Fall has always been a time of transition and change. I want to make sure you are all aware of some major changes that will take place with MassHealth and Medicaid, beginning in November and continuing into 2027. These changes are a direct result of changes made in Washington DC and the passage of the Presidents’ bill, OB3. This bill included the largest cuts to Medicaid in the programs’ history.
Some of the things included in this bill are:
People on MassHealth will be required to work, volunteer, go to job training at least 80 hours per month or attend an educational program at least part time. If working, you must earn at least $580 per month. This requirement impacts adults 19-64.
Exemptions to this requirement are:
- Children under 19
- Adults over 64
- People with disabilities
- People enrolled in Medicare Part A or B
- People who are pregnant or post-partum
- Parents of children 13 and younger
- Caregivers of children 13 and younger or a person with disability.
MassHealth will try to use existing data to see who qualifies for an exemption and who does not.
Beginning in January 2027 MassHealth recipients must complete a renewal application every six months.
MassHealth will try to auto-renew as many members as possible using existing data and information. If they cannot renew, they will mail you a request for information that must be responded to within 30 days.
What do you need to do?
- Make sure MassHealth has your updated information.
o Phone number
o Mailing address
o Email address
- Read all mail from MassHealth.
- MassHealth will contact you if you are affected by any of these changes.
Please refer to MassHealth’s website for up-to-date information:
https://www.mass.gov/federal-changes-affecting-masshealth-medicaid-members
If you have any questions, please contact Your Access Advocates. We can assist you as you navigate redetermination and direct you to other resources who can help.
As always, we are here to advocate with you for the programs and services you need to remain living independently.
Meg Coffin
CEO