130 CMR, § 520.040 - Maximum Cost Sharing

Members are responsible for MassHealth premiums described in 130 CMR 506.012 up to a monthly maximum of 3% of applicable monthly income, except no such limit applies to Common Health members. Each member's monthly premium cap will be calculated using 3% of the lowest income in the MassHealth MAGI household or the MassHealth Disabled Adult household, as applicable. A further explanation of this calculation is publicly available on MassHealth's website.

Notes

130 CMR, § 520.040

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).