Top 5 Rehab Centers That Accept MassHealth (Massachusetts Medicaid)

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Massachusetts Medicaid, called MassHealth, covers most substance abuse treatment services. A person seeking treatment can choose between many options in rehab centers to get inpatient, outpatient, medication-assisted treatment, and more.

Alcohol And Drug Rehab Centers That Accept MassHealth - Rehab Centers That Accept Massachusetts Medicaid

MassHealth is the name for Medicaid in Massachusetts. This public health service provides insurance plans to cover the costs of addiction services.

Included are children’s health insurance programs, senior care options, behavioral health partnerships, primary care, and more.

Learn more about using Medicaid to cover the cost of addiction treatment

What Addiction Treatment Services Are Covered By Medicaid In Massachusetts?

Medicaid covers a wide range of substance abuse treatment programs.

Some of the alcohol and drug abuse programs covered by MassHealth include:

  • inpatient treatment
  • outpatient treatment
  • detoxification
  • partial hospitalization program (PHP)
  • peer support services
  • structured outpatient addiction program (SOAP)
  • clinical stabilization services
  • crisis assessment, intervention, and stabilization
  • individual, group, and family counseling
  • narcotic-treatment services, including opioid dependence

View our list of Massachusetts detox and rehab centers for additional treatment options

Top 5 Rehab Centers In Massachusetts That Accept Medicaid

Massachusetts is home to multiple Medicaid rehab centers, and we’ve selected five for this list.

The five rehab centers in this list were chosen based on:

  • accreditation
  • client reviews
  • certifications
  • memberships

1. Addiction Treatment Center of New England (ATCNE), Brighton, Massachusetts

This rehab center provides a methadone detox program for those living in the greater Boston, Massachusetts area. All services at ATCNE are available at no cost for Medicaid recipients.

ATCNE has several top qualities, such as:

  • accreditation from the Council on Accreditation (COA)
  • membership in the American Association for the Treatment of Opioid Dependence (AATOD)

Location and contact information:

77 Warren St.
Bldg. 5
Brighton, MA 02135
(617) 254-1271

2. Arbour Counseling Services, Multiple Locations

This counseling service offers a range of substance use services in eight locations across the state of Massachusetts.

Featured qualities of Arbour Counseling Services include:

  • accreditation from the Commission on Accreditation of Rehabilitation Facilities (CARF)
  • client testimonials

Addiction treatment services offered include:

  • medication-assisted treatment (MAT) with Suboxone (buprenorphine) and Vivitrol (naltrexone)
  • SOAP
  • intensive outpatient program (IOP)</li.
  • individual and group therapy
  • aftercare

It should be noted that there is currently a six- to eight-month waiting period to receive substance use services.

Location and contact information:

38 Pond St.
Suite 101
Franklin, MA
(508) 528-6037

3. Column Health, Multiple Locations

This outpatient mental health and addiction treatment center specializes in treating alcohol use disorders, depression, anxiety, and other mental health disorders.

Here, a person can participate in MAT that includes buprenorphine (Suboxone, Sublocade), naltrexone (Vivitrol), and non-medication options.

A few of the trusted features of this treatment facility are:

  • LegitScript certification
  • CARF accreditation

Location and contact information:

339 Massachusetts Ave.
Arlington, MA 02474
(844) 909-2615

4. Fitchburg Comprehensive Treatment Center, Fitchburg, Massachusetts

This is a methadone clinic specializing in outpatient MAT for opioid addiction treatment.

Features of this opioid treatment center include:

  • CARF accreditation
  • positive client testimonials

Location and contact information:

155 Airport Rd.
Fitchburg, MA 01420
(855) 387-3574

5. Gosnold, Multiple Locations

Gosnold provides inpatient rehab in Falmouth and Cataumet. Outpatient services, including detox, are offered in Nantucket, Centerville, Falmouth, North Dartmouth, and Stoughton.

Short-term detox and outpatient services are covered under Medicaid, but long-term residential programs are not covered by Medicaid at this treatment facility.

Gosnold was chosen for:

  • LegitScript certification
  • Joint Commission accreditation
  • membership in the National Association of Addiction Treatment Providers (NAATP)
  • designation as a Blue Distinction Center

Location and contact information:

909 Sumner St.
Stoughton, MA
(800) 444-1554

Determining Massachusetts Medicaid Coverage For Addiction Treatment

MassHealth coverage may depend on several factors, such as copays, prior authorization, and referrals.

