Does MassHealth Limited Cover Mental Health Care for Children and Young People?

Important information for children and young people with significant mental health needs or serious emotional disorders (SED) is available through MassHealth. MassHealth is the state's Medicaid program, which serves people with limited incomes or disabilities. It offers certain behavioral health services for children and young people under 21 who qualify and are enrolled in MassHealth Standard or MassHealth CommonHealth. If you are a parent or guardian of a child or young person with mental health needs, it is important to understand what services are available through MassHealth.

Health Care for All is a free resource that can answer questions and solve problems related to health insurance in Massachusetts, especially MassHealth. They can provide information on the types of services covered, eligibility requirements, and how to apply. MassHealth covers a range of mental health services for children and young people under 21. These include outpatient mental health services, such as individual, family, and group therapy; inpatient mental health services; and medication management. In addition, MassHealth covers certain behavioral health services, such as substance use disorder treatment, crisis intervention, and case management. It is important to note that not all mental health services are covered by MassHealth. For example, some services may require prior authorization from MassHealth before they can be provided.

Additionally, some services may not be covered at all. It is important to check with Health Care for All or your local MassHealth office to determine what services are covered. MassHealth also offers certain benefits for children and young people with SED. These include case management services, respite care, day treatment programs, and residential treatment programs. It is important to note that these benefits are only available to those who qualify and are enrolled in MassHealth Standard or CommonHealth. If you have questions about the types of mental health services covered by MassHealth or how to apply for coverage, contact Health Care for All or your local MassHealth office.

They can provide you with the information you need to make an informed decision about your child's mental health care.

Jeanette Kunzler
Jeanette Kunzler

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