reglab/statecodes huggingface dataset:
2023 Massachusetts General Laws › Part I - Administration of the Government › Title XVII - Public Welfare › Chapter 118 - Aid to Families With Dependent Children › Section 11 - Institutions Furnishing Care; Application for Aid; Payment

Section 11. If a parent or dependent child requests care at an institution, as defined in section two of chapter one hundred and eighteen E, the institution furnishing such care may initiate an application on behalf of the parent or dependent child to the department and the department shall accept the application and act thereon. Such institution shall be entitled to notice, hearing and right of appeal in the same manner as an applicant or recipient, as provided in section eight.
Payment for such care shall be made, to the extent allowed by rules and regulations of the Secretary of Health, Education and Welfare, if an applicant dies before approval of his application. Payment for such medical care and hospitalization, including nursing home care, shall be paid, subject to the rules and regulations of the department and the rules and regulations of the Secretary of Health, Education and Welfare, for a reasonable period not to exceed thirty days prior to the date of application on account of said services actually rendered.
2023 Massachusetts General Laws › Part I - Administration of the Government › Title XVII - Public Welfare › Chapter 118 - Aid to Families With Dependent Children › Section 12 - Temporary Absences From Commonwealth; Presumption of Abandonment of Residency and Eligibility for Assistance

Section 12. A temporary absence from the commonwealth which exceeds 30 calendar days or 90 days in aggregate over the course of a calendar year shall create a rebuttable presumption that Massachusetts residency has been abandoned by a recipient of cash assistance under transitional aid to families with dependent children and that the recipient is no longer eligible for assistance. The department shall promulgate regulations in accordance with this section, including, but not limited to, the process by which the temporary absence shall be determined.
2023 Massachusetts General Laws › Part I - Administration of the Government › Title XVII - Public Welfare › Chapter 118 - Aid to Families With Dependent Children › Section 13 - Job Search Requirements for Non-Exempt Adult Applicants for Assistance; Submission of Proof of Initial Job Search and Weekly Reaffirmation

Section 13. (a) During the initial qualification process for full cash assistance under transitional aid to families with dependent children, all adult applicants who are not exempt from the work requirement shall be required to conduct an initial job search unless the applicant has good cause for not participating as determined by the department which may include disability; provided further, that an applicant shall not be disqualified from receiving temporary assistance during the cash assistance eligibility determination process.
(b) The department shall inform all applicants required to conduct an initial job search of available local job placement service providers. Applicants shall provide evidence of this search by returning to the department a list of the potential employers contacted recently, the date of contact and the name and telephone number of the person with whom the applicant spoke, to the extent feasible. All initial job search documentation shall be signed by the applicant under the penalties of perjury. The number of potential employers to be contacted by the applicant shall be determined by the department. An applicant shall provide the information prior to the applicant's case approval. The submission to the department of proof of job search activities issued by a one-stop career center within the department of career services shall satisfy the requirements of this subsection. An applicant who fails to provide this information within 60 days of filing the application shall be determined to be ineligible. The department shall promulgate regulations in accordance with this subsection.
(c) The department shall require adult recipients, who are meeting their work requirement through a job search under the pathways to self-sufficiency program established pursuant to section 3C, to provide, on a weekly basis, evidence of job searches by returning to the department a list of the employers contacted, the date of contact and the name and telephone number of the person with whom the applicant spoke, to the extent feasible. The requirements of this subsection shall be deemed satisfied upon submission to the department of proof of job search activities issued by a one-stop career center within the department of career services. The department shall terminate cash assistance under transitional aid to families with dependent children for a recipient who fails to provide such accurate information; provided, however, that the department shall not terminate the cash assistance provided to the recipient's dependent children. The department shall promulgate regulations in accordance with this subsection.
2023 Massachusetts General Laws › Part I - Administration of the Government › Title XVII - Public Welfare › Chapter 118 - Aid to Families With Dependent Children › Section 14 - Benefit Period for Individuals Who Are Part of a 2 Parent Assistance Unit

Section 14. The department shall not calculate a separate 60 month benefit period for an individual who receives aid under transitional aid to families with dependent children if the individual is part of a 2 parent assistance unit. The department shall promulgate regulations in accordance with this section.
2023 Massachusetts General Laws › Part I - Administration of the Government › Title XVII - Public Welfare › Chapter 118 - Aid to Families With Dependent Children › Section 15 - Economic Independence Goals; Demonstration of Good Faith Attempt to Meet Goals as Condition of Additional Benefits or Extension

