Helping Families Access MassHealth Home- and Community-Based Behavioral Health Services for Children and Youths under Age 21 A Guide for Staff Who Work with Children and Families Contents Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i Who Is Eligible for MassHealth Behavioral Health Services? . . . . . . . . . . . . . . . . . . . . . . . 1 1.When Is It Time to Seek Services?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 2. What If the Family Is Unsure of Their Child’s Needs? . . . . . . . . . . . . . . . . . . . . . . . . . .3 3. Finding the Right Home- and Community-Based Behavioral Health Treatment Services . . . . . 4 4. Helping Families Access Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8 5. Helping Families Find Services in Their Area . . . . . . ..................... . . . .8 6. FrequentlyAsked Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 7. For More Information........... . . . . . . . . . . . . . .................... 10 8. Helpful Telephone Numbers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Afterword. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Attachment A: Service Providers byArea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Metro Boston . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Southeastern Massachusetts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Northeastern Massachusetts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Central Massachusetts........................................... 15 Western Massachusetts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 www.mass.gov/masshealth/childbehavioralhealth CBHI-Guide (Rev. 07/10) Introduction When working with children, teens, or young adults, you inevitably encounter a young person whose behavior, moods, or verbalizations suggest that a behavioral health need might exist. You may have decided to read this guide because you are concerned that a child needs help. Perhaps she isn’t getting along with others or he’s having a hard time controlling his behavior. Maybe worried parents* have turned to you for advice or support. This guide was created for school, early education, social services, health care, and other staff who work with children, youth, and their families. It contains practical information on home- and community-based behavioral health services to assess and treat mental health and substance abuse issues that are available to MassHealth-enrolled children and youths under age 21. The guide also includes helpful information to share with families and age- appropriate youths on how to access these services. To help you and the children, youths, and families you work with, MassHealth has developed a family brochure, “Worried About the Way Your Child Is Acting or Feeling?” The brochure provides family-friendly descriptions of MassHealth’s home-and community- based behavioral health services and includes eligibility and regional service provider information. Copies of the brochure are available by calling MassHealth Customer Service at 1-800-841-2900 (TTY: 1-800-497-4648 for people with partial or total hearing loss) or by visiting the CBHI Web page. We hope you will find this guide a useful source of information when speaking with families seeking behavioral health services for their child. Note: This publication uses the term parent to describe a person who nurtures and cares for a child. A parent may be a biological, foster, or adoptive parent, a grandparent, relative, caregiver, or guardian. In addition, although generally referring to how parents and families can help children to access services, this publication covers MassHealth members up to age 21, including members who do not need parental consent to obtain treatment services. ˜i ˜ Who Is Eligible for MassHealth Behavioral Health Services? MassHealth is the Massachusetts Medicaid program. It provides health care benefits to certain low- and moderate-income people living in Massachusetts. MassHealth offers a range of behavioral health services, including services specifically for children and youths under age of 21. Eligibility Children and youths under age 21 who are enrolled in either MassHealth Standard or MassHealth CommonHealth may access medically necessary MassHealth behavioral health services. Approximately 85% of MassHealth-enrolled children and youths have Standard or CommonHealth coverage. Children and youths enrolled in MassHealth Family Assistance, Basic, or Essential—three smaller programs developed to expand health care to more individuals—may be able to access certain behavioral health services, if the service is medically necessary. Below is a summary of MassHealth behavioral health services1 for children and youths under the age of 21. Next to the service are the MassHealth coverage types that cover these services. Behavioral Health Service MassHealth Coverage Types Outpatient Therapy Standard, CommonHealth, Family Assistance*, Basic*, Essential* Mobile Crisis Intervention Standard, CommonHealth, Family Assistance, Basic, Essential Structured Outpatient Addiction Program Standard, CommonHealth, Family Assistance*, Basic*, Essential* In-Home Therapy Standard, CommonHealth, Family Assistance*, Basic*, Essential* Intensive