Top 5 Rehab Centers That Accept MassHealth (Massachusetts Medicaid)

MassHealth is the name for Medicaid in Massachusetts. This government-funded insurance provider offers insurance plans to cover the costs of addiction healthcare.

Below we’ve listed five of the top drug and alcohol treatment centers in Massachusetts that accept Medicaid. Read on to learn about their services and Medicaid coverage in Massachusetts.

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 evidence-based and holistic substance abuse treatment programs and mental health treatment services.

Behavioral health services covered by MassHealth include:

• inpatient treatment
• outpatient treatment
• medical detox
• short-term options, such as partial hospitalization program (PHP)
• Suboxone treatment
• opioid and alcohol addiction treatment
• treatment for adolescents
• intensive outpatient programs (IOP)
• individualized treatment plans
• aftercare options, such as sober living and transitional housing

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

Top 5 Rehab Facilities In Massachusetts That Accept Medicaid

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

The five addiction recovery centers in this list were chosen based on:

• accreditation
• client reviews
• certifications
• memberships
• other marks of quality care

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

ATCNE, or just ATC, was founded in 1980, serving the Boston and greater Boston community for over 40 years.

ATC can help clients with addiction as well as those with co-occurring disorders, such as depression and addiction.

Trusted features:

• accreditation from the Council on Accreditation (COA)
• Substance Abuse and Mental Health Services Administration (SAMHSA) certification
• state licensure
• licensed staff
• non-profit status

Levels of care:

• outpatient program (OP)
• medication-assisted treatment (MAT)

Treatment services:

• dual diagnosis treatment
• methadone treatment
• LGBTQ+ services
• counseling
• cognitive behavioral therapy (CBT)
• relapse prevention

Payment options:

• Medicare
• sliding fee scale
• Medicaid
• payment assistance
• government funding
• self-payment
• private health insurance

2. Arbour Counseling Services, Norwell, Massachusetts

Arbour Counseling Services offers programs for clients of all ages through a continuum of care.

They have multiple locations throughout Massachusetts, including Allston, Fall River, Franklin, Haverhill, Norwell, Lowell, Woburn, and Worcester.

Trusted features:

• Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation
• licensed staff
• non-profit status

Levels of care:

• partial hospitalization program (PHP)
• outpatient program (OP)

Treatment services:

• dual diagnosis treatment
• group therapy
• family therapy
• telehealth
• counseling
• case management

Payment options:

• Medicare
• Medicaid
• private health insurance
• self-payment

3. Caspar Inc., Cambridge, Massachusetts

Each year, Caspar Inc. helps more than 25,000 men, women, and children in southeastern Massachusetts experiencing drug use and mental health disorders.

The facility also helps people facing challenges due to homelessness or housing insecurity, developmental disabilities, and problems associated with aging.

Trusted features:

• state licensure
• licensed staff
• non-profit status

Levels of care:

• residential treatment
• partial hospitalization program (PHP)
• medication-assisted treatment (MAT)

Treatment services:

• 12-step recovery groups
• buprenorphine treatment
• cognitive behavioral therapy (CBT)
• counseling
• LGBTQ+ services
• relapse prevention

Payment options:

• payment assistance
• Medicare
• Medicaid
• TRICARE
• private health insurance
• government funding

4. Fitchburg Comprehensive Treatment Center, Fitchburg, Massachusetts

Fitchburg Comprehensive Treatment Center (CTC) is an opioid addiction treatment clinic with detox and MAT services.

In receiving care through the CTC network of treatment providers, clients have access to treatment options in Lawrence, MA, and New Hampshire as well.

Trusted features:

• Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation
• Substance Abuse and Mental Health Services Administration (SAMHSA) certification
• state licensure
• licensed staff

Levels of care:

• detoxification
• outpatient program (OP)
• medication-assisted treatment (MAT)

Treatment services:

• methadone treatment
• medication management
• 12-step recovery groups
• telehealth
• counseling
• individual therapy

Payment options:

• sliding fee scale
• government funding
• TRICARE
• Medicaid
• Medicare
• self-payment
• private health insurance

5. Gosnold, Stoughton, Massachusetts

Gosnold offers many live-in and outpatient rehab programs in Falmouth, Cataumet, Nantucket, Centerville, North Dartmouth, and Stoughton.

Originally founded in 1972 as the Cape Cod Alcoholism Intervention and Rehabilitation Unit (CCAIRU), Gosnold is celebrating over 50 years of substance use disorder care.

Trusted features:

• Joint Commission accreditation
• membership in the National Association of Addiction Treatment Providers (NAATP)
• licensed staff
• non-profit status

Levels of care:

• partial hospitalization program (PHP)
• outpatient program (OP)

Treatment services:

• dual diagnosis treatment
• counseling
• individual therapy
• telehealth
• group therapy
• family therapy

Payment options:

• government funding
• TRICARE
• Medicaid
• Medicare
• private health insurance
• self-payment

Determining Massachusetts Medicaid Coverage For Addiction Treatment

MassHealth coverage may depend on several factors, such as co-pays, prior authorization, and referrals.

MassHealth Co-pays

Nearly all members will need to cover a small, affordable co-pay. Some treatment facilities extend a $0 co-pay for Medicaid users, so it will depend on the facility.

Members who do not have co-payments include those who:

• have an income at or below 50% of the federal poverty level (FPL)
• receive Supplemental Security Income (SSI)
• are under 21 years old
• are pregnant
• were foster children
• are 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 a U.S. citizen or 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 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: $19,392
• two-person household: $26,228
• three-person household: $33,064
• four-person household: $39,900
• five-person household: $46,737
• six-person household: $53,573
• seven-person household: $60,409
• eight-person household: $67,245

For each additional person after eight, add $6,836.

How To Use Your Massachusetts Medicaid Plan For Drug Rehab

The process to become approved for the Massachusetts Medicaid insurance program isn’t arduous.

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 a treatment center that accepts Medicaid.
4. Determine a treatment program and pay the remaining co-pay, if applicable (many programs have a $0 co-pay 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. Some may accept military insurance.

Find A Drug Treatment Center Today

You or a loved one can find a treatment provider today by visiting DetoxRehabs.net. Many treatment options are available.