Section 15. The department shall develop economic independence goals for all recipients of cash assistance under transitional aid to families with dependent children to be completed during the recipient's first 24 month period of receiving benefits. The economic independence goals shall assist a recipient in determining a path through which the recipient may become self-sufficient. Recipients who re-apply for benefits at any time after the first 24 month period shall demonstrate a good faith attempt to meet their goals prior to receiving additional benefits or an extension of benefits. Recipients who fail to demonstrate a good faith attempt to meet all of their goals shall not receive additional benefits or an extension of benefits; provided, however that this section shall not prohibit a recipient from receiving benefits on behalf of a dependent child.
2023 Massachusetts General Laws › Part I - Administration of the Government › Title XVII - Public Welfare › Chapter 118 - Aid to Families With Dependent Children › Section 16 - Economic Independence Accounts

Section 16. (a) The department shall develop a savings program that allows recipients of cash assistance under transitional aid to families with dependent children to accumulate assets outside of the asset limit in savings accounts, called economic independence accounts. The economic independence accounts shall be used to help recipients save for the first and last month of rent, a security deposit, costs related to education or training or any other expense that the department determines will aid a recipient in transitioning off of benefits, which may include health care costs or debt reduction. The economic independence accounts shall not be included as a countable asset under 106 CMR 204.120.
(b) For recipients of cash assistance under transitional aid to families with dependent children who elect to participate in the savings program, the department shall require a designated amount of a recipient's cash assistance to be held in an escrow account for the recipient until the recipient is no longer eligible or in need of benefits; provided further, that the department shall allow a recipient to deposit additional funds to the account. While a recipient is receiving benefits, funds in the economic independence account shall only be withdrawn for a department approved purpose. If a recipient, who is currently receiving benefits, uses funds from an economic independence account for any purpose other than a department approved purpose, the department shall reduce the recipient's monthly cash assistance until the cumulative reductions are equal to the amount used for a non-allowable purpose. The department shall promulgate regulations in accordance with this section; provided that the commissioner shall submit any proposed regulations to the joint committee on children, families and persons with disabilities and the house and senate committees on ways and means at least 30 days before their adoption by the department.
2023 Massachusetts General Laws › Part I - Administration of the Government › Title XVII - Public Welfare › Chapter 118 - Aid to Families With Dependent Children › Section 17 - Proof of Income and Assets for Unverified Applicants

Section 17. The department shall require unverified applicants for cash assistance for a dependent under transitional aid to families with dependent children to provide proof of income and assets. For the purposes of this section, an unverified applicant shall mean an applicant who has not provided the required information about citizenship or immigration status.
2023 Massachusetts General Laws › Part I - Administration of the Government › Title XVII - Public Welfare › Chapter 118 - Aid to Families With Dependent Children › Section 18 - Education or Training Activities for Purposes of Meeting Work Requirement

Section 18. Notwithstanding 106 CMR 203.400(A)(2)(i) or any general or special law to the contrary, an education or training activity for the purpose of meeting the work requirement shall be defined as any 4–year degree granting higher education institution, community college or certificate program, not to exceed 24 months, or a vocational education program, not to exceed 12 months. If the education or training activity is less than the hours per week required to meet the work requirement, the recipient shall perform other work program activities to total the required hours per week.
2023 Massachusetts General Laws › Part I - Administration of the Government › Title XVII - Public Welfare › Chapter 118 - Aid to Families With Dependent Children › Section 19 - Eligibility of Pregnant Teens to Receive Cash or Other Assistance

Section 19. A pregnant teen who meets all other eligibility requirements shall be eligible to live in a teen parent shelter or participate in a teen living program during such pregnant teen's entire pregnancy and shall be eligible to receive cash assistance under transitional aid to families with dependent children if the pregnant teen meets the school attendance requirements in 106 CMR 203.610 and 106 CMR 203.630.
2023 Massachusetts General Laws › Part I - Administration of the Government › Title XVII - Public Welfare › Chapter 118a - Assistance to the Aged and Disabled › Section 1 - Financial Assistance Program to Aged and Disabled; State Payments Supplementary to Federal Benefits; Eligibility, Restriction; Standard Levels

