Commonwealth of Massachusetts
Citizens' Guide to State Services

Published by
William Francis Galvin
Secretary of the Commonwealth
Citizen Information Service

Welfare/Social Services: Insurance

S15 Office of Medicaid/MassHealth

S16 Insurance Partnership Program

S17 Accident Trauma and Estate Recovery Units


S15 Office of Medicaid/MassHealth
Executive Office of Health and Human Services
600 Washington Street, 5th floor
Boston, MA 02111
Tel: 617-573-1770
MassHealth Enrollment Toll Free: 1-888-665-9993 (within Mass. only)
MassHealth Enrollment Toll Free TTY: 1-888-665-9997 (within Mass. only)
MassHealth Toll Free: 1-800-841-2900 (within Mass. only)
MassHealth Toll Free TTY: 1-800-497-4648 (within Mass. only)
www.mass.gov/masshealth
E-mail: membersupport@mahealth.net

Statutorily known as the Division of Medical Assistance, the Office of Medicaid administers the MassHealth programs, which include Medicaid, the Children's Medical Security Plan, Healthy Start, the Special Kids/Special Care Pilot Program (along with the Department of Social Services), the Insurance Partnership Program, the Kaileigh Mulligan Home Care Program, and the Uncompensated Care Pool, and other medical assistance programs offered by the commonwealth. MassHealth covers a broad range of health-care services by paying for part or all of a MassHealth member's health insurance, or paying MassHealth providers for medical services given to members.  In some cases, MassHealth helps pay for long-term-care services in the community or in an institution, such as a chronic disease or rehabilitation hospital or a nursing facility Medicaid, their largest assistance program, is a federal-state partnership with the Office of Medicaid developing eligibility requirements and processing applications for needy and low-income people under 21 and over 65. Any person receiving AFDC or SSI is immediately covered by Medicaid. In addition, pregnant women, families, and certain people with severe disabilities may be eligible.  Also, all children under age 19 who cannot get MassHealth are eligible for limited health-care coverage from another state program called the Children's Medical Security Plan (CMSP). The Kaileigh Mulligan Health Insurance Program is listed at B10. Additionally, MassHealth oversees the Employment Services Program (ESP) which is a joint federal and state funded program whose primary goal is to provide a way to self-sufficiency for TAFDC families. ESP is an employment-oriented program that is based on a "work first" approach which includes job skill training and education, job search assistance, and post employment support. Call MassHealth for assistance.


S16 Insurance Partnership Program
MassHealth Family Assistance
Employee Benefits Resources
Two Hampshire Street, Suite 100
Foxborough, MA 02035
Tel: 508-698-2070
Toll Free: 1-800-399-8285 (within Mass. only)
Fax: 508-543-0432
www.4ip.org/

Through the Insurance Partnership Program, MassHealth helps qualified small employers, including those self-employed, pay for health insurance provided to their employees under age 65 whose income qualifies them for assistance. Small businesses that provide health insurance to their qualified employees can have part of their costs paid for by the Commonwealth of Massachusetts.


S17 Accident Trauma and Estate Recovery Units
P.O. Box 15205
Worcester, MA 01615-0205
Tel: 508-856-6381
Toll Free: 1-800-754-1864
www.mass.gov/masshealth

MassHealth may get reimbursed from the estates of certain MassHealth members when they die. In general, the money that must be repaid is for services paid by MassHealth for a member after the member turned age 55. There are some circumstances under which MassHealth may delay requesting repayment (such as if the surviving spouse continues to live in the home) or decide that the estate does not need to repay MassHealth. Also, MassHealth will count any assets transferred within the preceding three years by an applicant (even if transferred to other family members or a trust) as still owned by the applicant. Call the Estate Recovery Unit for further clarification about liens on homes, estate planning, assets, and will probating in regards to qualifying for MassHealth assistance


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