Key facts at a glance
- Pregnant women eligible up to 205% FPL ($52,930 for a family of three in 2025).
- Children 0-5 eligible up to 205% FPL ($52,930 for a family of three).
- Expansion adults eligible up to 138% FPL ($35,630 for a family of three).
- Doula reimbursement: $1,548 per full perinatal package.
- Postpartum Medicaid extended to 12 months (effective 2022-04-01).
Massachusetts Medicaid, topic by topic
Eligibility
Income limits & who qualifies
MassHealth covers pregnant women up to 205% of the federal poverty line, $52,930 annual income for a family of three in 2025.
How to apply
How to apply step by step
Apply online at https://my.mahealthconnector.org/ or by phone at 1-800-841-2900. Federal law requires a 45-day decision on non-disability a…
Doula coverage
Doula coverage details
MassHealth covers doula services at up to $1,548 per full perinatal package, effective 2024-12-15.
Postpartum extension
12-month postpartum status
MassHealth extended postpartum Medicaid coverage to 12 months, effective 2022-04-01.
Pregnant women
Pregnancy coverage in full
MassHealth covers pregnancy-related care up to 205% of the federal poverty line, about $52,930 annual income for a family of three in 2025,…
Renewal
Annual renewal & unwinding
MassHealth redetermines eligibility at least once every 12 months under 42 CFR 435.916. During the 2023+ unwinding, roughly 69% of disenrol…
For Black families
Roughly 185,000 Black residents are enrolled in MassHealth, per the most recent CMS T-MSIS analytic file. The number understates true eligibility: every state has Black eligibles who aren't currently enrolled, usually because of the administrative-churn rates that rose sharply during the 2023 unwinding.
Massachusetts' 2006 Chapter 58 law was the template for the Affordable Care Act; MassHealth now covers roughly one-third of the state's population. The doula benefit (reimbursement up to $1,548 per package) launched December 2024 under the 2022 Maternal Health Omnibus (S.2996).
For enrollment help: look for your state's Navigator program (federally funded under the ACA), a Federally Qualified Health Center in your county (every FQHC has certified application counselors on staff), or one of the named community organizations below. Our FQHC directory filters to this state at /clinics/ma/.
More on Massachusetts from Black Health
FQHCs
Federally Qualified Health Centers in Massachusetts
Sliding-scale clinics that take Medicaid + help with applications.
Providers
Providers who accept Medicaid in Massachusetts
Filter our directory to Massachusetts by specialty.
Health data
Black Health outcomes in Massachusetts
Maternal mortality, life expectancy, uninsured rate by race.
Sickle cell
Medicaid gene-therapy coverage in Massachusetts
Does Massachusetts Medicaid cover Casgevy + Lyfgenia? SCDAA chapter, comprehensive centers.
Hospitals
Safety-net hospitals in Massachusetts
CMS ratings, Medicaid-accepting hospitals, and which facilities anchor care for Black patients.
Tool
Medicaid eligibility pre-check for Massachusetts
Household size and income, in about a minute. Direct link to Massachusetts’s apply portal.
WIC
WIC in Massachusetts
Adjunctive WIC eligibility for everyone on MassHealth, monthly food package + Cash-Value Benefit.
SNAP
SNAP (food stamps) in Massachusetts
Federal food assistance: FY 2025 max benefits, ABAWD rules, application URL for Massachusetts.
TANF
TANF cash assistance in Massachusetts
Massachusetts’s maximum monthly TANF cash benefit, time limits, and how to apply.
Data sources
- MassHealth — state Medicaid portal.
- KFF State Health Facts, Medicaid income eligibility + expansion + enrollment tables (kff.org/statedata).
- National Health Law Program doula Medicaid project (healthlaw.org/doulamedicaidproject).
- March of Dimes Report Card, 12-month postpartum extension tracker (marchofdimes.org/report-card).
- CMS T-MSIS Analytic Files, Medicaid enrollment by race and ethnicity (medicaid.gov/dq-atlas).
- HHS Poverty Guidelines, 2025 Federal Register release.
Data refreshed:
If you have Medicaid, the coverage on this page is the route to use first: it costs you nothing and it is what these programs exist for. If you are not covered yet, there is still a free option. Our directory of free and charitable clinics lists verified centers by state. The option below is self-pay and is not billed to Medicaid. It is here for readers who are between coverage or who prefer to pay out of pocket:
Affiliate