Section 1. The department of transitional assistance, in this chapter called the department, shall administer a program of financial assistance for aged and disabled persons who reside within the commonwealth. Such assistance, which shall be called state supplementary payments, shall be based on need and granted in supplementation of benefits granted by the United States government to aged and disabled individuals, under the provisions of title XVI of the federal Social Security Act and amendments thereto, in this chapter called title XVI. Such assistance shall be granted to persons who, on account of age or disability, qualify for supplemental security income granted pursuant to title XVI and may, based on need, be granted to individuals who would, but for their income, be eligible for such supplemental security income.
The department shall establish, subject to the approval of the secretary of the executive office of human services, standard levels for state supplementary payments for the aged and disabled. Such payments may vary by category, by marital status, and by living arrangements to the extent allowed by title XVI and the regulations promulgated thereunder.
No assistance under this section shall be granted to an applicant who, at any time within two years immediately prior to the filing of an application for such assistance, has made an assignment or transfer or who has mortgaged or otherwise encumbered property so as to render himself eligible for such assistance.
No person receiving assistance under this section shall be prohibited from receiving benefits under the federal Food Stamp Act solely because of his status as a recipient of such assistance.
2023 Massachusetts General Laws › Part I - Administration of the Government › Title XVII - Public Welfare › Chapter 118a - Assistance to the Aged and Disabled › Section 2 - State Supplementary Payments; Annual Increase Levels; Determination; Limitation

Section 2. Effective July first of every year, the level of any state supplementary payment authorized by section one plus the level of federal supplemental security income in effect at such time shall be increased, subject to appropriation, by a percentage amount equal to the percentage rise in the United States Consumer Price Index for January first of that year over the level of said Index for January first of the previous year plus such additional percentage amount as is recommended annually by the department and appropriated by the general court. In determining said additional percentage amount, consideration shall be given to the goal of reaching, within a reasonable time, a total income level equal to or consistent with the current budget at the intermediate level of living for a retired couple established by the United States Department of Labor, Bureau of Labor Statistics, for the metropolitan Boston area.
If, on January first of any year, the level of any state supplementary payment, taking into account the federal supplemental security income benefits, is equal to or exceeds the annual budget at the intermediate level of living for a retired couple as most recently established by the United States Department of Labor, Bureau of Labor Statistics, for the metropolitan Boston area, or, taking into account variances in category, marital status and living arrangements as established by the department, is not inconsistent with said annual budget, the increase granted on July first next following shall be limited to said percentage rise in said Index.
2023 Massachusetts General Laws › Part I - Administration of the Government › Title XVII - Public Welfare › Chapter 118a - Assistance to the Aged and Disabled › Section 3 - Federal Agreement; Administration of Program

Section 3. The commissioner of transitional assistance shall enter into an agreement with the Social Security Administration regarding the administration of the program of state supplementary payments authorized in section 1. This agreement shall contain all of the requirements for, and limitations and qualifications on, state supplementary payments which Title XVI or regulations adopted thereunder make necessary. At the option of the commissioner, this agreement may provide for either state or federal administration of the program. Administration of the program by the commonwealth may be delegated to another governmental entity.
2023 Massachusetts General Laws › Part I - Administration of the Government › Title XVII - Public Welfare › Chapter 118a - Assistance to the Aged and Disabled › Section 4 - Applications; Eligibility for Assistance; Determination

Section 4. An application to the Social Security Administration for supplemental security income benefits under Title XVI shall also be considered an application for state supplementary payment for the category of assistance for which the application is filed. Eligibility for any category of assistance of an individual or couple shall be determined in accordance with federal law. Unless the commissioner of transitional assistance elects federal administration of the state supplementary payment program, procedures related to notices, appeals and hearings regarding this program shall be determined in accordance with state law.
2023 Massachusetts General Laws › Part I - Administration of the Government › Title XVII - Public Welfare › Chapter 118a - Assistance to the Aged and Disabled › Section 7 - Program of Social Services; Emergency Grants; Funeral and Burial Costs

Section 7. The department shall provide to aged and disabled residents under this chapter a program of social services as set forth in section 2 of chapter 18. In addition to any other benefits authorized by this chapter, the department may provide to such residents grants of assistance in cases of fire, flood or other disaster. The department may pay a sum not exceeding $1,100 toward the funeral and final disposition of a recipient to a funeral establishment if there are insufficient resources to pay for the cost of such funeral and final disposition and if the total expense of the funeral and final disposition does not exceed $3,500. The commonwealth shall have the right of reimbursement from whatever resources may exist in the estate of the recipient.
2023 Massachusetts General Laws › Part I - Administration of the Government › Title XVII - Public Welfare › Chapter 118a - Assistance to the Aged and Disabled › Section 7a - Special Grants to Recipients Residing in Rest Homes

Section 7A. The department may provide to any recipient under this chapter who resides in a rest home which has a rate established pursuant to section thirty L of chapter seven a special grant whenever the aid provided under this chapter is insufficient to meet said rate established for such rest home. The department may pay such grant either to the recipient or to the rest home.
2023 Massachusetts General Laws › Part I - Administration of the Government › Title XVII - Public Welfare › Chapter 118c - Coverage of Certain Employees Under the Federal Social Security Act › Section 1 - Declaration of Policy

