of gross monthly earned income is mandatory and shall include, but not be limited to, the following: (1) two recent paystubs; (2) a signed statement from the employer; or (3) the most recent U.S. Tax Return. (B) Verification of gross monthly unearned income is mandatory and shall include, but not be limited to, the following: (1) a copy of a recent check or paystub showing gross income from the source; (2) a statement from the income source, where matching is not available; or (3) the most recent U.S. Tax Return. (C) Verification of gross monthly income may also include any other reliable evidence of the applicant's or member's earned or unearned income.
6 FINANCIAL ELIGIBILITY : Long-Term-Care Earned-Income Deductions (A) The following expenses may be deducted from the earnings of a long-term-care-facility resident: (1) a standard deduction of $11; and (2) any of the following work-related expenses deducted from salary: (a) social security taxes (FICA); (b) federal and state income taxes; (c) retirement and employee benefit plans; (d) health or medical insurance premiums; and (e) union dues. (B) Deductions that may be used to determine the amount owed to the long-term-care facility (patient-paid amount) are described at 130 CMR : Noncountable Income The following types of income are not considered in determining the financial eligibility of the applicant or member: (A) the income of any individual who is a recipient of EAEDC or SSI; (B) the portion of the income that is disregarded: (1) for disabled adult children according to 130 CMR ; and (2) under the Pickle Amendment according to 130 CMR ; (C) income-in-kind; (D) money received from a loan secured by the equity in the home of an individual who is aged 60 or older (reverse mortgage); (E) veterans' aid and attendance benefits, unreimbursed medical expenses, housebound benefits, enhanced benefits ($90 Veterans' Administration pension to long-term-care-facility residents, including veterans and their childless surviving spouses who live in a state veterans' home), or veterans benefits that are based on need and are provided by municipalities to resident veterans; (F) social security cost-of-living adjustments until the subsequent federal-poverty-level adjustment for members who are community residents;
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