Budget Amendment ID: FY2025-S4-548

EHS 548

MassHealth Annual Notification

Ms. Jehlen, Mr. Brady, Ms. Rausch, Ms. Moran and Messrs. O'Connor, Fattman and Payano moved that the proposed new text be amended by inserting the following section:-

SECTION __. Notwithstanding any provision of law to the contrary, the executive office of health and human services shall direct MassHealth to provide each beneficiary age 65 and over with an annual notice of the options for enrolling in voluntary programs including Program of All Inclusive Care for the Elderly (PACE) plans, Senior Care Options (SCO) plans, One Care plans, Frail Elder Home and Community Based Waiver Program or any other voluntary elected benefit to which they are entitled to supplement or replace their MassHealth benefits. MassHealth will also ensure that a similar notice is provided to individuals age 55 and over when they first become eligible for Medicare or MassHealth and to individuals inquiring about long term nursing home placement.  Such notice shall include a method for the beneficiary to indicate interest in receiving additional information for any programs identified as of interest to them. The same notice shall be supplied to a beneficiary every time they are subject to a redetermination of eligibility. A draft of the proposed language and format for providing information to beneficiaries shall be circulated to each of these programs for review and comment prior to finalization.

The executive office of health and human services shall establish rules and regulations upon the passage of this section on or before June 30, 2025.