MASSACHUSETTS
A-Last verified 2026-07-03
Deadlines reflect this state’s rules as researched; they can change — always confirm the current deadline with your state agency or Protection & Advocacy office before relying on it.
HOW TO GET SERVICES & APPEAL IN MASSACHUSETTS
- Receive MassHealth notice of intended action
- (Managed care only) exhaust ACO/MCO internal appeal
- File Fair Hearing Request with BOH within 60 days (within 10 days of mailing / before effective date to keep benefits)
- BOH fair hearing before hearing officer
- Rehearing by Medicaid Director / judicial review under M.G.L. c. 30A
KEY AGENCIES & RESOURCES
NOTABLE WAIVERS
DDS Adult Supports Waiver
SourceAdults with intellectual disability needing in-home/community supports.
Waitlist: DDS prioritization applies; verify with your area office.
DDS Intensive Supports Waiver
SourceAdults with intellectual disability needing 24/7 residential supports.
Waitlist: Priority-need based; document urgent/emergency status.
Children's Autism Spectrum Disorder Waiver
SourceYoung children with autism; intensive in-home services.
Waitlist: Small capped program with periodic openings — ask DDS about the next enrollment window.
Full milestone guide
View the Massachusetts Roadmap →
Six age-based stages — state-correct programs, benefits, and milestones from birth through adulthood.
