Share sensitive information only on official, secure websites. Use this button to show and access all levels. Box 290794 Charlestown, MA 02129-0214. 80 Everett Avenue Chelsea, MA 02170. Sign in to your existing MassHealth account, Executive Office of Health and Human Services, Massachusetts Commission for the Deaf and Hard of Hearing. Quincy - MassHealth Central Office 100 Hancock Street, Floor 6 Quincy, MA 02171 Massachusetts Health Connector Visit their website at: www.mahealthconnector.org. MassHealth Customer Service Center Attn: Provider Enrollment and Credentialing PO Box 121205 Boston, MA 02112-1205. Our customer service representatives are available Monday through Friday from 8 a.m. till 5 p.m. For people who are deaf, hard of hearing, or speech disabled. up 0.3 percent. However, you will first have to get an application form. Address of MassHealth Enrollment Center is 88 Industry Ave d, Springfield, MA 01104, USA. Your feedback will not receive a response. How to enroll Online + By phone + By mail + By fax + More info Applying for MassHealth coverage You must be a MassHealth member to enroll in a health plan. Find links to certain publications, special notices, and health plan contracts. MassHealth Enrollment Center in the city Taunton by the address 3457, 21 Spring St #4, Taunton, MA 02780, United States Search organizations in a category "Public health department" All cities West Springfield, MA 01089. 21 Spring Street, Suite 4 A lock icon ( Correspond with internal and external stakeholders, including representatives of the Social Security Administration (SSA), Center for Medicare and Medicaid Services (CMS), the Railroad Retirement Board (RRB), and MassHealth Customer Service Center (CSC) and MassHealth Enrollment Centers (MECs) to provide information and resolve issues as needed. Preview Health and Dental Plans and Prices * *The MassHealth appointment scheduling system is supported by the following browsers: Chrome, Edge, Firefox, and Safari. 367 East St, Tewksbury, MA 01876, USA. MassHealth provides health plans so members can get the health care they need. How do I enroll in insurance after open enrollment? 508.532.8689. An official website of the Commonwealth of Massachusetts. MassHealth Enrollment Center Locations Charlestown 529 Main Street Charlestown, MA 02129 Chelsea (new location)* 80 Everett Avenue Chelsea, MA 02170 *Please note: This office has limited parking space. Top-requested sites to log in to services provided by the state. Or learn more about the application process here. State Government Employment Agencies. Submit the completed application to: MassHealth Enrollment Center. If you would like to continue helping us improve Mass.gov, join our user panel to test new features for the site. Open enrollment continues through January 23, 2023. If you are not already a member, you must apply for MassHealth coverage first. ) or https:// means youve safely connected to the official website. A lock icon ( Springfield 88 Industry Avenue, Suite D Springfield, MA 01104 Taunton 21 Spring Street, Suite 4 Primary Care ClinicianPlan members can switch plans at any time. A .mass.gov website belongs to an official government organization in Massachusetts. Members can learn about MassHealth plans and learn about the enrollment provess. Website. We may offer benefits directly or help pay for all or part of your health insurance premiums. Sign in to your existing MassHealth account Contact us MassHealth Address One Ashburton Place Boston, MA 02108 Directions Phone MassHealth Customer Service Center (800) 841-2900 Our customer service representatives are available Monday through Friday from 8 a.m. till 5 p.m. TDD/TTY 711 For people who are deaf, hard of hearing, or speech disabled. MassHealth Enrollment Center Medicaid Office Medicaid Health (Just Now) This Tewksbury Medicaid office is located at: MassHealth Enrollment Center Medicaid Office. 209 West Central Street. Please select continue to proceed. With electronic claims submission, a system for online member eligibility verification, and a variety of other automated processes, working with MassHealth has never been easier. Enrollment Specialist. Suite 315B, Natick, MA 01760. Center for Human Development 3.5. Use these services to enroll as a MassHealth provider, manage your profile information, and submit and retrieve transactions. Masshealth Enrollment Center $30,000 jobs Sort by: relevance - date Page 1 of 21 jobs Call Center Supervisor Automated Health Systems 3.4 Marlborough, MA 01752 (Millham area) Full-time Care Coordinator - LTSS Center for Human Development 3.5 West Springfield, MA 01089 Estimated $35.6K - $45K a year Full-time Masshealth Enrollment Center View Jada's full profile See who you know in common Get introduced Contact Jada directly Join to view full profile . Mass.gov is a registered service mark of the Commonwealth of