Care Coordination Standard, CommonHealth Family Support and Training (Family Partners) Standard, CommonHealth In-Home Behavioral Services Standard, CommonHealth Therapeutic Mentors Standard, CommonHealth *Note: Some members under 21 who are eligible for Family Assistance, Basic, or Essential receive premium assistance as their only MassHealth benefit. For these members, MassHealth pays the premium for commercial insurance, but does not reimburse providers directly for services. These members are not eligible for MassHealth behavioral health services. Additionally, some families with Family Assistance also have commercial health insurance coverage. As a result, their children are not eligible for enrollment in any of MassHealth’s managed care programs and are not eligible for the new community-based MassHealth behavioral health services, with the exception of Mobile Crisis Intervention. Families can call MassHealth Customer Service at 1-800-841-2900 (TTY: 1-800-497-4648) to learn more. 1 Please keep in mind that services and benefits change from time to time. This covered services list is for general information only. Parents and youth should call their MassHealth health plan for the most up-to-date information. MassHealth regulations list the services and benefits available. To access MassHealth regulations • go to MassHealth’s Web site at www.mass.gov/masshealth; or • call MassHealth Customer Service at 1-800-841-2900 (TTY: 1-800-497-4648 for people with partial or total hearing loss), Monday through Friday from 8:00 A.M. to 5:00 P.M. ˜1 ˜ Children and Youths with Serious Emotional Disturbances (SEDs) May Be Eligible for MassHealth CommonHealth If a child or youth is enrolled in MassHealth Family Assistance, Basic, or Essential, and has a serious emotional disturbance, he or she may be eligible for MassHealth CommonHealth, a MassHealth coverage type for children and adults with disabilities. There is no income limit for CommonHealth. If the family’s income is more than 133% of the federal poverty level before taxes and deductions, the family will have to pay a premium or meet a one-time deductible. To apply for CommonHealth, parents or caregivers should contact MassHealth Customer Service at 1-800-841-2900 (TTY: 1-800-497-4648) to request both a Medical Benefits Request (MBR) form and a Disability Supplement form. Likely Eligible Children and Youths Families and youths who may be eligible but are not receiving MassHealth benefits can call MassHealth Customer Service at 1-800-841-2900 (TTY: 1-800-497-4648) to request a Medical Benefits Request (MBR) form. The MBR form is also available online at: www.mass. gov/masshealth. Important note: If the child or youth has a disability, including a psychiatric disability, the family or youth should also request and complete a Disability Supplement form. The Disability Supplement form is also available online. Family Unaware of Child’s Coverage Type MassHealth providers with access to the MassHealth Eligibility Verification System (EVS) can find out the child’s coverage type. The youth’s family can also obtain this information by calling MassHealth Customer Service at 1-800-841-2900 (TTY: 1-800-790-4130). MassHealth Coverage Types and Commercial Insurance • Children and youths under the age of 21 who are enrolled in MassHealth Standard or CommonHealth and also have commercial insurance coverage are automatically enrolled in the Massachusetts Behavioral Health Partnership (MBHP). MBHP will coordinate the two insurance benefits. The youth’s family can obtain more information by calling the MBHP Community Relations Line at 1-800-495-0086. • Children and youths under the age of 21 who are enrolled in MassHealth Family Assistance, Basic, or Essential, have commercial insurance coverage, and are receiving services on a fee-for-service basis or have premium assistance payments as their only coverage are not eligible for MassHealth managed care enrollment. As a result, they are not eligible to access home- and community-based behavioral health services, with the exception of Outpatient Therapy and Mobile Crisis Intervention. You Can Help Understanding coverage and eligibility guidelines can be stressful and confusing for many families (and professionals). You can help by encouraging families to call MassHealth Customer Service at 1-800-841-2900 (TTY: 1-800-790-4130). Knowledgeable staff can provide information helpful for the family’s decision making. ˜2 ˜ 1. When Is It Time to Seek Services? Behavioral health needs, including mental health, emotional, and substance abuse concerns, can be hard to recognize. Too often, families wait until a crisis occurs to seek help. But research shows that helping a child or youth with mental or behavioral health needs early is the best way to prevent more serious problems in young adulthood. You can help by talking with the youth or family about their concerns or about your own observations. Here are some questions that a parent might consider when deciding if help is needed: Does the child appear to be depressed? Does the child have outbursts of angry or violent behavior? Does the child engage in risky behavior that could result in injury or death? Does the child appear to be using or abusing substances? Does the child have poor interpersonal relationships? Does the child have school difficulties that could potentially be related to a mental health, emotional, or substance abuse concern? 