130 CMR, § 520.035 - Conclusion of the Deductible Process

When the total of submitted bills is equal to or greater than the deductible and all other eligibility requirements continue to be met, the MassHealth agency notifies the applicant that he or she is eligible. The member is eligible for payment of all covered medical expenses incurred during that deductible period, other than those submitted to meet the deductible, as long as the member continues to meet all other eligibility requirements during the balance of the deductible period.

Notes

130 CMR, § 520.035

Amended by Mass Register Issue 1407, eff. 9/25/2019. Amended by Mass Register Issue 1420, eff. 7/1/2020. Amended by Mass Register Issue 1446, eff. 7/1/2021. Amended by Mass Register Issue 1495, eff. 5/1/2023 (EMERGENCY). Amended by Mass Register Issue 1504, eff. 8/24/2023 (EMERGENCY). Amended by Mass Register Issue 1506, eff. 8/24/2023 (COMPLIANCE). Amended by Mass Register Issue 1519, eff. 4/1/2024 (EMERGENCY). Amended by Mass Register Issue 1524, eff. 4/1/2024 (COMPLIANCE).