What disqualifies you from MassHealth?
Asked by: Demetris Cassin | Last update: July 15, 2025Score: 4.4/5 (28 votes)
Who is not eligible for MassHealth in Massachusetts?
Age 21 through 64 at the time of enrollment, • Eligible for MassHealth Standard or MassHealth CommonHealth, and • Without other comprehensive public or private insurance. Individuals are not eligible to enroll if: they are enrolled in an HCBS Waiver, or • they are residents of an Intermediate Care Facility.
Does MassHealth look at your bank account?
MassHealth will look at every one of your bank statements, going back five years from the date of your application. (MassHealth isn't allowed to look at bank statements that date back more than five years.)
Can you own a car and get MassHealth?
Vehicles – One vehicle per household is non-countable if it is for the use of the individual living in the community. The equity value of all other vehicles is a countable asset.
What assets are exempt from MassHealth?
There are also many assets that are considered exempt (non-countable). Exemptions include personal belongings, household furnishings, an automobile, burial spaces for the applicant and immediate family members, and generally one's primary home.
What is MassHealth in Massachusetts?
Can I apply for MassHealth if I already have insurance?
MassHealth members can have both MassHealth and private health insurance at the same time. Private health insurance could be from employment, a family member or a parent with or without custody.
How does MassHealth check your income?
Proof of Job Income
Recent pay stubs dated within the past 60 days. Your most recent Form 1040 (U.S. Individual Income Tax Return) with all attachments, including W2s. This must not be older than the most recent tax year.
How do I protect my assets from MassHealth?
Trusts are a tool that many people take advantage of in this situation. Creating the right type of trust may allow Massachusetts residents to control what happens to their assets without making those assets accessible to MassHealth or losing their coverage. There's no one-size-fits-all trust for MassHealth planning.
Does Medicaid look at cash withdrawals?
If there are ATM cash withdrawals totalling as little as $201 in a month the HHSC is going to treat it as a transfer for less than fair market value unless you provide convincing evidence that the cash was used to obtain goods or services equal in worth to the amount of the withdrawal.
How do I check my MassHealth eligibility?
The Eligibility Verification System is available through the Provider Online Service Center (POSC). EVS provides easy access to current and complete member eligibility information on the date services are provided or within a specific date range.
Can MassHealth take your home?
MassHealth estate recovery does not force the sale of a member's home while they are alive because estate recovery only applies after the member's death.
Does social security count as income for MassHealth?
If you receive income from Social Security retirement, disability, or survivors benefits (SSDI or RSDI), you will need to enter the amount of gross income you receive. This should be the amount received before any deductions (like Medicare premiums or other deductions) are taken out.
Does MassHealth look at savings?
Yes, Medicaid MassHealth looks at your assets, and they can disqualify you from long-term care coverage if you have assets that are over their limits. In 2023, the asset limit is $2,000.00 for a single person.
Can you have MassHealth and work?
You may have more benefits by getting insurance both through your job and through MassHealth than just through MassHealth alone. For example, your employer's health plan may provide access to more healthcare providers, additional paid services, and even wellness programs.
Will I lose MassHealth if I inherit money after?
Therefore, after the first month that you receive your inheritance, your MassHealth will not be affected by the inheritance. Under traditional MassHealth (for people over 65), an individual's assets may not exceed $2,000 (or $3,000 for married couples).
Can a nursing home take your house if it's in a trust?
Homes held in an irrevocable trust are generally protected from nursing home claims because they are no longer part of your personal estate.
What is the income cut off for MassHealth?
MassHealth members are financially eligible. Income guidelines require Annual Gross Income less than $2,829.00/month or $33,948.00/year in calendar year 2024.
Does Medicaid monitor your income?
Yes, income and assets have to be verified again for Medicaid Redetermination. After initial acceptance into the Medicaid program, redetermination is generally every 12 months.
Is there an asset test for MassHealth?
If you decide to apply for MassHealth, you must give MassHealth proof of all assets that are available to you and your spouse as of the date of application for MassHealth. You must also give MassHealth proof of all resources (income and assets) transferred generally within the last 60 months.
How does MassHealth verify income?
recent pay stubs (earned) recent check stubs showing gross income (unearned) current signed statement from the employer. current proof of pension/benefits when matching is unavailable.
Can anyone be on MassHealth?
MassHealth will give you the most complete coverage that you can get. Your eligibility depends on things like income, citizenship or immigration status, age, and special circumstances. You must be a Massachusetts resident to get any of these services. You may have copayments for some services.
Can you own a home and have MassHealth?
If MassHealth covers your long-term care, it won't take your home and force you out, but the program may take profits from its sale – profits that your beneficiaries are counting on. The best way to make sure that your home and loved ones are protected when that day comes is to make plans long before it arrives.