Community Residents 65 Years of Age and Older

(A) Eligibility Requirements. Except as provided in 130 CMR 519.005(C), noninstitutionalized individuals 65 years of age and older may establish eligibility for MassHealth Standard coverage provided they meet the following requirements: (1) the countable-income amount, as defined in 130 CMR 520.009: Countable-income Amount, of the individual or couple is less than or equal to 100% of the federal poverty level; and (2) the countable assets of an individual are $2,000 or less, and those of a married couple living together are $3,000 or less. (B) Financial Standards Not Met. Except as provided in 130 CMR 519.005(C), individuals whose income, assets, or both exceed the standards set forth in 130 CMR 519.005(A) may establish eligibility for MassHealth Standard by reducing their assets in accordance with 130 CMR 520.004: Asset Reduction, meeting a deductible as described at 130 CMR 520.028: Eligibility for a Deductible through 520.035: Conclusion of the Deductible Process, or both. (C) Parents and Caretaker Relatives of Children Younger Than 19 Years Old (1) Eligibility Requirements. Adults who are 65 years of age and older and are the parents or caretaker relatives of a child younger than 19 years old receive MassHealth Standard if they meet the requirements of 130 CMR 505.002(C): Eligibility Requirements for Parents and Caretaker Relatives or (L): Extended Eligibility. (2) Other Provisions. The following provisions apply to adults described in 130 CMR 519.005(C)(1) and 130 CMR 505.002(A)(6), 130 CMR 505.002(M): Use of Potential Health Insurance Benefits, 130 CMR 505.002(O): Medicare Premium Payment, and 130 CMR 505.002(P): Medical Coverage Date. (3) Countable Income. Eligibility for adults described in 130 CMR 519.005(C)(1) is based on the individual’s modified adjusted gross income (MAGI) of the MassHealth MAGI household and the income rules described at 130 CMR 506.002: Household Composition and 130 CMR 506.003: Countable Household Income. (4) Exemption from Asset Limits. The asset limits in 130 CMR 520.003: Asset Limit do not apply to applicants or members described in 130 CMR 519.005(C)(1).