2. What If the Family Is Unsure of Their Child’s Needs? If a family (or youth) is unsure if behavioral health services are needed, it’s best to get help to determine the youth’s needs. The family does not have to figure this out alone. You can help by encouraging the family or youth to take one or both of the following steps: • Behavioral Health Screening: Ask the child’s or youth’s primary care provider for a behavioral health screening. MassHealth requires primary care providers to offer to check a child or youth’s behavioral health, using an approved screening tool, at least once every year and more often if the child is under the age of two. Families can also request behavioral health screening for their child whenever there is a concern. If the screening indicates that the child or youth may have a behavioral health condition, the primary care provider will work with the family to decide if they should seek a comprehensive behavioral health assessment by a behavioral health clinician. • Comprehensive Behavioral Health Assessment: Families can directly request a comprehensive behavioral health assessment for their child as part of outpatient therapy by making an appointment with a participating outpatient behavioral health provider. (Families can call their child’s MassHealth health plan for help finding a behavioral health provider in their area. See Section 4 for more information.) A referral is not needed. During this assessment, the provider will talk with the parents and/or the youth. The provider may speak with others who are familiar with the child or youth, such as primary care providers and school teachers. The purpose of these conversations is to learn about the child or youth’s strengths and needs in different areas of life. The provider will use the Child and Adolescent Needs and Strengths (CANS) tool to organize the information gathered through the comprehensive behavioral health assessment. He or she will then develop a treatment plan in partnership with the parents and/or youth. ˜3 ˜ You can help parents/caregivers prepare for the assessment by encouraging them to think about important information they want to share with the provider about their child’s needs and strengths. Comprehensive Behavioral Health Assessments are also conducted as a part of In-Home Therapy and Intensive Care Coordination (ICC). These two services, along with outpatient therapy, are considered “clinical hub” services. ICC, In-Home Therapy, and clinical hubs are described in more detail later in this guide. 3. Finding the Right Home-and Community-Based Behavioral Health Treatment Services MassHealth offers a range of behavioral health services for children and youths under age 21. The services described in this section are available to most MassHealth-enrolled children and youths under age 21 who have a medical need for the service. (See the section, “Who is Eligible for MassHealth Behavioral Health Services?” for more information.) What Are “Clinical Hub Services?” To help families get the right level of service for their child, the services have been organized around three clinical hub services: outpatient therapy, In-Home Therapy, and Intensive Care Coordination (ICC). Clinical Hub providers are responsible for coordinating care and collaborating with other service providers (e.g., making regular phone calls to collaterals, holding meetings with the family and other treatment providers or convening care planning teams for ICC). Clinical Hub services in order of increasing intensity are: Outpatient Therapy, In-Home Therapy and Intensive Care Coordination (ICC). When more than one Clinical Hub service is involved with a family or youth, care coordination is provided by the most intensive service. Clinical Hub Service #1: Outpatient Therapy Who is likely to need outpatient therapy? If the child or youth has benefited from outpatient therapy before, or has not previously received counseling or behavioral health services, outpatient therapy is the right place to start. Outpatient therapy provides therapeutic support to children and youths in need of behavioral health intervention. Outpatient therapy may include individual, family, and group therapies. Outpatient therapy can be provided in an office, clinic, home, school, or other location. Outpatient therapy can be used to treat a variety of behavioral health and/or substance abuse issues that significantly interfere with functioning in at least one area of the child’s life (e.g., family, social, school, job). Who may benefit from a different behavioral health service? • A child or youth who already has an outpatient clinician or psychiatrist but who continues to struggle at home, school, or in the community. The child’s outpatient clinician or psychiatrist may recommend additional behavioral health services. The family or youth may also identify the need for additional behavioral health services as well. • A child or youth with significant behavioral health needs or substantial trauma who is not currently seeing an outpatient clinician or psychiatrist. Review the three clinical hub services with the family or youth to help them decide where to start. If the family ˜4 ˜ or youth selects ICC or In-Home Therapy, tell them that they can call a nearby ICC or In-Home Therapy provider directly to schedule an appointment for a behavioral health assessment and determination of medical need for the service. (See Section 4—“Helping Families Access Services”—for more information on making appointments.) 