Top 5 Rehab Centers That Accept Masshealth (Massachusetts Medicaid)

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MassHealth operates Accountable Care Organization plans to provide comprehensive addiction treatment and other healthcare coverage. Many rehab centers in Massachusetts accept MassHealth, making addiction treatment more accessible to Medicaid recipients.

Rehabs That Accept Massachusetts Medicaid (MassHealth)

In Massachusetts, the state Medicaid program, called MassHealth, covers both Medicaid and CHIP (Medicaid program for children) members. The program served 1.7 million residents in 2018.

Massachusetts Medicaid insurance coverage provides all essential health benefits. Individuals with MassHealth plans can use them to access a range of addiction treatment options.

Locating an alcohol or drug rehab center in Massachusetts that accepts Medicaid will help secure treatment coverage and allay the financial burden of treatment cost.

Addiction Treatment Services Covered By MassHealth

Each Medicaid program is both state- and federally funded, so states implement regulations for which services are covered for each essential health benefit.

These forms of addiction treatment are covered by Massachusetts Medicaid (MassHealth):

  • 12-step programs
  • counseling
  • cognitive behavioral therapy
  • family therapy and counseling
  • individual and group therapy
  • inpatient rehab programs
  • intensive outpatient programs
  • medication-assisted treatment (MAT)
  • medication management
  • medically supervised detox programs
  • outpatient rehab programs
  • residential rehab stays

Top 5 Rehab Centers That Accept Massachusetts Medicaid

The MassHealth program is widely accepted in the state of Massachusetts by addiction treatment providers. More than 70 alcohol and drug rehab facilities in Massachusetts accept Medicaid insurance plans.

The top 5 rehab centers in Massachusetts which accept Medicaid were listed for:

  • accreditation of facility
  • excellence of rehab programs
  • variation of treatments offered
  • positive reviews from program participants

1. Gosnold, Inc., Falmouth, Massachusetts

Accredited by the Joint Commission, Gosnold has been providing leading addiction treatment since it was founded in Cape Cod in 1972.

Today, Gosnold provides an array of addiction treatment programs throughout Massachusetts:

Emerson House through Gosnold offers women-only long-term residential treatment, while the Miller House provides men-only long-term rehab programs.

Programs are individualized, but all rehab programs include family education and support and case management.

Other addiction treatment services include:

  • 12-step fellowship
  • life-skills training
  • individual counseling
  • group counseling
  • psycho-educational groups
  • recreation, including beach outings and yoga

Gosnold offers medication-assisted treatment with either naltrexone (Vivitrol) or buprenorphine (Suboxone) at many of its outpatient locations.

To help individuals succeed in recovery, Gosnold also provides a number of additional services, including anger management, school-based programs, and family and couples therapy.

Gosnold accepts most MassHealth plans and a number of private insurance plans, including Aetna, Cigna, and UnitedHealthCare.

Location and contact information:

200 Ter Heun Dr.
Falmouth, Massachusetts 02540

(800) 444-1554

2. Dorchester Health, Dorchester, Massachusetts

Dorchester Health provides addiction and mental health treatment to Massachusetts residents. All rehab programs are accredited by the Joint Commission.

Dorchester Health offers intensive outpatient rehab programs, which may include:

  • medication-assisted treatment with naltrexone (Vivitrol)
  • medication-assisted treatment with buprenorphine (Suboxone)
  • individual therapy
  • medical care
  • mental health care
  • chronic pain treatment
  • overdose education

Individuals who enter outpatient programs through Dorchester Health are required to receive their primary care through DotHouse to ensure recovery care coordination.

While this is a day program, evening hours are available. Dorchester Health accepts MassHealth and major private insurance plans.

Location and contact information:

1353 Dorchester Ave.
Dorchester, Massachusetts 02122

(617) 740-2257

3. Boston Public Health Commission, Boston, Massachusetts

The Boston Public Health Commission provides a number of affordable services to Boston residents, ranging from employment assistance to housing and recovery services.

Substance use disorder services include:

  • individual therapy
  • group therapy
  • outpatient medication-assisted treatment
  • case management and referral services
  • intensive outpatient programs
  • partial hospitalization programs

To be eligible for addiction treatment through the Boston Public Health Commission, individuals must:

  • be 18 years or older
  • have co-occurring mental health and substance use disorders
  • currently be enrolled in a treatment program

All rehab programs are gender-specific and LGBT-friendly and work to address treatment needs unique to these groups.

While MassHealth is accepted for payment, the Boston Public Health Commission provides treatment for any Boston residents who qualify, regardless of ability to pay.

Location and contact information:

1010 Massachusetts Ave.
Boston, Massachusetts 02118

(617) 534-5395

4. South Middlesex Opportunity Council: Serenity House, Framingham, Massachusetts

Serenity House of the South Middlesex Opportunity Council has been providing gender-specific, residential substance abuse and mental health treatment for women in Massachusetts for 18 years.

