MassHealth CommonHealth is a supplemental insurance from MassHealth available to children with qualifying disabilities. CommonHealth will pay for copays and deductibles that are not covered by your private insurance.<\/p>\n
The steps to apply for MassHealth CommonHealth are:<\/p>\n
Choose one of the following ways to apply: Mail to: Health Insurance Processing Center \uf0de BY FAX: Download, print, and complete the application found here: https:\/\/ \uf0de BY PHONE: Call MassHealth Customer Service at (800) 841-2900 or TTY: (800) \uf0de IN PERSON: Walk into an enrollment center listed below. Hours: Mon-Fri 8:45 A.M. Charlestown<\/strong> Note:<\/strong>\u00a0An after-hours drop box is available to submit your application in person.<\/p>\n Chelsea (new location)<\/strong>* Note:\u00a0<\/strong>This office has limited parking space. Springfield<\/strong> Taunton<\/strong> Tewksbury<\/strong> Note:<\/strong>\u00a0An after-hours drop box is available to submit your application in person.<\/p>\n Quincy – MassHealth Central Office<\/strong> Worcester<\/strong> How do I submit this form? Sign the Medical Release forms in the application for each of your child\u2019s providers.<\/p>\n Gather all relevant documents, including recent IEPs, IFCP, and medical testing.<\/p>\n Mail all the above information TOGETHER to: Disability Evaluation Services NOTE: It may take up to 90 days for MassHealth to make a disability determination.<\/p>\n MassHealth CommonHealth is a program offered Children with qualifying disabilities are eligible. Children must also be covered by your family\u2019s private commercial insurance.<\/p>\n A qualifying disability is based on a child\u2019s functional status. A qualifying disability is determined by the Child Disability Supplement form, which is submitted as part of the MassHealth CommonHealth application process.<\/p>\n No, your family income is not considered for your child\u2019s eligibility. Eligibility is based on the determination of a qualifying disability.<\/p>\n No, MassHealth CommonHealth is not free care in Massachusetts. When a child is determined eligible for CommonHealth, a premium is calculated based on your family\u2019s income and size.<\/p>\n The application requires that you enter information for everyone in your household. You No, to use MassHealth CommonHealth, your provider must accept both your child\u2019s private insurance and MassHealth CommonHealth.<\/p>\n Person #1 in the application should be the adult in the household who is always available to speak with MassHealth. MassHealth will ONLY speak with Person #1 about the child\u2019s information.<\/p>\n For the question that asks if you are you applying for health and dental coverage for this person, only SELECT YES for your child with a disability for which you are applying for MassHealth CommonHealth.<\/p>\n For the question that asks if this person has an injury, illness, or disability that has lasted or is expected to last for at least 12 months, only SELECT YES for your child with a disability for which you are applying for MassHealth CommonHealth.<\/p>\n When asked, make sure to include information about ALL FORMS OF INSURANCE for which your child with a disability is covered. If none of the types of insurance apply, complete the \u201cother coverage\u201d box.<\/p>\n Yes, Premium Assistance is a program in Massachusetts that provides financial assistance to families to pay their premiums. Once you have received MassHealth CommonHealth, call MassHealth Premium Assistance Unit at (800) You can make an appointment with an Enrollment Assister at https:\/\/my.mahealthconnector.org\/enrollment-assisters.<\/a> You can also call MassHealth Customer Service at (800) 841-2900 or TTY: (800) 497-4648.<\/p>\n
\n\uf0de ONLINE (MassHealth recommends this way to apply): Visit
\nwww.mahealthconnector.org<\/a> to complete the application.
\n\uf0de BY MAIL: Download, print, and complete the MassHealth application<\/a> found here:<\/p>\n
\nPO Box 4405
\nTaunton, MA 02780<\/p>\n
\nwww.mass.gov\/doc\/massachusetts-application-for-health-and-dental-coverage-andhelp-paying-costs-0\/download. Fax to: (857) 323-8300<\/p>\n
\n497-4648. Hours: Mon-Fri 8 A.M. to 5 P.M.<\/p>\n
\nto 5 P.M.<\/p>\n
\n529 Main Street
\nCharlestown, MA 02129<\/p>\n
\n45 Spruce Street
\nChelsea, MA 02150<\/p>\n
\nIt is accessible from MBTA bus lines 112 and 114.<\/p>\n
\n88 Industry Avenue, Suite D
\nSpringfield, MA 01104<\/p>\n
\n21 Spring Street, Suite 4
\nTaunton, MA 02780<\/p>\n
\n367 East Street
\nTewksbury, MA 01876<\/p>\n
\n100 Hancock Street, Floor 6
\nQuincy, MA 02171<\/p>\n
\n50 SW Cutoff, Suite 1A
\nWorcester, MA 01604<\/p>\n2. Submit a MassHealth Child Disability Supplement form.<\/h2>\n
\nDownload, print, and complete the application found here: https:\/\/www.mass.gov\/<\/a>
\ndoc\/masshealth-child-disability-supplement-english\/download.<\/p>\n
\nPO Box 2796
\nWorcester, MA 01613-2796<\/p>\nFAQs about MassHealth CommonHealth<\/h2>\n
What is MassHealth CommonHealth?<\/h3>\n
\nthrough MassHealth. It is a supplemental insurance policy for children with qualifying disabilities that covers copays, deductibles, and some health services not covered by your private insurance.<\/p>\nWho is eligible for MassHealth CommonHealth?<\/h3>\n
How does MassHealth determine if a child has
\na qualifying disability?<\/h3>\nIs family income considered?<\/h3>\n
Is MassHealth CommonHealth free?<\/h3>\n
Which family members do I include in the MassHealth CommonHealth application?<\/h3>\n
\nmust do this, even though your child with a disability is the only one eligible for MassHealth CommonHealth.<\/p>\nCan my child see any health care provider with MassHealth CommonHealth?<\/h3>\n
What is important for me to know when I am applying for MassHealth CommonHealth?<\/h3>\n
Premium Assistance Program<\/h2>\n
Does Massachusetts help families with paying for healthcare premiums?<\/h3>\n
\n862-4840 or TTY: (617) 886-8102 to determine if you are eligible for the benefit.<\/p>\nHow can I get additional help applying for MassHealth CommonHealth?<\/h2>\n