3. A family that is concerned that the child or youth is in an immediate behavioral health crisis. The family should be directed to immediately call for Mobile Crisis Intervention through their local Emergency Services Provider (ESP). Mobile Crisis Intervention is a new MassHealth service that offers face-to-face, onsite crisis intervention wherever the child or youth is located. (See Section 4, “Helping Families Access Services,” for more information on making appointments.) Clinical Hub Service #2: In-Home Therapy When home dynamics are affected by a child or youth’s behavioral health needs, In-Home Therapy could be an appropriate service for the family. In-Home Therapy provides intensive family therapy for a child in the home and in community settings and replaces Family Stabilization Team (FST) services previously available through MassHealth. This service helps the family support the child’s well-being, as In-Home Therapy providers work with the family to understand family functioning and how relationships can be strengthened to benefit the child. In this service, a clinician and a trained paraprofessional work with the family to develop and implement a treatment plan, identify community resources, set limits, establish helpful routines, resolve difficult situations, or change problematic patterns that interfere with the child’s development. In-Home Therapy is a flexible service that allows providers to deliver services to the child or youth in the home, school, or other community settings. Who is likely to need In-Home Therapy? • families in need of more-urgent or intensive help with a child’s emotional and behavioral challenges than could be addressed through outpatient therapy; and • families who have identified their primary need as learning new ways to relate to one another, or new ways to set limits or regulate their child’s behavior, or who have tried outpatient therapy but not found it effective. In-Home Therapy offers greater flexibility than outpatient therapy, not only in intensity, but also in treatment setting. Therapeutic work in a natural environment can offer opportunities not available in a clinic setting for rehearsing new strategies. See Section 5, “Helping Families Find Services,” in their area for more information on making appointments. Clinical Hub Service #3: Intensive Care Coordination (ICC) When a child or youth enrolled in MassHealth Standard or MassHealth CommonHealth has serious emotional needs and challenges that require coordination among professionals and family supports, ICC—using a model called Wraparound Care Planning—may be the right service. ICC is a care-coordination service for children and youths with serious emotional disturbances (for the definition of serious emotional disturbance, see ICC Medical Necessity Criteria, Appendix B). In Wraparound Care Planning, families and youth work together with professionals, talk about their strengths and needs, and actively guide their own care. ˜5 ˜ In ICC, a team leader, called a care coordinator, helps families bring together a team of people to create a child’s treatment plan, also known as the individual care plan. This Care Planning Team often includes therapists, teachers, social workers, and representatives of all child-serving agencies involved with the youth. It also includes “natural supports,” such as family members, friends, and people from the family’s neighborhood or community that the family invites to be part of the team. Together, the team comes up with ways to support the family’s goals for the child (or youth’s goals, in the case of an older child), creating the individual care plan. This plan, which also focuses on the family’s strengths and respects their cultural preferences, lists all behavioral health, social, therapeutic, or other services needed by the child and family, including informal and community resources. It will guide the child’s care and involve all providers and state agencies to integrate services. The Care Planning Team may meet monthly and with greater frequency for children and youths with more complex needs. At these meetings, the family, youth, and other team members chart progress, solve problems, and make adjustments to the individual care plan. The ICC Care Planning Team seeks to: • help the family obtain and coordinate services that the child needs and/or receives from providers, state agencies, special education, or a combination thereof; • assist with access to medically necessary services and ensure that these services are provided in a coordinated manner; and • facilitate a collaborative relationship among team members: the youth, family members, natural supports, service