Massachusetts. MassHealth Enrollment Center Medicaid Office 45 Spruce St, Chelsea, MA 02150, USA mass.gov Thursday 7:30AM-4:30PM, Friday 7:30AM-4:30PM, Saturday Closed, Sunday Closed, Monday 7:30AM-4:30PM, Tuesday 7:30AM-4:30PM, Wednesday 7:30AM-4:30PM. Or learn more about the application process here. An official website of the Commonwealth of Massachusetts, This page, MassHealth Provider Enrollment and Credentialing (PEC), is, Register as a MassHealth provider on the Provider Online Service Center (POSC), Apply to become a Primary Care Clinician (PCC) in the Primary Care Clinician Plan, FAQ for Provider Enrollment and Credentialing and PCC Plan, Change of Address - Provider Requirements, Learn about suspended or excluded MassHealth providers, Call MassHealth Provider Enrollment and Credentialing (PEC), Main at, Email MassHealth Provider Enrollment and Credentialing (PEC) at. Topics covered include: member eligibility; MassHealth Plans; billing claims; provider regulations; integrity expectations; and more. The completed application can be mailed, faxed, or dropped off at the MassHealth Enrollment Center. . While MassHealth saw its enrollment climb 5.4 percent, the private commercial plans that cover more than 4 million . To apply for MassHealth, seniors must complete the Application for Health Coverage for Seniors and People Needing Long-Term Care Services, which can be found here. Do not include sensitive information, such as Social Security or bank account numbers. Share sensitive information only on official, secure websites. fax or in person at a MassHealth enrollment center. To apply for MassHealth, seniors must complete the Application for Health Coverage for Seniors and People Needing Long-Term Care Services, which can be found here. This year's Open Enrollment is scheduled from November 1, 2022 through January 23, 2023. A .mass.gov website belongs to an official government organization in Massachusetts. Call MassHealth Customer Service Center at: 800-841-2900 (TTY 800-497-4648) MassHealth Enrollment Center Medicaid Office 367 East St, Tewksbury, MA 01876, USA mass.gov Friday 8:45AM-5PM, Saturday Closed, Sunday Closed, Monday 8:45AM-5PM, Tuesday 8:45AM-5PM, Wednesday 8:45AM-5PM, Thursday 8:45AM-5PM. Learn how you can enroll in a health plan or change your plan. MassHealth Provider Online Service Center The Provider Online Service Center gives you the tools to effectively manage your business with MassHealth electronically. To apply for MassHealth, seniors must complete the Application for Health Coverage for Seniors and People Needing Long-Term Care Services, which can be found here. 88 Industry Avenue, Suite D MassHealth Enrollment Center (Local government office) is located in Hampden County, Massachusetts, United States. Do not include sensitive information, such as Social Security or bank account numbers. Before you apply, you can preview 2022 plans and prices based on your income. Box 187Quincy, MA 02180. You can fax your MassHealth Health Plan Enrollment Form to(617)988-8903. Some page levels are currently hidden. If MassHealth members or applicants need support or have any questions they should contact the Customer Service Center at (800) 841-2900; TTY: (800) 497-4648. The Massachusetts Health Connector walk-in centers in Boston, Brockton, Springfield and Worcester are closed, starting today, due to concerns about the coronavirus. Health Insurance Processing Center PO Box 4405 Taunton, MA 02780 Fax: (857) 323-8300 If you still need an appointment, follow the box below to our scheduling tool. MassHealth Provider Enrollment and Credentialing (PEC). Masshealth Enrollment Center in New Bedford, MA About Search Results Sort: Default 1. If you are a member, you may have access to doctor visits, dental, prescription drugs, behavioral health services, and other important health care services. Primary Care Clinician (PCC) Plan for MassHealth Members, Program of All-inclusive Care for the Elderly (PACE). The fax number and addresses are on the application. STEP 1: Begin by completing the general MassHealth Application (ACA-3) There is one application (the ACA-3) for all MassHealth and Health Connector Plans. This form only gathers feedback about the website. If you would like to continue helping us improve Mass.gov, join our user panel to test new features for the site. ) or https:// means youve safely connected to the official website. POBox 4405 If you are not already a MassHealth member, you must first apply for MassHealth coverage. We have taken this action with the health and safety of our members . We will use this information to improve the site. Find information and resources about MassHealth, including health plans, providers, benefits and services. This page is located more than 3 levels deep within a topic. Masshealth Enrollment Center May 2020 - Present 2 years 8 months. MassHealth