Massachusetts

Massachusetts currently has two waivers that are open to children, as well as a state-based program. One is a TEFRA program and the other is an HCBS 1915(c) Medicaid waiver, and the state-based program, MassHealth CommonHealth, is part of an 1115 demonstration waiver. While the TEFRA program and state program waive parental income, the 1915(c) waiver counts parent income under most circumstances. See this Plan Booklet for an overview of health care in Massachusetts. 

Massachusetts also has many adult-only waivers, including Acquired Brain Injury Non-Residential Habilitation, Acquired Brain Injury with Residential Habilitation, Community Living, Intensive Supports, Adult Supports, Frail Elder, TBI, MFP Community Living, and MFP Residential Supports.

Advocacy Organizations in Massachusetts:​

Programs in Massachusetts

KAILEIGH MULLIGAN WAIVER
  • Target Population: Children who would otherwise require care in an institution with any type of disability, including medical, developmental, intellectual, or psychiatric conditions.
  • Ages: 0-18
  • Levels of Care: Intermediate Care Facility, Nursing Facility, Hospital
  • Income Waiver: Yes, the program is based on the child's income only.
  • Waiver Type: TEFRA
  • Spots: unlimited
  • Expiration Date: NA
  • Description: Provides Medicaid coverage only.
  • Online State Information: Kaileigh Mulligan
  • How to Apply: Call the Mass Health Enrollment Center at 1-800-841-2900, then ask for Kaileigh Mulligan intake; or talk to your child's hospital social worker or case manager.
  • Waiting List: none
  • Advocacy/Support Group: Let us know if there is one.
MA CHILDREN'S AUTISM SPECTRUM DISORDER
  • Target Population: Young children with autism.
  • Ages: 0-8
  • Levels of Care: Intermediate Care Facility
  • Income Waiver: No, under most circumstances, but special rules apply to children with multiple complex conditions.
  • Waiver Type: 1915(c)
  • Spots: 325
  • Expiration Date: 9/30/2020
  • Description from medicaid.govProvides community integration, expanded habilitation/education, homemaker, respite, assistive technology, behavioral supports and consultation, family training, home modifications and adaptations, individual goods and services, and vehicle modification for children with autism, 0 - 8 yrs old.
  • Online State Information: Autism Waiver Services
  • How to Apply: Contact the Autism Division of the Department of Developmental Services (DDS) at 1-888-367-4435.
  • Waiting List: The program is currently full but will take new enrollees each October.
  • Advocacy/Support Group: Let us know if there is one.
MASSHEALTH COMMONHEALTH
  • Target Population: Children with disabilities
  • Ages: 0-18; also available for adults with disabilities
  • Levels of Care: NA
  • Income Waiver: Yes, the program is based on the child's disability; however, a premium may apply.
  • Waiver Type: state-based (and part of an 1115 waiver)
  • Spots: unlimited
  • Expiration Date: NA
  • Description: CommonHealth is comprehensive health insurance similar to MassHealth Standard, for eligible disabled adults and disabled children through age 18 who cannot get MassHealth Standard because their incomes are too high.
  • Online State Information: MA Commonhealth beginning p. 11
  • How to Apply: Call the MassHealth Enrollment Center at 1-800-841-2900 or see online application info.
  • Waiting List: none
  • Advocacy/Support Group: Let us know if there is one.
OTHER PROGRAMS