MassHealth Copays

Nearly all members will need to cover a small, affordable copay. Some treatment facilities extend a $0 copay for Medicaid users, so it will depend on the program and rehab center.

Members who do not have copayments include:

  • those with an income at or below 50% of the FPL
  • those getting Supplemental Security Income (SSI)
  • those under 21 years old
  • pregnant women
  • those with foster children
  • those in a long-term care facility

Prior Authorization For Medicaid Services

If your behavioral health provider suggests a service that requires prior authorization, the provider will contact the Massachusetts Behavioral Health Partnership (MBHP).

The MBHP will then decide whether the treatment service is necessary within 14 calendar days. If your request is denied, you can appeal the decision to MBHP.

Referrals For Drug And Alcohol Rehab

Most substance use disorder services listed under MassHealth do not require referrals, but some do.

This is something in writing from your primary care provider suggesting you see another provider for care.

Qualifying For Massachusetts Medicaid To Cover Drug Rehab

You or your loved one must fall into one of the designated populations to use Medicaid for addiction rehab and other mental health services.

To find out if you’re eligible for MassHealth, you’re required to fill out an application. A person must be a resident of Massachusetts and meet a satisfactory immigration status.

Different levels of care are available based on whether you’re:

  • a parent with a child under 19 years old
  • a caretaker relative living with a child under 19 years old (must be related by blood, adoption, or marriage)
  • the primary caretaker as the spouse or former spouse of one of those relatives
  • under 19 years old
  • 19 or 20 years old
  • between the ages of 21 to 64
  • pregnant
  • disabled
  • HIV-positive
  • a breast or cervical cancer patient

Massachusetts Medicaid Income Eligibility Requirements

You must also be within certain income restrictions to use Medicaid.

Massachusetts uses the federal poverty level (FPL) to determine eligibility. Income levels range from 100% to 400% of the FPL.

Long-term unemployed adults are eligible for up to 100% of the FPL. Pregnant women, disabled adults, people with HIV, and other groups are eligible for up to 200% of the FPL.

Assuming a 200% rate, a person may not exceed the following yearly incomes:

  • one-person household: $25,764
  • two-person household: $34,848
  • three-person household: $43,920
  • four-person household: $53,004
  • five-person household: $62,088
  • six-person household: $71,160
  • seven-person household: $80,244
  • eight-person household: $89,328

For each additional person after eight, add $9,084.

How To Use Your Massachusetts Medicaid Plan For Drug Rehab

To use MassHealth to pay for drug rehab, follow these steps:

  1. Apply for Medicaid
  2. Once you’re approved, you’ll receive a card in the mail
  3. Bring this card to the treatment center
  4. Determine a treatment program and pay the remaining copay, if applicable (many programs have a $0 copay for Medicaid recipients)

If you were unable to enroll in Medicaid, there are still affordable treatment options.

Many rehab centers have a sliding scale option to choose a fee that’s right for you, and others have free, government-funded programs.

Massachusetts Medicaid Insurance Coverage For Drug And Alcohol Rehab FAQs

As you continue your search for a rehab center that accepts Medicaid, consider some of the following questions.

Is There A Long Waitlist For Massachusetts Medicaid Rehab Centers?

For MassHealth recipients, waitlists are very high at the moment. Many rehab centers in Massachusetts have waiting periods of several months.

Does Massachusetts Medicaid Cover Detox?

MassHealth does cover detox services in an inpatient and outpatient setting. However, not all rehab centers will accept Medicaid as a form of payment for their detox programs.

What If A Rehab Center Doesn’t Take Massachusetts Medicaid?

If you find a rehab center that doesn’t take Medicaid, there are plenty of other options. If you’d like to remain at that treatment center, check to see if they have any other financing options.

Or, find a different rehab center that does take Medicaid. There are several Medicaid-accepting treatment centers in Massachusetts.

Find A Rehab Center That Accepts Massachusetts Medicaid

If you’d like additional assistance in finding a rehab program that accepts Massachusetts Medicaid, we’re here to help.

Call our helpline today and talk with one of our representatives. We can talk you through the different treatment programs, financing options, Medicaid availability, and more.