Table A. MassHealth Demonstration Expansion Populations(continued)* Additional comments Populations Made Federal Poverty Expenditure Massachusetts Funding Eligible through the Level (FPL) and and Eligibility Demonstration Stream Demonstration other qualifying (EG) Program criteria Reporting Individuals with HIV Premium assistance is offered in not otherwise eligible lieu of direct coverage when there for medical assistance is access to other insurance. with income above Title XIX e-HIV/FA Family Assistance Above 133 to 200% Additional wraparound to private 133% through 200% insurance is provided. FPL. Expenditures for health care related for individuals Individuals who receiving Temporary Assistance receive Temporary for Needy Families and Assistance for Emergency Aid to Elders, Families and Disabled and Children. N/A Title XIX MassHealth Emergency Aid to Individuals in this eligibility Elders, Disabled and group are eligible for MassHealth Children based on receipt of TANF and/or EAEDC benefits, not an income determination. Expenditures for amounts spent on Title XIX Provisional MassHealth Self-Attested individuals found not eligible for Eligibility income level to Provisional Eligibility Medicaid benefits under this qualify for other authority in accordance with STC group, pending 24. verification
Table A. MassHealth Demonstration Expansion Populations(continued)* Populations Made Eligible through the Demonstration Federal Poverty Level (FPL) and other qualifying criteria Funding Stream Expenditure and Eligibility (EG) Reporting Massachusetts Demonstration Program Additional comments Individuals with HIV not otherwise eligible for medical assistance with income above 133% through 200% FPL. Above 133 to 200% Title XIX e-HIV/FA Family Assistance Premium assistance is offered in lieu of direct coverage when there is access to other insurance. Additional wraparound to private insurance is provided. Individuals who receive Temporary Assistance for Families and Emergency Aid to Elders, Disabled and Children N/A Title XIX MassHealth Expenditures for health care related for individuals receiving Temporary Assistance for Needy Families and Emergency Aid to Elders, Disabled and Children. Individuals in this eligibility group are eligible for MassHealth based on receipt of TANF and/or EAEDC benefits, not an income determination. Provisional Eligibility Self-Attested income level to qualify for other group, pending verification Title XIX Provisional Eligibility MassHealth Expenditures for amounts spent on individuals found not eligible for Medicaid benefits under this authority in accordance with STC 24.
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