Section 1. In order to extend to employees of instrumentalities, and to the dependents and survivors of such employees, the basic protection accorded to others by the old age and survivors insurance system embodied in the Social Security Act, it is hereby declared to be the policy of the general court, subject to the limitations of this chapter, that such steps be taken as to provide such protection to employees of instrumentalities on as broad a basis as is permitted under the Social Security Act.
2023 Massachusetts General Laws › Part I - Administration of the Government › Title XVII - Public Welfare › Chapter 118c - Coverage of Certain Employees Under the Federal Social Security Act › Section 2 - Definitions

Section 2. For the purposes of this chapter—
(a) The term ''wages'' means all remuneration for employment as defined herein, including the cash value of all remuneration paid in any medium other than cash, except that such term shall not include that part of such remuneration which, even if it were for ''employment'' within the meaning of the Federal Insurance Contributions Act, would not constitute ''wages'' within the meaning of that act;
(b) The term ''employment'' means any service performed by an employee in the employ of any instrumentality, for such employer, except (1) service which in the absence of an agreement entered into under this chapter would constitute ''employment'' as defined in the Social Security Act; or (2) service which under the Social Security Act may not be included in an agreement between the commonwealth and the Federal Security Administrator entered into under this chapter;
(c) The term ''employee'' includes an officer of an instrumentality;
(d) The term ''state agency'' means the state board of retirement, as defined in section eighteen of chapter ten;
(e) The term ''Federal Security Administrator'' includes any individual to whom the Federal Security Administrator has delegated any of his functions under the Social Security Act with respect to coverage under such act of employees of states and their political subdivisions;
(f) The term ''instrumentality'' means an authority or agency of the commonwealth or of one or more of its political subdivisions, or of the commonwealth and one or more of its political subdivisions, which is a juristic entity which is legally separate and distinct from the commonwealth or subdivision, and whose employees are not by virtue of their relation to such juristic entity employees of the commonwealth or subdivision;
(g) The term ''Social Security Act'' means the Act of Congress approved August fourteenth, nineteen hundred and thirty-five, chapter five hundred and thirty-one, 49 Stat. 620, cited as the ''Social Security Act'', including regulations and requirements issued pursuant thereto, as such act has been and may from time to time be amended; and
(h) The term ''Federal Insurance Contributions Act'' means subchapter A of chapter nine of the Federal Internal Revenue Code.
2023 Massachusetts General Laws › Part I - Administration of the Government › Title XVII - Public Welfare › Chapter 118c - Coverage of Certain Employees Under the Federal Social Security Act › Section 5 - Establishment of Contribution Fund; Use; Payment to Secretary of Treasury; Custodian; Additional Appropriations; Estimates

Section 5. (a) There is hereby established a special fund to be known as the contribution fund. Such fund shall consist of and there shall be deposited in such fund: (1) all contributions, interest and penalties collected under section four; (2) all moneys appropriated thereto under this chapter; (3) any property or securities and earnings thereof acquired through the use of moneys belonging to the fund; (4) interest earned upon any moneys in the fund; and (5) all sums recovered upon the bond of the custodian or otherwise for losses sustained by the fund and all other moneys received for the fund from any other source. All moneys in the fund shall be mingled and undivided. Subject to the provisions of this chapter, the state agency is vested with full power, authority and jurisdiction over the fund, including all moneys and property or securities belonging thereto, and may perform any and all acts, whether or not specifically designated, which are necessary to the administration thereof and are consistent with the provisions of this chapter.
(b) The contribution fund shall be established and held separate and apart from any other funds or money of the commonwealth and shall be used and administered exclusively for the purpose of this chapter. Withdrawals from such fund shall be made only for payment of amounts required to be paid to the Secretary of the Treasury pursuant to an agreement entered into under section three; and refunds of overpayments, not otherwise adjustable, made by an instrumentality.
(c) From the contribution fund the custodian of the fund shall pay to the Secretary of the Treasury such amounts and at such time or times as may be directed by the state agency in accordance with any agreement entered into under section three.
(d) The state treasurer shall be treasurer and custodian of the contribution fund, and shall administer such fund in accordance with the provisions of this chapter and the directions of the state agency, and shall pay all warrants drawn upon it in accordance with the provisions of this section and with such regulations as the state agency may prescribe.
(e)(1) There are hereby authorized to be appropriated annually to the contribution fund, in addition to the contributions collected and paid into the contribution fund under section four, to be available for the purposes of section 5(b) and (c) until expended, such additional sums as are found to be necessary in order to make the payments to the Secretary of the Treasury which the commonwealth is obligated to make pursuant to an agreement entered into under section three.
(2) The state agency shall submit to each regular session of the general court an estimate of the amounts authorized to be appropriated to the contribution fund by paragraph (1) of this subsection for the next appropriation period.
2023 Massachusetts General Laws › Part I - Administration of the Government › Title XVII - Public Welfare › Chapter 118c - Coverage of Certain Employees Under the Federal Social Security Act › Section 6 - Expenditure of Funds for Administrative Organization