Enrollment Center Medicaid Office 45 Spruce St, Fill out a MassHealth Health Plan Enrollment Form. Call the MassHealth Customer Service Center at 800-841-2900 or 800-497-4648 (TTY) to request a Medical Benefit Request (MBR). Regulatory compliance of vital records related to marriage equality, gender, adoptees, child support enforcement and verifications for MassHealth enrollment Analyzed health reform . Springfield 88 Industry Avenue, Suite D Springfield, MA 01104. A .mass.gov website belongs to an official government organization in Massachusetts. Providers who enroll with MassHealth as nonbilling providers via the Nonbilling Provider Application are not fully participating MassHealth providers and are not eligible to submit claims to MassHealth. MassHealth Enrollment Center, Industry Ave, 88, Springfield, United States Om Waze Community Samarbetspartners Hjlp Villkor Notiser How suggestions work 42.141 | -72.546 Masshealth Enrollment Center! About us . The fax number and addresses are on the application. The application can be printed, completed and submitted by mail or fax. Address 88 Industry Ave d, Springfield, MA 01104, USA Website https://www.mass.gov/service-details/masshealth-enrollment-cent Tewksbury, MA 01876, Quincy - MassHealth Central Office100 Hancock Street, 6th floor ) or https:// means youve safely connected to the official website. In addition, applicants can apply for benefits online atwww.mahealthconnector.org. For people aged 65 and older and people of any age who need long-term-care services: If you are not already a member, you must apply for MassHealth coverage first. The fax number and addresses are on the application. Leominster, MA 01453. Here,you'll learn about our health plans,get answers to your questions, and get help choosing health plans and providers. 100 Erdman Way. Back Submit. This is NOT an application to apply for MassHealth. Monday through Friday, from 8 a.m. to 5 p.m. MassHealth Enrollment Center (Local government office) is located in Essex County, Massachusetts, United States. A health plan is a group of providers, hospitals, and other health care professionals who work together to meet your health care needs. Use this button to show and access all levels. This page is located more than 3 levels deep within a topic. Army National Guard. CLOSED NOW. Taunton, MA 02780, Tewksbury To enroll in CCA One Care, you will need to sign up with MassHealth directly. Thus, MassHealth offices, including the MassHealth Enrollment Centers (MECs), are closed on Monday and Tuesday. Greater Boston Area Education . Mass Health Enrollment Center 88 Industry AveSpringfieldMA01104 (413) 785-4100 Claim this business (413) 785-4100 Website More Order Online Directions Advertisement Hours Mon: 8:45am - 5pm Tue: 8:45am - 5pm Wed: 8:45am - 5pm Thu: 8:45am - 5pm Fri: 8:45am - 5pm Website Take me there Find Related Places State Government A lock icon ( Enroll Directly with MassHealth Before you call MassHealth, be sure to download and complete the One Care Enrollment Decision Form. You can apply for insurance online through the Health Connector at www.MAhealthconnector.org, by calling 877-MA-ENROLL. Mass.gov is a registered service mark of the Commonwealth of Massachusetts. MassHealth members may be able to get doctors visits, prescription drugs, hospital stays, and many other important services. Use this button to show and access all levels. Filling it out in advance will speed up your enrollment. *Please note: This office has limited parking space. Click "Get Assistance" or go to MAhealthconnector.org/Help-Center at any time. Your feedback will not receive a response. If your income is above a certain amount, you may receive a letter stating your child is denied because your income is too high. Persons already enrolled in Medicaid can contact a senior care organization, which will assist the individual in the enrollment process. Don't worry. Rehabilitation Commission State Government Website (508) 993-6255 888 Purchase St New Bedford, MA 02740 Springfield, MA 01104, Taunton Please note:MECs can help you with applications, but they are not able to enroll you into a health plan. The fax number and addresses can be found on the application. Once you have been approved for MassHealth coverage, it's important to choose a health plan for you and your family! Top-requested sites to log in to services provided by the state. Charlestown, MA 02129-0214. Before your get started, be sure to check the Help Center for information, guides, and where to find free, in-person help near you. The Center for Health Information and Analysis has been producing monthly health insurance enrollment summaries to provide a regular snapshot of how the pandemic is impacting access to health insurance. Charlestown 529 Main Street Charlestown, MA 02129. This valuable resource includes general information that new and existing