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  • Fill Out Masshealth Additional Services Form

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The National Voter Registration Act of 1993 requires ... 1-800-841-2900 (TTY: 1- 800-497-4648 for people with ... Effective for applications and eligibility review ..... Zip. Mailing address (if different.

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Related content

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If you are in a ConnectorCare plan or get a monthly tax credit to lower the cost of your monthly premium, it's especially important to report income changes. If you don't tell us about changes to your income, it could affect your tax refund when you file taxes at the end of the year.

First, log in to your online account. (If you don't have an online account, call Customer Service to get started with setting one up.) Once you are signed into your account, go to the new My Documents section of your account. Click on the Upload Documents link in the main menu to start uploading your files.

By fax + Update your information by faxing a document or handwritten note to (857) 323-8300 that includes: Head of Household Name. Head of Household date of birth.

I am the head of my household. How do I add a new individual to my account? Go online to your MA Login account to Report a Change and add a person to your account; or. Call MassHealth Customer Service at (800) 841-2900; or. Submit a paper application with the new household member's information.

recent pay stubs (earned) recent check stubs showing gross income (unearned) current signed statement from the employer. current proof of pension/benefits when matching is unavailable.

You will be asked to send Prescription Advantage information about your income. Acceptable income documents include: Your most recently federal income tax return 1040, 1040A, or 1040EZ. Social Security benefit award letter or annual benefit statement (SSA-1099)

Call the Health Connector at (877) MA ENROLL, (877) 623-6765 or TTY: (877) 623-7773. Or call MassHealth at (800) 841-2900 or TDD/TTY: 711.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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