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Get Applicant Information - Mass . Gov - Mass

*Check one: Request for Notice of Offender Release *Denotes Required Field Request for Access to CORI (Criminal Offender Record Information) Change of address only (complete section F) Section A: APPLICANT INFORMATION *Print Applicant Name: (Last) (First) (Maiden Name, Also Known As) *Mailing Address 1: (Suffix) (Last) (First) (Middle) (Suffix) (Last) Formerly Known As/Other Names: (Middle) (First) (Middle) (Suffix) (Street No. and Name or PO Box Number) (Apt., Building or.

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Contact support

Call MassHealth Customer Service Center at (800) 841-2900, TDD/TTY: 711 to update your information over the phone. MassHealth representatives are available Monday through Friday, 8 a.m. – 5 p.m. You can also visit a MassHealth Enrollment Center (MEC).

The MassHealth application process often takes a few months from start to finish. For Massachusetts residents who need MassHealth benefits to pay for long-term care, there's no time to waste.

The MassHealth application process often takes a few months from start to finish. For Massachusetts residents who need MassHealth benefits to pay for long-term care, there's no time to waste.

2023 MassHealth Income Standards and Federal Poverty Guidelines Family Size200% Federal Poverty Level300% Federal Poverty LevelMonthlyYearly1$2,430$43,7402$3,287$59,1603$4,144$74,5806 more rows

You will have 14 days to pick a plan from the date of your eligibility. You can enroll in one of the plans offered in your area.

If you are a MassHealth, Commonwealth Care, or Health Safety Net member or applicant you can get the same information by phone at (888) 665-9993. When you call this number, select a language and then press Option 1.

2023 MassHealth Income Standards and Federal Poverty Guidelines Family SizeMassHealth Income Standards100% Federal Poverty LevelMonthlyMonthly1$522$1,2152$650$1,6443$775$2,0726 more rows

If you are a MassHealth, Commonwealth Care, or Health Safety Net member or applicant you can get the same information by phone at (888) 665-9993. When you call this number, select a language and then press Option 1.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232