Section 6. For the purposes of establishing the administrative organization necessary for the proper administration of this chapter and for the services of clerical and other assistance and for travel incidental to and preparatory to an agreement between the state agency and the Federal Security Administrator, as herein provided, and for the purpose of further administering the provisions of this chapter for the year beginning January first, nineteen hundred and fifty-two, the state agency may expend such sums as may be appropriated therefor.
2023 Massachusetts General Laws › Part I - Administration of the Government › Title XVII - Public Welfare › Chapter 118c - Coverage of Certain Employees Under the Federal Social Security Act › Section 8 - Studies; Reports; Recommendations

Section 8. The state agency shall make studies concerning the problem of old age and survivors insurance protection for employees of the commonwealth and its instrumentalities, and concerning the operation of agreements made and plans approved under this chapter, and shall submit a report to the general court at the beginning of each regular session, covering the administration and operation of this chapter during the preceding calendar year, including recommendations for amendments to this chapter.
2023 Massachusetts General Laws › Part I - Administration of the Government › Title XVII - Public Welfare › Chapter 118c - Coverage of Certain Employees Under the Federal Social Security Act › Section 10 - Rights of Members of Contributory Retirement System

Section 10. Nothing contained in this chapter shall be construed to affect adversely the rights of any person who is a member of any contributory retirement system established under the provisions of sections one to twenty-eight, inclusive, of chapter thirty-two or under corresponding provisions of earlier laws, with reference to accumulated total deductions or benefits accrued or to be accrued on account of any service rendered by him.
2023 Massachusetts General Laws › Part I - Administration of the Government › Title XVII - Public Welfare › Chapter 118e - Division of Medical Assistance › Section 1 - Duties of Office

Section 1. The executive office for health and human services shall be the single state agency responsible for the administration of programs of medical assistance and medical benefits established pursuant to this chapter. All actions of the executive office of health and human services shall be taken by the secretary acting as the single state agency, through the division of medical assistance and the secretary of elder affairs, as appropriate.
2023 Massachusetts General Laws › Part I - Administration of the Government › Title XVII - Public Welfare › Chapter 118e - Division of Medical Assistance › Section 2a - Director of Dental Services

Section 2A. (a) In order to improve, promote and protect oral health, there shall be, in the office of Medicaid, a full-time director of dental services who shall work collaboratively with the department of public health to facilitate the integration of programs to improve oral health.
(b) The director of dental services shall be a dentist licensed in the commonwealth who has public health experience and shall oversee the MassHealth dental program and collaborate with the dental director at the department of public health and the office of oral health on dental public health programs for MassHealth recipients to increase access to oral health services, oral health prevention activities and other initiatives to address oral health disparities including, but not limited to, workforce shortages.
2023 Massachusetts General Laws › Part I - Administration of the Government › Title XVII - Public Welfare › Chapter 118e - Division of Medical Assistance › Section 6 - Medical Care Advisory Committee; Member; Staff; Report From Office of Medicaid

Section 6. There shall be a medical care advisory committee which shall advise the executive office about health and medical care services. The committee shall have the opportunity to participate in policy development and program administration. The secretary of health and human services shall appoint members to the advisory committee on a rotating and continuous basis in such numbers and for such terms as the secretary of health and human services deems appropriate; provided that the committee shall include board-certified physicians and other representatives of the health professions who are familiar with the medical needs of low-income population groups and with the resources available and required for their care, members of consumers' groups, including medical assistance recipients, and the commissioner of the department of public welfare.
The executive office shall provide the committee with such staff and technical assistance as is necessary to enable the committee to make effective recommendations, and such financial arrangements as are necessary to make possible the participation of recipient members.
The office of Medicaid shall make a report to the committee on health care financing and to house and senate committees on ways and means no later than October 1 of each year on the previous state fiscal year's activities of the medical care advisory committee. The report shall include, but not be limited to, the names and titles of committee members, dates of committee meetings, agendas and minutes or notes from such meetings, and any correspondence, memorandum, recommendations or other product of the committee's work.
2023 Massachusetts General Laws › Part I - Administration of the Government › Title XVII - Public Welfare › Chapter 118e - Division of Medical Assistance › Section 7 - Powers

