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MLRI ConnectorCare Advocacy Guide

An Advocate's Guide to the Massachusetts ConnectorCare Program

  • Product Number: 2190687B01
  • Publication Date: 6/6/2019
  • Edition: May 2019 Edition
  • Copyright: © 2019 MCLE, Inc.
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See Table of Contents below to purchase individual chapters (including all chapter exhibits) from this book. Price per chapter: $50.00; Sponsor Members $45.00; New Lawyers $37.50 Free for OnlinePass subscribers.
  • Product Description
  • Table of Contents
  • Editors & Authors
  • Product Description

    Product Description

    This handbook is designed for advocates and attorneys helping low- and moderate-income clients needing access to health care services who are not eligible for MassHealth, but may qualify for free or low cost health insurance through the Massachusetts Health Connector's ConnectorCare program. The Advocacy Guide uses a question-and-answer format to help you navigate the state and federal rules that govern the application process, eligibility criteria, enrollment periods, premium costs, benefits and copayments, and appeal rights in ConnectorCare.

  • Table of Contents

    Table of Contents

    expand all
    Part 1 expand

    Background and Overview of Eligibility

    Part 2 expand

    Eligibility: Income, Other Coverage, and Tax Filing

    Part 3 expand

    Application and Verification

    Part 4 expand

    Enrollment into an HMO

    Part 5 expand

    Losing and Regaining Coverage

    Part 6 expand

    Covered Services and Costs

    Part 7 expand

    Appeals and Reconciliation

    Part 8 expand

    Additional Resources

    Appendix 1

    - MassHealth and Other Health Programs: Upper Income Limits 2019

    Appendix 2

    - Lawfully Present Non-Citizens

    Appendix 3

    - ConnectorCare Overview

    Appendix 4

    - Table Comparing MassHealth CarePlus and ConnectorCare (2019)
  • Editors & Authors


    Victoria Pulos, Esq., Massachusetts Law Reform Institute, Boston