Serenity House is a 35-bed facility offering comprehensive rehab programs that include services like:

  • 12-step groups
  • clinical assessments
  • employment assistance
  • group therapy
  • individual training
  • skills training
  • housing advocacy, search, and placement
  • recovery goal planning
  • transportation for health and legal care
  • vocational training

Treatment is available for women ages 18 and over, with four of the facility’s available beds reserved for pregnant and postpartum women.

Payments accepted through Serenity House include MassHealth plans, but most women are also funded through in-kind and private donations.

Location and contact information:

228 Concord St.
Framingham, Massachusetts 01702

(508) 872-4853

5. Victory Programs, Boston, Massachusetts

Victory Programs operates seven residential treatment and recovery housing facilities in Boston, Cambridge, and Topfield.

All programs are gender-specific, treating men and women separately to ensure more complete focus on healing.

Residential programs are available for substance use disorders and mental health disorders, as well as separate programs for those living with HIV/AIDS.

Treatment is evidence-based, and includes daily medical care, medically assisted detox, and counseling and therapy.

Every rehab program provides aid to individuals who may be homeless, with a focus on helping them reintegrate into their community following treatment.

Victory Programs accepts MassHealth and also sponsors many programs due to generous in-kind, corporate, and personal donations.

Location and contact information:

965 Massachusetts Ave.
Boston, Massachusetts 02118

Using MassHealth Medicaid Plans To Pay For Addiction Treatment

Massachusetts operates an Accountable Care Organization (ACO) health plan system, or a network of doctors, hospitals, and healthcare providers who work together to ensure each MassHealth member gets the care they need when they need it.

Not all MassHealth plans are ACO plans.

The following health plan choices are offered by MassHealth:

  • Accountable Care Partnership Plan
  • Primary Care ACO
  • Managed Care Organization (MCO)
  • Primary Care Clinician (PCC) Plan

Using MassHealth plans to pay for addiction treatment involves contacting either a primary care provider or the network of care providers available within the plan to see where an individual can receive care.

ACO And Managed Care Plan Providers

The majority of MassHealth plans are Accountable Care Organization plans, as these provide the most comprehensive care coverage for Massachusetts Medicaid recipients.

MassHealth ACO providers include:

  • Be Healthy Partnership
  • Berkshire Fallon Health Collaborative
  • BMC HealthNet Plan Community Alliance
  • BMC HealthNet Plan Mercy Alliance
  • BMC HealthNet Plan Signature Alliance
  • BMC HealthNet Plan Southcoast Alliance
  • Community Care Cooperative (C3)
  • Fallon 365 Care
  • My Care Family
  • Partners HealthCare Choice
  • Steward Health Choice
  • Tufts Health Together with Atrius Health
  • Tufts Health Together with BIDCO
  • Tufts Health Together with Boston Children’s ACO
  • Tufts Health Together with CHA
  • Wellforce Care Plan

Managed Care Organizations available through MassHealth include BMC HealthNet Plan and Tufts Health Together.

Eligibility Requirements

To qualify for Massachusetts Medicaid, state residents must be considered low-income according to the federal poverty level.

Income is determined according to a person’s modified adjusted gross income (MAGO) and the number of members within a household.

Individuals may also qualify for MassHealth if they are:

  • a parent with children under age 19
  • an adult caretaker relative with children under age 19
  • under age 19
  • adult age 21 to 64
  • pregnant
  • disabled
  • HIV-positive
  • breast or cervical cancer patient

Copays And Premiums

MassHealth plan regulations recently changed copay amounts. While most services do require a copay, many copays fall under $10.

Also, MassHealth plans are unique among Medicaid plans.

Members using MassHealth to pay for substance use disorder inpatient rehab stays and medications during inpatient rehab stays do not have to pay copays.

Individuals who are pregnant or under age 19 are also exempt from paying copays.

Certain individuals with income limits above 100 percent of the federal poverty level will have small monthly premiums. This amount is determined by income and other financial factors, such as personal assets and household size.

Massachusetts also offers a premium assistance program in which many MassHealth members can apply to receive financial assistance with paying their premium.

How To Find A Rehab Center That Accepts Massachusetts Medicaid

Massachusetts MassHealth members have access to some of the most comprehensive service coverage for addiction treatment in the nation. Accountable Care Organizations work together to ensure a complete continuum of care for MassHealth recipients.

This means individuals with severe substance abuse and mental health issues can enter one form of care, such as residential, and move on to less intensive options until they enter recovery independently.

For more information on finding a rehab center that accepts Massachusetts Medicaid MassHealth plans, call one of our treatment specialists today.

This page does not provide medical advice. See more

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