MassHealth Insurance Coverage for Drug and Alcohol Rehab

Updated Apr 24, 2025

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MassHealth is the Medicaid provider in Massachusetts, offering various healthcare benefits for members. This page will discuss obtaining addiction treatment through a MassHealth plan.

Coverage

Does MassHealth Cover Drug & Alcohol Rehab?

Yes, addiction services fall under behavioral health (mental health and addiction services), which MassHealth covers. Depending on your coverage level, MassHealth may cover: rehab, medications for substance use disorder, and counseling.¹

If you have questions as to whether MassHealth or another insurance provider can cover the cost of rehab, contact us at to speak to an admissions navigator.

You can also check online to see if your insurance plan may cover the cost of treatment at American Addiction Centers (AAC) facilities.

What Addiction Treatment Does MassHealth Cover?

MassHealth may cover various forms of addiction treatment, including:

Medical detox. Many patients begin treatment with medical detox. This allows patients to get past acute withdrawal under the supervision of medical staff. Medication is often administered to ease withdrawal symptoms and cravings.
Inpatient treatment. Inpatient treatment requires patients to live at the treatment facility, where they’ll benefit from 24/7 care and supervision.
Outpatient Care. With outpatient care, patients continue to live at home but visit the facility several days a week for treatment. It may be appropriate for patients with a lower risk of relapse, a safe living environment, and robust social support. There are varying levels of outpatient care, including partial hospitalization programs (PHPs), intensive outpatient programs (IOPs), and standard outpatient treatment.

Within these levels of care, treatment for substance use disorder typically consists of behavioral therapy, psychoeducation, peer support, and medications for substance use disorder.

AAC offers the above levels of care in facilities across the country, including Massachusetts, that are designed to help you or your loved one not only get sober but remain in long-term recovery. Call and start treatment today.

Does MassHealth Cover Suboxone?

Yes, Suboxone is on the list of drugs covered by MassHealth.⁴

Suboxone or other medications for substance use disorder can be an invaluable part of addiction treatment. The extent of coverage for these medications will depend on the specifics of your MassHealth policy.

Eligibility

How Do I Qualify for MassHealth Insurance?

Basic requirements for MassHealth coverage include:²

Residency: You must either live or intent to reside in Massachusetts, with or without a fixed address, or have entered Massachusetts with a job commitment or are seeking employment.
Citizenship or Satisfactory Immigration Status: MassHealth must be able to verify either your citizenship or immigration status. Non U.S. citizens who are not eligible for an SSN or who do not have documentation of their immigration status may still qualify and should contact MassHealth for support.
Financial: You must meet the financial requirements which may be determined by your Modified Adjusted Gross Income (MAGI).

How Do I Apply for MassHealth?

Options for applying include online, in-person, by telephone, or by paper application.

Online: Apply at https://www.mahealthconnector.org/
By phone: (800) 841-2900
By paper application: Find the application at https://www.mass.gov/topics/masshealth

Can I Have Other Health Insurance in Addition to MassHealth?

Yes, you can have other health insurance in addition to MassHealth. Though you will only be eligible for MassHealth if your household Modified Adjusted Gross Income (MAGI) is in the low to medium range.

Provider Overview

What is MassHealth Insurance?

MassHealth is the name of Medicaid in the state of Massachusetts and is a combination of both the Children’s Health Insurance Program (CHIP) and Medicaid in Massachusetts. For those who qualify, MassHealth provides healthcare benefits for prescriptions, doctor visits, hospital stays, and/or addiction treatment, depending on the plan.

How Much Does MassHealth Cost?

Depending on the plan you qualify for, MassHealth may cover all or part of your healthcare expenses, and services may be free or low-cost. Plans may include options for copayment, coinsurance, and deductibles as well.

As of July 1, 2020 you may not have to pay a MassHealth copayment for SUD treatment such as medications for substance use disorder.³ Examples include Suboxone and Vivitrol.

Sources

Mass.gov. Substance Use Disorder Treatment Manual – 130 CMR 418.000: Substance Use Disorder Treatment Services.
Mass.gov. Eligibility for health care benefits for MassHealth, the Health Safety Net, and Children’s Medical Security Plan.
Mass.gov. Covered Services.
Mass.gov. MassHealth Drug List A – Z.

Rehabs That May Accept MassHealth Insurance

American Addiction Centers (AAC) owns and operates facilities at various locations nationwide to provide you or your loved one addiction and mental health care.

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