MassHealth Enrollment dropped by about 17,000 in Jan. 2007 due to eligibility redeterminations. Enrollment has risen steadily since. Increases are due, in part, to expanded eligibility and increased outreach and enrollment resulting from the 2006 Health Care Reform Law. As of 3/31/08, more than 1.1 million residents were enrolled. Approximately 63% are families and children, 19% are disabled individuals and 11% are low-income elders. View Chart>>

 

MassHealth eligibility has expanded through a series of incremental steps since 1997. This chart shows the populations that have been made eligible for MassHealth as a result of these expansions, by category and income level (relative to the federal poverty guidelines).
View Chart >>
View current federal poverty guidelines >>

 

SCHIP Coverage: About one-fifth of the more than 450,000 children enrolled in MassHealth are covered under the State Children’s Health Insurance Program, a more generous federal funding source than Medicaid. View Chart >>
Read Report >>

 

  • The MassHealth Waiver: 2009-2011 ... and Beyond
    In December 2008, CMS approved MA's request to renew the MassHealth Waiver for 3 more years. The underpinning of MA's health care reform law, over 1 million low-income people receive coverage through the Waiver.
    Read More >>
  • Massachusetts Medicaid in Perspective: An Analysis of Spending Growth and Economic Growth, 1996-2007
    This issue brief shows that, contrary to common perception, Medicaid cost growth in Massachusetts has exceeded growth in the economy only modestly since the mid-1990s.
    Read More >>
  • Implementing the Rosie D. Remedy: The Opportunities and Challenges of Restructuring a System of Care for Children’s Mental Health in Massachusetts
    This issue brief examines the implications and possible effects of Rosie D. v. Romney and the court-ordered remedy on the delivery of children’s mental health services in Massachusetts.
    Read More >>
  • Pay-for-Performance to Reduce Racial and Ethnic Disparities in Health Care in the Massachusetts Medicaid Program
    A white paper from MMPI containing the recommendations of an expert Roundtable for the implementation of a new pay-for-performance provision for MassHealth hospital payments.
    Read More >>