130 CMR, § 519.004 - Disabled Adult Children

(A) Eligibility Requirements. Individuals who lose eligibility for Supplemental Security Income (SSI) benefits may retain eligibility for MassHealth Standard provided that they

(1) are 18 years of age or older;

(2) became blind or disabled before attaining 22 years of age;

(3) receive or received SSI based on their blindness or disability;

(4) received an increase in child's insurance benefits under § 202(d) of the Social Security Act, or became entitled to those benefits on the basis of blindness or disability, on or after July 1, 1987;

(5) lose or lost SSI as a result of this entitlement or increase in child's insurance benefits under § 202(d) of the Social Security Act; and

(6) would still be eligible for SSI in the absence of such RSDI benefits or increase in benefits.

(B) Financial Standards Not Met. Individuals whose income, assets, or both exceed the standards set forth in 130 CMR 519.004(A) may establish eligibility for MassHealth Standard by reducing their assets in accordance with 130 CMR 520.004: Asset Reduction, meeting a deductible as described at 130 CMR 520.028: Eligibility for a Deductible, through 520.035: Conclusion of the Deductible Process or both.

Notes

130 CMR, § 519.004

Amended by Mass Register Issue 1327, eff. 12/2/2016. Amended by Mass Register Issue 1407, eff. 1/1/2020. Amended by Mass Register Issue 1409, eff. 1/1/2020. Amended by Mass Register Issue 1496, eff. 5/12/2023 (EMERGENCY). Amended by Mass Register Issue 1502, eff. 5/12/2023 (EMERGENCY). Amended by Mass Register Issue 1508, eff. 5/12/2023 (EMERGENCY). Amended by Mass Register Issue 1509, eff. 11/24/2023.