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Get Ma Hc-cs 2020-2025

O. Box 4405 Taunton MA 02780 NEW Fax 857-323-8300 through the Health Connector Closed Enrollment verification for Health Unsubsidized applications and verifications for IDP and Closed Enrollment should be sent to Massachusetts Health Connector 133 Portland Street 1st Floor Boston MA 02114-1707 Fax 617-887-8745 MassHealth long-term-care applications and Supplement A Buy-In applications These applications should be sent to Central Processing Unit P. Health Coverage Mail/Fax Cover Sheet Last four digits of Head of Household s Social Security Number OR Head of Household initials and DOB MM/DD/YYYY // Important Message Do NOT photocopy the cover sheet containing the barcode. For barcodes to work the sheet with the barcode must be an original not a copy. Use a separate two-page cover sheet for each household. Do NOT use the same two-page cover sheet to send items for more than one household. Always mail or fax verifications to the address or fax on the letter requesting the verifications. If....

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How to fill out the MA HC-CS online

Filling out the MA HC-CS online is an essential step for individuals seeking health coverage in Massachusetts. This guide provides clear instructions to navigate the form effectively and ensure that all necessary information is submitted accurately.

Follow the steps to complete the MA HC-CS form online.

  1. Press the ‘Get Form’ button to access the MA HC-CS form and open it in your online editor.
  2. Begin by entering the last four digits of the head of household’s Social Security number in the designated field. Alternatively, you can use the head of household initials and their date of birth (MM/DD/YYYY) if you do not wish to provide the Social Security number.
  3. Carefully complete the applicant/member information section. Ensure you print clearly and accurately fill in the full name of the head of household, their Social Security number (if applicable), phone number, and date of birth.
  4. If applicable, include the name of the facility and the MassHealth ID number. Also, indicate the reference ID number if you have one.
  5. Count the number of pages being submitted, including the cover sheet and the first page containing the barcode. Fill in this number in the appropriate field.
  6. After filling out the form, review all entries for accuracy. Make sure to save the changes in your online editor.
  7. Finally, you can download, print, or share the completed form as required and ensure it is sent to the correct address provided for the relevant health coverage program.

Complete your MA HC-CS form online today for efficient processing of your health coverage.

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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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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