How do I keep my Medicaid coverage?

October 1, 2022

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Medicaid provides health coverage for millions of Americans. Eligibility for Medicaid is based on financial assets and income. Income eligibility is based on many factors. These include your taxable income, Social Security benefits, and interest earnings.

Click here¹ for the Massachusetts Medicaid (Mass Health) eligibility tool.
Click here¹ for the Rhode Island Medicaid eligibility tool.
Click here¹ for the Michigan Medicaid eligibility tool.

But what if your financial situation improves?

You must always report any change in income or financial assets to the state Medicaid office. You will be asked to provide certain documents to determine if your eligibility has changed. If your financial situation improves, you could lose your Medicaid benefits. You would also no longer meet the requirements to enroll in a Dual Eligible Special Needs health plan.

When that happens, you may still be able to qualify for coverage through a private health insurance company. For instance, a Medicare Advantage plan may be a good option.

If you become eligible for Medicaid again at a later date, you will have to re-apply for benefits.

For more information about Medicaid eligibility:

If you live in Massachusetts, call the MassHealth Customer Service Center at 1-800-841-2900.
If you live in Rhode Island, call the state’s Department of Health and Human Services at 1-855-840-4774.
If you live in Michigan, call the Beneficiary Help Line at 1-800-642-3195.
If you’re a CCA member, you can contact us to help you address your Medicaid questions. Call Member Services to learn more:
- In Massachusetts: 855-210-1772
- In Rhode Island: 833-346-9222
- In Michigan: 734-984-4537

Sources:

https://www.macpac.gov/medicaid-101/¹

https://www.medicaid.gov/¹

https://www.mass.gov/topics/masshealth¹

https://www.michigan.gov/mdhhs/assistance-programs/medicaid¹

¹ When you click this link, you will leave the Commonwealth Care Alliance website.

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