providers will find helpful. Screen and assist patients in applying for MassHealth, Connector Care, Qualified Health Plans, Children's Medical Security Plan, Health Safety Net and other applicable services to arrange needed . If you would like to continue helping us improve Mass.gov, join our user panel to test new features for the site. The completed application can be mailed, faxed, or dropped off at the MassHealth Enrollment Center. Share sensitive information only on official, secure websites. A .mass.gov website belongs to an official government organization in Massachusetts. The Massachusetts Health Connector is the state's Marketplace for health and dental insurance. Career Center-North Central Ma. You must be a MassHealth member to enroll in a health plan. Follow the "Non-members apply for coverage here" link to apply for coverage. Schedule an appointment with a MassHealth representative. Posted. Open Enrollment is the time of year when individuals and families can enroll in the Health Connector's non-group health insurance coverage or switch existing coverage for any reason, without needing a qualifying event. Springfield 88 You can easily apply for MassHealth at www.MAhealthconnector.org. mass.gov. 367 East Street It is accessible from MBTA bus lines 112 and 114. Apply to Enrollment Specialist, Patient Advocate, Benefits Manager and more! Friday 8:45AM-5PM, Saturday Closed, MassHealth provides health plans so members can get the health care they need. Share sensitive information only on official, secure websites. It will not work with Internet Explorer. Use this form to choose your MassHealth health plan if you : Are under 65 Live in a community (for example, not in a nursing facility), and Are in MassHealth Standard, CommonHealth, CarePlus, or Family Assistance. Please mail it to: Massachusetts Medicaid (MassHealth) pays for health care for certain low and medium income people living in Massachusetts. ) or https:// means youve safely connected to the official website. Some page levels are currently hidden. MassHealth Enrollment Center Medicaid Office Medicaid Office in . Taunton, MA 02780, Charlestown529 Main StreetCharlestown, MA 02129, Chelsea (new location)*80 Everett AvenueChelsea, MA 02170. If you would like to continue helping us improve Mass.gov, join our user panel to test new features for the site. Top-requested sites to log in to services provided by the state. Please note that the 2023 open enrollment period began on November 1st. Quincy, MA 02171. If you would like to continue helping us improve Mass.gov, join our user panel to test new features for the site. Your feedback will not receive a response. Some page levels are currently hidden. MassHealth offers health-care benefits directly or by paying part or all of your health-insurance premiums. It is accessible from MBTA bus lines 112 and 114. For Massachusetts residents who need MassHealth benefits to pay for long-term care, now is the time to complete your application. We will use this information to improve the site. P.O. We strongly encourage you to use MassHealths new appointment scheduler if you need help from a MassHealth Customer Service Representative. MassHealth Provider Online Service Center Home Provider Search MassHealth Provider Online Service Center Security Warning You are entering a secure site. Find 3 listings related to Masshealth Enrollment Center in Chelsea on YP.com. This page is located more than 3 levels deep within a topic. Springfield The completed application can be mailed, faxed, or dropped off at the MassHealth Enrollment Center. 6. Find applicant information and resources for MassHealth, the Health Safety Net (HSN), and the Children's Medical Security Plan (CMSP). Connecting with different agencies to assist with enrollment. MassHealth applications for seniors and people who need long-term care can be submitted in one of several ways. An official website of the Commonwealth of Massachusetts, This page, Enroll in a MassHealth health plan - individuals and families younger than 65, is, for Enroll in a MassHealth health plan - individuals and families younger than 65, Call MassHealth Customer Service Center, Main: at, Call MassHealth Customer Service Center, TDD/TTY: at, of Enroll in a MassHealth health plan - individuals and families younger than 65, Have another health plan, such as Medicare or coverage through your job, Enroll in a MassHealth health plan - individuals and families younger than 65, The fastest way to enroll in a health plan is, to Enroll in a MassHealth health plan - individuals and families younger than 65. (4 days ago) MassHealth Enrollment Center Central Processing Unit P.O. An official website of the Commonwealth of Massachusetts, This page, MassHealth Enrollment Centers (MECs), is. (978) 534-1481. If you are not already a MassHealth provider, or if you wish to enroll in the Primary