Table A. MassHealth Demonstration Expansion Populations (See STC 91 for terminology) Populations Made Federal Poverty Expenditure Massachusetts Additional comments Funding Eligible through the Level (FPL) and and Eligibility Stream Demonstration other qualifying Group (EG) Program criteria Reporting Effective January 1, 2014, children ages 0 through 18 Children ages 1 Family Assistance from 200-300% FPL who through 18 are insured at the time of Premium application are eligible Assistance under the 1115 Direct Coverage Children less than age 1 demonstration. The premium Title XIX if 150.1 through 200 Children who are uninsured assistance payments insured at the at the time of application and FFP will be based time of e-Family derive eligibility from both on the children’s application Above 200 through the authority granted under eligibility. Parents are 300% (effective this demonstration and the covered incidental to Assistance Title XXI via January XXI program. the child. No additional the separate 1, 2014) wrap other than dental XXI program Fam Assist XXI is provided to ESI. if uninsured (if XXI is Above 200 through exhausted) 300% (effective (Funded through January XIX if title 1, 2014) XXI is exhausted)
Table A. MassHealth Demonstration Expansion Populations (See STC 91 for terminology) Populations Made Eligible through the Demonstration Federal Poverty Level (FPL) and other qualifying criteria Funding Stream Expenditure and Eligibility Group (EG) Reporting Massachusetts Program Additional comments Children ages 1 through 18 Children less than age 1 150.1 through 200 Above 200 through 300% (effective January 1, 2014) Above 200 through 300% (effective January 1, 2014) Title XIX if insured at the time of application Title XXI via the separate XXI program if uninsured (Funded through XIX if title XXI is exhausted) e-Family Assistance Fam Assist XXI (if XXI is exhausted) Family Assistance Premium Assistance Direct Coverage The premium assistance payments and FFP will be based on the children’s eligibility. Parents are covered incidental to the child. No additional wrap other than dental is provided to ESI. Effective January 1, 2014, children ages 0 through 18 from 200-300% FPL who are insured at the time of application are eligible under the 1115 demonstration. Children who are uninsured at the time of application derive eligibility from both the authority granted under this demonstration and the XXI program.
1115%20MassHealth%20Demonstration%20STC%206-27-18.docx