Table A. MassHealth Demonstration Expansion Populations (See STC 91 for terminology) Federal Poverty Populations Made Expenditure and (FPL) and Massachusetts Funding Eligible through the Eligibility Group Additional comments other qualifying Demonstration Program Stream Demonstration (EG) Reporting criteria Adults under the age of Individuals must not be 65 who are not 133.1 through XIX SBE Small Business eligible for any otherwise eligible for Employee MassHealth coverage or 300% medical assistance who Premium for APTCs. work for a small Assistance employer and purchase No additional ESI that meets basic wraparound benefits benefit level (BBL) are provided. standards Individuals whose spouse or children are receiving MassHealth premium assistance for a policy that is available to the individual are not entitled to this benefit.
Table A. MassHealth Demonstration Expansion Populations (See STC 91 for terminology) Populations Made Eligible through the Demonstration Federal Poverty (FPL) and other qualifying criteria Funding Stream Expenditure and Eligibility Group (EG) Reporting Massachusetts Demonstration Program Additional comments Adults under the age of 65 who are not otherwise eligible for medical assistance who work for a small employer and purchase ESI that meets basic benefit level (BBL) standards 133.1 through 300% XIX SBE Small Business Employee Premium Assistance Individuals must not be eligible for any MassHealth coverage or for APTCs. No additional wraparound benefits are provided. Individuals whose spouse or children are receiving MassHealth premium assistance for a policy that is available to the individual are not entitled to this benefit.
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