Care Clinician (PCC) Plan, it's easy to join. Mass.gov is a registered service mark of the Commonwealth of Massachusetts. Certain members in the MassHealth program will need to enroll in a health plan. Your feedback will not receive a response. Additionally, remember that you can contact the MassHealth Enrollment Center Medicaid Office by calling . Security The Grand Boston Mar 2019 - Present 3 years 10 months. Mass.gov is a registered service mark of the Commonwealth of Massachusetts. Realtime driving directions to MassHealth Enrollment Center, 367 East St, Tewksbury, based on live traffic updates and road conditions - from Waze fellow drivers Health (6 days ago) MassHealth Enrollment Center Locations. MassHealth Enrollment Center has quite many listed places around it and we are covering at least 39 places around it on Helpmecovid.com. Seniors can call the MassHealth Customer Service Center at 1-800-841-2900 with questions or for application assistance . Information for MassHealth Applicants Coronavirus Disease (COVID-19) and MassHealth MassHealth Enrollment Center is abbreviated as MEC Alternative Meanings MEC - Mobile Edge Computing MEC - Multi-access Edge Computing MEC - Member of the Executive Council MEC - Mucoepidermoid Carcinoma MEC - Metrics ETL Component 679 other MEC meanings images Abbreviation in images MEC means MassHealth Enrollment Center Central Processing Unit. We will use this information to improve the site. You can request more information about the program as well as an application form to be sent to your mailing address. That's because certain MassHealth members must enroll in a MassHealth health plan. This page is located more than 3 levels deep within a topic. An official website of the Commonwealth of Massachusetts, This page, MassHealth Plans and Enrollment Guide, is. The completed application can be faxed to the MassHealth Enrollment Center at 617-887-8799 or mailed to the MassHealth Enrollment Center, Central Processing Unit, at P.O. Health (8 days ago) The MassHealth Enrollment Center Medicaid Office is a Medicaid office you can apply at in Chelsea, Massachusetts. Chelsea MassHealth Enrollment Center Phone: 888-665-9993 Fax: 617-887-8777 View Website 45-47 Spruce Street Chelsea, MA 02150 Area Served: Greater Boston Map Location Narrative The Chelsea MassHealth Enrollment Center is responsible for determining eligibility for a variety of health programs including MassHealth and Uncompensated Care. Top-requested sites to log in to services provided by the state, Information about how providers enroll in MassHealth and how they get credentialed. Address of MassHealth Enrollment Center is 367 East St, Tewksbury, MA 01876, USA. Finally: Wait For Feedback MassHealth offers Determine your eligibility for this benefit We will use this information to improve the site. MassHealth ProgramP.O. See reviews, photos, directions, phone numbers and more for Masshealth Enrollment Center locations in Chelsea, MA. The Enrollment Centers are open for limited walk-in appointments. This form only gathers feedback about the website. Box 290794, Charlestown, MA 02129-0214. . A .mass.gov website belongs to an official government organization in Massachusetts. 19 Masshealth Enrollment Center jobs available in Lynn, MA on Indeed.com. Did you receive a notice recently about enrollingin a health plan? Use this button to show and access all levels. MassHealth Enrollment Center Medicaid Office 45 Spruce St, Chelsea, MA 02150, USA mass.gov Thursday 7:30AM-4:30PM, Friday 7:30AM-4:30PM, Saturday Closed, Sunday Closed, Monday 7:30AM-4:30PM, Tuesday 7:30AM-4:30PM, Wednesday 7:30AM-4:30PM. Contact Us Today. Learn about the plans that are available in your area, compare them, and then enroll in one. Apply to Enrollment Specialist, Service Coordinator II, Chief Operating Officer and more! MassHealth In Massachusetts, Medicaid and the Children's Health Insurance Program (CHIP) are combined into one program called MassHealth. You can easily apply for MassHealth at www.MAhealthconnector.org. We can help. Mass.gov is a registered service mark of the Commonwealth of Massachusetts. Topics covered include: member eligibility; MassHealth Plans; billing claims; provider regulations; integrity expectations; and more. Masshealth Enrollment Center Government Administration Springfield, Massachusetts 37 followers Follow View all 51 employees Report this company Report Report. Do not include sensitive information, such as Social Security or bank account numbers. Follow the "Non-members apply for coverage here" link to apply for coverage. Box 290794. Commonwealth of Massachusetts MassHealth State Government (508) 828-4600 21 Spring St Taunton, MA 02780 Businesses in Related Categories to State Government 2. A lock icon ( This form only gathers feedback about the website. includes general information that new and existing