> For the complete documentation index, see [llms.txt](https://jeff-coburn.gitbook.io/transition-fact-sheets/llms.txt). Markdown versions of documentation pages are available by appending `.md` to page URLs; this page is available as [Markdown](https://jeff-coburn.gitbook.io/transition-fact-sheets/transition_information_fact_sheets/how_to_apply.md).

# How to Apply:

The application for MassHealth (formerly the Member Benefit Request or “MBR”) is now called the “Application for Health Coverage and Help Paying Costs.” Applications can be obtained:

» **BY PHONE** through the MassHealth Enrollment Center at 1-888-665-9993 (TTY: 1-888-665-9997).

They will send you a MassHealth information booklet, application form, and any supplements. They will also answer any questions you have about applying for MassHealth.

» **ONLINE** a[t http://www.mass.gov/eohhs/docs/masshealth/membappforms/aca-2-english.pdf.](http://www.mass.gov/eohhs/docs/masshealth/membappforms/aca-2-english.pdf)

» **IN PERSON** at a local community health center, hospital, or other MassHealth-approved community organization. A MassHealth benefits advisor will answer your questions, fill out an online application with you, and submit your application via computer. To find a community health center near you, call the Massachusetts League of Community Health Centers Patient Referral Line at 1-800-475-8455.

To apply and be considered for MassHealth due to a disability, rather than income, either a **CHILD DISABILITY SUPPLEMENT** or **ADULT DISABILITY SUPPLEMENT** form must be included with the application.

An **AUTHORIZED REPRESENTATIVE DESIGNATION FORM** must be submitted to MassHealth when submitting an application or to check on eligibility, status of claims, supplies, etc. on behalf of an adult child (over 18 regardless of ability/disability). This form will allow information to be shared about the adult child. The authorization may need to be renewed periodically.