MedicaidAdministrativeLow impact
Acute Inpatient Hospital Bulletin 207: Updated Application for Health and Dental Coverage and Help Paying Costs (ACA-3)
MassHealth·MA·Medical Policy
Effective date
Mar 1, 2026
We identified it
Jun 18, 2026
Summary
MassHealth has updated the Application for Health and Dental Coverage and Help Paying Costs (ACA-3) form with minor language changes to the signature page and grammar edits. The March 2026 version is now available, though previous versions will still be accepted for review.
Action Required
No immediate action required for billing team. This is an informational update about application form changes that affects patient enrollment, not billing processes. Previous versions of the ACA-3 form will still be accepted by MassHealth.