Section 7. In addition to all powers conferred on state agencies, the division or the department of elder affairs, as appropriate shall have the following powers:
a. to make, amend, and repeal rules and regulations for the management of its affairs;
b. to make contracts and execute all instruments necessary or convenient for carrying out its business;
c. to acquire, own, hold, dispose of, and encumber personal property and to lease real property in the exercise of its powers, and the performance of its duties;
d. to enter into agreements or transactions with any federal, state, or municipal agency, or other public institution, or with any private individual, partnership, firm, corporation, association, or other entity;
e. to charge and collect fees, rentals and other charges as reasonable and necessary for carrying out its business;
f. to receive and administer any funds granted, given or bequeathed to its use or for a special purpose as indicated in the gift, grant, or order or decree of a court;
g. to do all acts and things necessary or convenient to carry out the powers otherwise granted under this chapter; and
h. to review, prior to implementation, any activity or policy of any agency within the executive office of human services involving the delivery of services reimbursable under this chapter, certification or licensure of providers of services under this chapter, or identification of individuals eligible for medical assistance under this chapter.
2023 Massachusetts General Laws › Part I - Administration of the Government › Title XVII - Public Welfare › Chapter 118e - Division of Medical Assistance › Section 9e - Application for Authority; Implementation of Measures; Waiver of Measures Due to Hardship

Section 9E. The secretary of health and human services may apply for authority from the secretary of the United States Department of Health and Human Services, pursuant to section 1115 of the Social Security Act that authorizes the secretary to waive provisions of Title XIX of the Social Security Act, to implement measures that: (1) change to a later date the time currently provided by federal law for starting the penalty periods for persons who transfer assets for less than fair market value; (2) require excess assets to be spent on health care or other necessary living expenses; (3) to treat annuities similarly to trusts and require the commonwealth to be a beneficiary to the extent of MassHealth benefits provided; and (4) increase look-back periods, for real estate transfers and transfers into irrevocable trusts; provided that any changes implemented as a result of a waiver authorized by this section shall not apply to new applications submitted before the effective date of this section or the effective date of any waiver granted, whichever is later; and provided further, that transfers of assets up to $300,000 from a primary residence shall not be affected by such waiver. The division or the department of elder affairs, as appropriate, may by regulation implement one or more of such measures under the terms and conditions approved by the secretary, provided that the division or the department, as appropriate, shall waive such measures to address hardships as determined by the division or department.
2023 Massachusetts General Laws › Part I - Administration of the Government › Title XVII - Public Welfare › Chapter 118e - Division of Medical Assistance › Section 10 - Medical Care Assistance Program for Pregnant Women and Infants

Section 10. The division shall establish a program of medical care and assistance for pregnant women and infants who are not otherwise eligible for medical assistance under this chapter and who lack private health insurance coverage or have a health insurance policy which does not cover all medically necessary care which is covered by the program established by this section. The division shall furnish such medical assistance to each such pregnant woman and infants residing in the commonwealth in accordance with the standards of eligibility established pursuant to section 9A, section 16C or Title XIX; provided, however, that the income eligibility standards shall not be less than one hundred and eighty-five per cent of the non-farm income poverty guidelines as defined by the United States Office of Management and Budget.
The division may, to the extent permitted by Title XIX or other federal authority, provide medical assistance to pregnant women who are presumptively eligible for the period of time prescribed by federal law or other federal authority. The division shall promulgate regulations to implement this section, which shall require health care providers to notify such pregnant women of the need to file an application for Medicaid and which shall set standards to be used by providers in determining presumptive eligibility.
2023 Massachusetts General Laws › Part I - Administration of the Government › Title XVII - Public Welfare › Chapter 118e - Division of Medical Assistance › Section 10a - Required Coverage for Abortion, Abortion-Related Care, Prenatal Care, Childbirth and Postpartum Care

