130 CMR 522.002
Refugee Resettlement Program
(A) Regulatory Authority. The Refugee Resettlement Program (RRP) is regulated pursuant to
Chapter 2 of Title IV of the Immigration and Nationality Act (INA), 8 U.S.C. 1521 and Refugee
Medical Assistance (RMA) is provided in accordance with 45 CFR 400 Subpart G.
(B) Overview
(1) The RRP was established by the Refugee Act of 1980. The act authorizes funds for the
administration and implementation of social and educational services and employment
training and placement, as well as cash assistance and medical assistance to refugees without
regard to race, religion, nationality, sex, or political opinion. It is the intent of the act to
promote the resettlement and economic self-sufficiency of refugees within the shortest
timeframe possible.
(2) The Massachusetts Office for Refugees and Immigrants (ORI) is the state agency
responsible for the delivery of services to refugees under the RRP. ORI has entered into an
agreement with the MassHealth agency to provide RMA to eligible individuals. Refugee
resettlement agencies under contract with ORI make the RRP eligibility determination and
assist refugees to submit an application for MassHealth.
(C) Eligibility Requirements. Individuals must submit an application for MassHealth and meet
the following requirements:
(1) having valid documentation of refugee, asylee, Cuban and Haitian entrant, Iraqi and
Afghan Special Immigrant Visa (SIV) holder, or Amerasian status from US Citizenship and
Immigration Services (USCIS), or of victim of human trafficking status from the federal
Administration for Children and Families or USCIS;
(2) being a resident of Massachusetts;
(3) having modified adjusted gross income (MAGI) of the MassHealth MAGI household that
is less than 200% of the federal poverty level standards or meet a deductible in accordance
with 130 CMR 520.028 through 520.035; and
(4) being ineligible for MassHealth Standard, CommonHealth, CarePlus, and Family
Assistance.
(D) Period of Eligibility
(1) Eligibility Period. A refugee who meets the eligibility requirements of RMA is eligible to
receive MassHealth Standard or CarePlus for a four-month period, or other time period as
established pursuant to 45 CFR 400.211, beginning with the date of entry into the United
States.
(2) End of Eligibility Period. A refugee who has been in the country for 12 months from their
date of entry, or other time period as stated in 130 CMR 522.002(D)(1), is no longer eligible
for MassHealth under the refugee resettlement program. Such refugee will be notified in
advance of termination.
(3) Extended MassHealth Eligibility. A refugee who becomes ineligible for MassHealth
solely by reason of increased earnings from employment or increased hours of employment
will have coverage for the balance of the eligibility period.