Procedural

With the nationwide end of the pandemic-related continuous coverage/maintenance of effort policy that was in effect from March 17, 2020 until Mar 31, 2023, there has been a nationwide spotlight on administrative barriers that result in eligible Medicaid members losing coverage at…

MassHealth has started posting fair hearing decisions on its website. As of February 2024, there are over 2400 decisions from July -Sept 2023 currently posted with a filtering feature by topic. 

This form  gives MassHealth permission to share the information they have about someone with another person or organization. It is also needed to communicate with Disability Evaluation Services.  Click the "Go to Website" link below to download the form in English, Spanish or…

Attached is an updated guide on the process of filing a complaint for judicial review of a MassHealth fair hearing decision. Please contact Kate Symmonds (ksymmonds@mlri.org) if you notice any errors or have any tips for other advocates; and please be sure to check the court rules and statutes for…

This settlement with the Executive Office of Health and Human Services (EOHHS) arises out of several consolidated cases brought in Suffolk Superior Court. Congratulations to Nicholas Kaltsas of Elder & Disability Law Advocates, John Welch of Life Care Planning Law Group, and John Ford of the…

In this Aug 5, 2021 Appeals Court decision, the Court reversed the Superior Court's summary judgment in favor of EOHHS in a Medicaid estate recovery claim under G.L. c. 118E, Sec. 31 in which the claim consisted entirely of capitated monthly payments to a Senior Care Options (SCO) program.…

Powerpoint from June 2016 training for legal aid and pro bono lawyers on Reprenting Clients in MassHealth Cases. 

New Process for Handling Disability Supplements is described in the attached  Eligibility Operations Memo

Revised on January 2, 2007. This is the revised version.