Section 10A. The division shall provide coverage for abortion, as defined in section 12K of chapter 112, abortion-related care, prenatal care, childbirth and postpartum care, with a minimum of forty-eight hours of in-patient care following a vaginal delivery and a minimum of ninety-six hours of in-patient care following a caesarean section for a mother and her newly born child. Any decision to shorten such minimum coverages shall be made by the attending physician in consultation with the mother. Any such decision shall be made in accordance with rules and regulations promulgated by the department of public health. Said regulations shall be relative to early discharge, defined as less than forty-eight hours for a vaginal delivery and ninety-six hours for a caesarean delivery and post-delivery care and shall include, but not be limited to, home visits, parent education, assistance and training in breast or bottle feeding and the performance of any necessary and appropriate clinical tests; provided that the first home visit shall be conducted by a registered nurse, physician, or certified nurse midwife; and provided, further, that any subsequent home visit determined to be clinically necessary shall be provided by a licensed health care provider.
For the purposes of this section, attending physician shall include the attending obstetrician, pediatrician, or certified nurse midwife attending the mother and newly born child.
[Third paragraph applicable as provided by 2022, 127, Sec. 44.]
Coverage provided under this section shall not be subject to any deductible, coinsurance, copayment or any other cost-sharing requirement. Coverage offered under this section shall not impose unreasonable restrictions or delays in the coverage.
2023 Massachusetts General Laws › Part I - Administration of the Government › Title XVII - Public Welfare › Chapter 118e - Division of Medical Assistance › Section 10a1/2 - Masshealth Standard Coverage for Pregnant or Postpartum Residents

Section 10A1/2. (a) Notwithstanding any general or special law to the contrary, the division shall continue MassHealth standard coverage for pregnant or postpartum residents of the commonwealth who are eligible for MassHealth through Title XIX and Title XXI or under the MassHealth section 1115 demonstration waiver pursuant to 42 U.S.C. 1315 for a period of 12 months following the end of the pregnancy plus an additional period extending to the end of the month in which the 12-month period ends, regardless of any change in the resident's family income.
(b) The secretary of health and human services shall maximize federal financial participation for the coverage and benefits under this section; provided, however, that coverage and benefits provided under this section shall not be contingent upon the availability of federal financial participation.
2023 Massachusetts General Laws › Part I - Administration of the Government › Title XVII - Public Welfare › Chapter 118e - Division of Medical Assistance › Section 10b - Required Coverage for Newborn Hearing Screening Tests

Section 10B. The division shall provide coverage for the cost of a newborn hearing screening test to be performed before the newborn infant is discharged from the hospital or birthing center to the care of the parent or guardian or as provided by regulations of the department of public health. Nothing contained in this section shall be construed to abrogate any obligation to provide coverage for a hearing screening test or any other hearing screening test or audiological diagnostic procedure pursuant to any law or regulation of the commonwealth or of the United States or under the terms or provisions of any policy, contract or certificate.
2023 Massachusetts General Laws › Part I - Administration of the Government › Title XVII - Public Welfare › Chapter 118e - Division of Medical Assistance › Section 10c - Required Coverage for Items Medically Necessary for the Diagnosis or Treatment of Diabetes

Section 10C. The division shall provide coverage for the following items if such items are within a category of benefits or services for which coverage is otherwise afforded, have been prescribed by a health care professional legally authorized to prescribe such items and if the items are medically necessary for the diagnosis or treatment of insulin-dependent, insulin-using, gestational and non-insulin-dependent diabetes: blood glucose monitors; blood glucose monitoring strips for home use; voice-synthesizers for blood glucose monitors for use by the legally blind; visual magnifying aids for use by the legally blind; urine glucose strips; ketone strips; lancets; insulin; insulin syringes; prescribed oral diabetes medications that influence blood sugar levels; laboratory tests, including glycosylated hemoglobin, or HbAlc, tests; urinary protein/microalbumin and lipid profiles; insulin pumps and insulin pump supplies; insulin pens, so-called; therapeutic/molded shoes and shoe inserts for people who have severe diabetic foot disease when the need for therapeutic shoes and inserts has been certified by the treating doctor and prescribed by a podiatrist or other qualified doctor and furnished by a podiatrist, orthotist, prosthetist or pedorthist; supplies and equipment approved by the Federal Drug Administration for the purposes for which they have been prescribed and diabetes outpatient self-management training and education, including medical nutrition therapy, when provided by a certified diabetes health care provider. As used in this section, ''certified diabetes health care provider'' shall mean a licensed health care professional with expertise in diabetes, a registered dietician or a health care provider certified by the National Certification Board of Diabetes Educators as a certified diabetes educator. Nothing in this section shall be construed to require the division to contract with a certified diabetes health care provider who is not already under contract with the division.
2023 Massachusetts General Laws › Part I - Administration of the Government › Title XVII - Public Welfare › Chapter 118e - Division of Medical Assistance › Section 10d - Required Coverage for Treatment of Breast and Cervical Cancer

