Get Ma Mads-a 2021-2025

The MA MADS-A form, or MassHealth Adult Disability Supplement, is an essential document for individuals applying for disability benefits in Massachusetts. This guide will provide step-by-step instructions on how to accurately complete the form online, ensuring you provide all necessary information to support your application.

Follow the steps to efficiently fill out the MA MADS-A online.

1. Press the ‘Get Form’ button to access the MA MADS-A online and open it in your preferred online editor.
2. Fill in your personal information. This includes entering your last name, first name, middle initial, social security number, date of birth, address, and contact numbers.
3. Indicate your availability for medical appointments by checking the appropriate time slots. Be thorough in providing your availability to schedule any necessary appointments.
4. In Part 1, list and describe all your medical and mental health problems. Include the date each problem began and any medications or treatments you are receiving.
5. In Part 2, provide detailed information about all your medical and mental health providers. Make sure to list the reason for each visit and whether the visits occurred within the last year.
6. In Part 3, specify your living situation by checking the appropriate option regarding where you reside.
7. In Part 4, evaluate how your medical or mental health issues affect daily activities. You will need to specify if you face challenges in various tasks and provide explanations as needed.
8. Part 5 requires you to answer questions about your language skills, including reading and writing abilities in both English and your first language.
9. In Part 6, provide information regarding your educational background, listing the highest grade completed and any additional training.
10. Part 7 focuses on your work history over the past 15 years. Document each job, including roles, dates, job duties, hours worked, and reasons for leaving.
11. Use Part 8 to add any further comments regarding why you cannot work.
12. Finally, complete Part 9 by signing and dating the form. If applicable, have any authorized representative complete their section as well.
13. After reviewing the completed form, save your changes, and prepare to download, print, or share the form as needed.

Take action now and complete the MA MADS-A online to ensure a timely assessment of your disability benefits.