The LI NET Program ensures that individuals with Medicare’s low-income subsidy (LIS), or “Extra Help,” who are not yet enrolled in a Part D prescription drug plan are still able to obtain immediate prescription drug coverage.
MassHealth has published a Mail and Fax Cover Sheet that should be
used when sending documents to the Enrollment Centers or Central
Processing Unit. There are two important points to remember when using
this form:
DO NOT PHOTOCOPY THIS FORM. A new form should be
printed with every use. This form contains a barcode that is used by
MassHealth's new scanning system. Photocopying the form can diminish
the integrity of the barcode and make it illegible to the scanning
system.
Please use one cover sheet per household. If you are sending
documents for multiple cases, use a separate cover sheet for each case.