Section 10D. The division shall, within the limits of the funds appropriated for such purpose, provide coverage to eligible women who require medical treatment for either breast or cervical cancer in accordance with 1902(a)(10)(A)(ii)(XVIII) of the breast and cervical cancer prevention and treatment act of 2000 (PL 106–354). Said coverage shall be provided to women who meet the requirements of said federal act and any cost sharing prerequisites that said division may impose. Said division shall collaborate with the department of public health in order to incrementally implement said program, efficiently administer such benefits, and verify recipient eligibility and income information. Said program shall take effect upon written certification by the division to the secretary of administration and finance and the house and senate committees on ways and means that the federal Health Care Financing Administration has granted said division the approval to implement and administer such program.
2023 Massachusetts General Laws › Part I - Administration of the Government › Title XVII - Public Welfare › Chapter 118e - Division of Medical Assistance › Section 10e - Healthy Start Program; Medical Assistance for Pregnant Women and Infants; Eligibility; Types of Assistance; Protection From Billing and Collection Practices

Section 10E. The division shall establish a program of medical care and assistance for pregnant women and infants who are not otherwise eligible for medical assistance under chapter 118E and who lack private health insurance coverage or have health insurance coverage which does not cover all medically necessary care covered by the program established by this section. The division shall furnish such medical assistance to each such pregnant woman and infant residing in the commonwealth in accordance with standards of eligibility established by the division; provided, however, that the income eligibility standards shall not be more than 200 per cent of the non-farm income poverty guidelines defined by the United States Office of Management and Budget.
Assistance furnished pursuant to this section shall include, but shall not be limited to, the following care and services; provided, however, that unless otherwise specified to the contrary no payment shall be allowed for inpatient hospitalization:
(i) all medically necessary care to maintain health during the course of the pregnancy and delivery, including newborn hospital care;
(ii) all medically necessary postpartum obstetric and gynecological care;
(iii) newborn care, including one postpartum pediatric ambulatory visit; and
(iv) outreach services designed to identify and encourage the participation of pregnant women and infants in this program.
The division shall ensure that all women who appear to be eligible for medical assistance under said chapter 118E are assisted in enrolling for such coverage.
The division shall promulgate and, from time to time, amend regulations detailing eligibility criteria, services to be covered in conformity with appropriate standards of care, and reimbursement policies.
Notwithstanding section 3 of chapter 6B or any other law to the contrary, no acute hospital shall deny access to care and services to recipients of the healthy start program established by this section; provided, however, that such recipients shall be exempt from any collection action, pre-admission deposit or any other form of billing or collection procedures arising from treatment by an acute care hospital provided under the healthy start program; and provided further, that a healthy start card shall constitute sole verification of application and eligibility for free care for inpatient hospital services. The program established herein shall be known as the healthy start program.
2023 Massachusetts General Laws › Part I - Administration of the Government › Title XVII - Public Welfare › Chapter 118e - Division of Medical Assistance › Section 10g - Coverage for Children Under Age 18 for Cleft Lip and Cleft Palate

[Text of section applicable as provided by 2012, 234, Sec. 8.]
Section 10G. For children under the age of 18, the division shall cover the cost of treating cleft lip and cleft palate. The coverage shall include benefits for medical, dental, oral and facial surgery, surgical management and follow-up care by oral and plastic surgeons, orthodontic treatment and management, preventative and restorative dentistry to ensure good health and adequate dental structures for orthodontic treatment or prosthetic management therapy, speech therapy, audiology and nutrition services, if such services are prescribed by the treating physician or surgeon and such physician or surgeon certifies that such services are medically necessary and consequent to the treatment of the cleft lip, cleft palate or both. The coverage required by this section shall be subject to the terms and conditions applicable to other benefits. Payment for dental or orthodontic treatment not related to the management of the congenital condition of cleft lip and cleft palate shall not be covered under this section.
2023 Massachusetts General Laws › Part I - Administration of the Government › Title XVII - Public Welfare › Chapter 118e - Division of Medical Assistance › Section 10i - Coverage for Administration of All Federal Food and Drug Administration Approved Drugs for Opioid or Alcohol Dependence Treatment

Section 10I. The division and its contracted health insurers, health plans, health maintenance organizations, behavioral health management firms and third-party administrators under contract to a Medicaid managed care organization or primary care clinician plan shall provide coverage for the administration of all federal Food and Drug Administration approved drugs for the treatment of opioid or alcohol dependence and shall establish billing codes and rates of payment for providers of licensed clinical stabilization services to administer the approved drugs to individuals in need of treatment.
For the purposes of this section, ''clinical stabilization services'' shall mean a 24–hour clinically managed post detoxification treatment for adults or adolescents, as defined by the department of public health, usually following acute treatment services for substance abuse, which may include intensive education and counseling regarding the nature of addiction and its consequences, relapse prevention, outreach to families and significant others and aftercare planning, for individuals beginning to engage in recovery from addiction.