130 CMR 504.006
Applicable Coverage Types
(A) Citizens, qualified noncitizens, and protected noncitizens may receive MassHealth under any
coverage type if they meet the eligibility requirements described in 130 CMR 505.000: Health
Care Reform: MassHealth: Coverage Types.
(B) Qualified noncitizens barred and nonqualified individuals lawfully present may receive the
following coverage.
(1) MassHealth Standard, if they are younger than 19 years old, young adults 19 and 20 years
of age, or people who are pregnant and meet the categorical requirements and financial
standards described in 130 CMR 505.002: MassHealth Standard; independent foster care
children 18 through 20 years of age, and children younger than 19 years old and young adults
age 19 and 20 years of age who are receiving EAEDC.
(2) MassHealth CommonHealth, if they are younger than 19 years old and meet the
categorical requirements and financial standards as described in 130 CMR 505.004:
MassHealth CommonHealth;
(3) MassHealth Family Assistance, if they are children younger than 19 years old, disabled
adults 21 through 64 years of age and meet the categorical requirements and financial
standards as described in 130 CMR 505.005: MassHealth Family Assistance or adults 21
through 64 years of age who are receiving EAEDC;
(4) MassHealth Limited, if they are adults 21 through 64 years of age and meet the
categorical requirements and financial standards as described in 130 CMR 505.006:
MassHealth Limited; and
(5) Children’s Medical Security Plan, if they are children younger than 19 years old and meet
the categorical requirements and financial standards as described in 130 CMR 522.004:
Children’s Medical Security Plan (CMSP).
(C) Nonqualified PRUCOLs may receive the following:
(1) MassHealth Standard if they are pregnant and meet the categorical requirements and
financial standards as described in 130 CMR 505.002: MassHealth Standard;
(2) MassHealth CommonHealth, if they are younger than 19 years old or a young adult 19 or
20 years of age and meet the categorical requirements and financial standards as described in
130 CMR 505.004: MassHealth CommonHealth;
(3) MassHealth Family Assistance if they are children younger than 19 years old, young
adults 19 and 20 years of age, adults 21 through 64 years of age and meet the categorical
requirements and financial standards as described in 130 CMR 505.005: MassHealth Family
Assistance, or are receiving EAEDC;
(4) MassHealth Limited, if they are children younger than 19 years old, young adults 19 or
20 years of age, adults 21 through 64 years of age and meet the categorical requirements and
financial standards as described in 130 CMR 505.006: MassHealth Limited; and
(5) Children’s Medical Security Plan, if they are children younger than 19 years old and meet
the categorical requirements and financial standards as described in 130 CMR 522.004:
Children’s Medical Security Plan (CMSP).
(D) Other noncitizens may receive the following coverage:
(1) MassHealth Standard, if they are pregnant and meet the categorical requirements and
financial standards as described in 130 CMR 505.002: MassHealth Standard;
(2) MassHealth Limited, if they meet the categorical requirements and financial standards as
described in 130 CMR 505.006: MassHealth Limited; and
(3) Children’s Medical Security Plan, if they are children younger than 19 years old and meet
the categorical requirements and financial standards as described in 130 CMR 522.004:
Children’s Medical Security Plan (CMSP).