providers will find helpful. Call the MassHealth Customer Service Center. This form only gathers feedback about the website. Find information and resources for MassHealth providers. If you qualify for a 2022 Special Enrollment Period, create an account or log in to an existing one to enroll in a plan for 2022. . Health Connector Customer Service Call Center Phone: (877)-MA-ENROLL (877) 623-6765) TTY: (877) 623-7773 Hours: Monday - Friday: 8:00 a.m. to 6:00 p.m. Self-service available 24 hrs/day in English and Spanish. To apply for MassHealth, seniors must complete the Application for Health Coverage for Seniors and People Needing Long-Term Care Services, which can be found here. Other services available Monday-Friday 8 a.m.5 p.m. Interpreter service available. Additionally, remember that you can contact the MassHealth Enrollment Center Medicaid Office by calling . MassHealth MassHealth Provider Enrollment and Credentialing (PEC) Information about how providers enroll in MassHealth and how they get credentialed If you are not already a MassHealth provider, or if you wish to enroll in the Primary Care Clinician (PCC) Plan, it's easy to join. The completed application can be mailed, faxed, or dropped off at the MassHealth Enrollment Center. MassHealth provides health benefits and help paying for them to qualifying children, families, seniors, and people with disabilities living in Massachusetts. The Enrollment Centers are open for limited walk-in appointments. You can also contact the Marketplace Call Center to enroll. Health Insurance Processing Center Masshealth Enrollment Center is a government administration company based out of 336 BRIDGE ST, Springfield, Massachusetts, United States. Your feedback will not receive a response. Estimated $33.1K - $41.9K a year. A lock icon ( Some page levels are currently hidden. Go to MassHealthChoices.com. Do not include sensitive information, such as Social Security or bank account numbers. Learn about MassHealths ongoing efforts to transform health care delivery in Massachusetts, including programs and initiatives to improve access to high quality care. Learn about the plans that are available in your area, compare them, and then enroll in one. MassHealth Enrollment Center Phone: 800-841-2900 TTY: 800-497-4648 Virtual Gateway Help Desk Phone: 800-421-0938 TTY: 617-847-6578 MassHealth Income Standards and Federal Poverty Level (FPL) Guidelines MassHealth Publications Member Booklet for Health Coverage and Help Paying Costs Do not include sensitive information, such as Social Security or bank account numbers. The fax number and addresses are on the application. Access regulations (both current and proposed), forms, and other important MassHealth and EOHHS publications using the links below. You can apply by mail after completing the application form for MassHealth. masshealth enrollment center hours View the latest health news and explore articles on fitness, diet, nutrition, parenting, relationships, medicine, diseases and healthy The fastest way to enroll in a health plan is online. We will use this information to improve the site. Share sensitive information only on official, secure websites. If you are not already a MassHealth member, you must first apply for MassHealth coverage. 19 Masshealth Enrollment Center $40,000 jobs available on Indeed.com. Full-time. new. Skip to content. You can also learn about upcoming enrollment eventsforin-person help. It is accessible from MBTA bus lines 112 and 114. Find help with your MassHealth application, Contact Information for MassHealth members, about Information for people applying for MassHealth benefits, Information for people applying for MassHealth benefits, about Information for MassHealth Providers. Applicants also have the option to submit an application in person at one of five MassHealth enrollment centers. The completed application can be mailed, faxed, or dropped off at the MassHealth Enrollment Center. Find Enrollment Center addresses and other related information. Top-requested sites to log in to services provided by the state. ) or https:// means youve safely connected to the official website. You can get it in two ways: Phone: Call 1 888 665 9997 to reach MassHealth Enrollment Center. Receives enrollee referrals, electronically and telephonically from MassHealth, ACOs, MCOs, and. Once you've enrolled, you can still change your health plan during your yearlyPlan Selection Period. You may not need to enroll in a health plan if you. This form only gathers feedback about the website. MassHealth Health Plan Enrollment Form - English, MassHealth Health Plan Enrollment Form - English (Word Version), MassHealth Health Plan Enrollment Form - Spanish, MassHealth Health Plan Enrollment Form - Spanish (Word Version). Contact MassHealth: Information for members Mass.gov. 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