About the program
MassHealth CommonHealth offers health-care benefits similar to MassHealth Standard to disabled adults and disabled children who cannot get MassHealth Standard.
In MassHealth CommonHealth, covered services include the ones listed below. There may be some limits. Your health-care provider can explain them.
- inpatient hospital services
- outpatient services: hospitals, clinics, doctors, dentists, family planning, and vision care
- medical services: lab tests, X rays, therapies, pharmacy services*, eyeglasses, hearing aids, and medical equipment and supplies
- home-health services
- behavioral health (mental health and substance abuse) services
- well-child screenings (for children under the age of 21): including medical, vision, dental, hearing, behavioral health (mental health and substance abuse), and developmental screens, as well as shots
- transportation services
- quit-smoking services
*If you are eligible for both Medicare and MassHealth, Medicare will provide most of your prescription drug coverage through a Medicare prescription drug plan. Visit www.medicare.gov or call 1-800-MEDICARE for information about whether you need to enroll in a Medicare prescription drug plan, and, if so, how to choose one that is best for you.
A complete listing and a more detailed description of the services covered can be found in the MassHealth regulations at 130 CMR 450.105. You may have copayments for some services. More information on copayments may be found in the MassHealth regulations at 130 CMR 450.130.
Additional services for children under the age of 21
Children, teens, and young adults under the age of 21 who are determined eligible for MassHealth CommonHealth are also eligible for Early and Periodic Screening, Diagnosis and Treatment (EPSDT) services, which include all medically necessary services covered by Medicaid law. See 42 U.S.C. §§1396a(a)(10), 1396d(a), and 1396d(r). This means that MassHealth pays for any medically necessary treatment that is covered by Medicaid law, if it is delivered by a provider who is qualified and willing to provide the service. If the service is not already covered by the child's MassHealth coverage type, the prescribing clinician can ask MassHealth for prior approval (PA) to determine if the service is medically necessary. MassHealth pays for the service if prior approval is given.
You may be able to get MassHealth CommonHealth if you are:
- a disabled child under age 18; or
- a disabled person aged 18 or older who:
- works 40 hours or more a month; or
- is under age 65 and is not working, or if working meets certain state and federal rules.
MassHealth determines if you are disabled under state and federal law. For an adult, this generally means you have a physical or mental condition that severely limits your ability to work or to do certain activities for at least 12 months.
There is no income limit for MassHealth CommonHealth. If your monthly income before taxes and deductions is above 100% of the federal poverty level, you may have to pay a premium, or meet a one-time-only deductible.
Application processCall MassHealth Customer Service at 1-800-841-2900
(TTY: 1-800-497-4648 for people with partial or total hearing loss) to request a Medical Benefit Request (MBR), or download a Medical Benefit Request:
Submit the completed application to
MassHealth Enrollment Center
Central Processing Unit
P.O. Box 290794
Charlestown, MA 02129-0214
MassHealth Customer Service: 1-800-841-2900
(TTY: 1-800-497-4648 for people with partial or total hearing loss)
Office hours: Monday through Friday 9 A.M. to 5 P.M.
This information is provided by MassHealth.