Massachusetts Careplus Health Needs Assessment Form
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People also ask
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How to qualify for MassHealth CarePlus?
MassHealth CarePlus is a coverage type for adults ages 21 to 64 whose income is at or below 133 percent of the federal poverty level (FPL).
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How do I request for MassHealth forms?
Providers can download a copy of most MassHealth forms or request a supply of forms through the MassHealth website at .mass.gov/masshealth. Or providers can use this request form and fax it to 617-988-8973. Providers can also request forms by e-mailing publications@mahealth.net or by calling 1-800-841-2900.
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What qualifies as proof of residency for MassHealth?
(F) Acceptable proof of Massachusetts residency includes the following, as well as any other verification allowed as determined by the MassHealth agency: (1) copy of deed and record of most recent mortgage payment (if mortgage is paid in full, provide a copy of property tax bill from the most recent year); (2) current ...
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What documents are needed for MassHealth?
What you need Social Security numbers, if you have them, for every household member who is applying. Federal tax returns, if you file. Information about citizenship or national status or immigration status. Employer and income information for everyone in your household (for example, from paystubs or wage statements)
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Is MassHealth CarePlus the same as MassHealth Standard?
MassHealth CarePlus offers a broad range of health care benefits to adults who are not otherwise eligible for MassHealth Standard.
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Does MassHealth look at your bank account?
So what happens when you submit your application? MassHealth will look at every one of your bank statements, going back five years from the date of your application. (MassHealth isn't allowed to look at bank statements that date back more than five years.)
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What can I use to prove Massachusetts residency?
Normally tangible proof of residency is provided through: Appearance of a person's name on a city or town street list. Automobile registration. Driver's license. Rent / mortgage receipt. Utility or telephone bills. Voter registration.
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What does MassHealth accept for proof of residency?
(F) Acceptable proof of Massachusetts residency includes the following, as well as any other verification allowed as determined by the MassHealth agency: (1) copy of deed and record of most recent mortgage payment (if mortgage is paid in full, provide a copy of property tax bill from the most recent year); (2) current ...
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