providers, state agency, and school staff, to help the child reach the goals in the individual care plan. Who is likely to need ICC? Children and youths who need, or receive, services from multiple providers, schools, or state agencies may benefit from ICC. ICC can help prioritize goals and monitor progress, ensuring that interventions being used are effective and coordinated. ICC can also address needs other than behavioral health, such as connecting families and/or youth with a variety of sustainable supports. Examples of sustainable supports include recreational activities for the child or youth, support groups, faith communities, extended family, and community-based social events. See Section 5, “Helping Families Find Services,” in their area for more information on making appointments. Enhanced Behavioral Health Service: Mobile Crisis Intervention If a child or youth under age 21 is experiencing a behavioral health crisis, the family or the youth (if 18 or over) can call the Mobile Crisis Intervention team 24 hours a day, seven days a week. Mobile Crisis Intervention provides a short-term therapeutic response service to a child or youth experiencing a behavioral health crisis. A Mobile Crisis Intervention team travels to the child’s location (e.g., home, school, child care) to provide onsite, face-to-face help. The service identifies, assesses, treats, and stabilizes situations to reduce the immediate risk of danger to the child or others, consistent with the child’s or youth’s Risk Management/Safety Plan, if one has been developed in another clinical service. Mobile Crisis Intervention may include psychiatric consultation, urgent psychopharmacology intervention, as needed, and referrals and linkages to all medically necessary behavioral health services and supports. ˜6 ˜ The Mobile Crisis Intervention team can stay involved for up to 72 hours, including follow- up telephone support to the family. Short-term plans help the child or youth remain in the home and avoid out-of-home placement or hospitalization, when possible. Mobile Crisis Intervention services can also help the family access additional services and supports, if needed. In the event of a continuing crisis where the youth cannot safely remain in the home, Mobile Crisis Intervention will identify an alternative setting, such as a crisis-stabilization unit or hospital, where the youth’s safety and behavioral health needs can be better met. For children and youths receiving ICC or In-Home Therapy (IHT), Mobile Crisis Intervention staff will coordinate with the ICC Care Coordinator or IHT clinician throughout the delivery of the service. Mobile Crisis Intervention also links with the primary care physician, care management program, or additional behavioral health providers throughout the delivery of this service. Other Home- and Community-Based Behavioral Health Services MassHealth offers a range of behavioral health services for members under age 21, including the services described below. These new services are provided as part of a treatment plan developed through a clinical hub provider (outpatient therapy, IHT, or ICC). Tell families interested in the following services to contact a clinical hub provider about including these services in their child’s treatment plan. Family Support and Training (Family Partners) Family Partners help parents and caregivers to help their children reach their treatment goals. They are parents or caregivers of children with special needs themselves—they’ve “been there,” understand what families go through, and can share their experiences. Family Partners are not behavioral health professionals, but work closely with parents to make sure that children and youths receive services that are needed. Family Partners are provided by Community Service Agencies (CSAs) as an accompaniment to ICC. In-Home Behavioral Services In-Home Behavioral Services offer valuable support to a child or youth who has a challenging behavior that interferes with everyday life. Services are provided by a behavioral health provider, such as a therapist, who is skilled in understanding and treating difficult behaviors in children and youths. The provider works closely with the child and family to create a specific behavior plan to improve the child’s functioning. The provider may also work as a team with a skilled paraprofessional called a “behavior management monitor.” The monitor works with the child and family to implement the child’s behavior plan. In-Home Behavioral Services can be provided in places where the child is located, such as home, school, child care, and other community settings. Therapeutic Mentoring Services A therapeutic mentor works one-on-one with a youth to support and coach him or her to learn social skills, including better ways to communicate with other youths and adults, how to deal with different opinions, and how to get along with others. The therapeutic mentor works with the child to achieve goals in the plan written by an outpatient therapist, In-Home Therapy provider or an Intensive Care Coordination (ICC) team. Therapeutic Mentoring Services can be delivered in the home, school, or community, including social and recreational settings. ˜7 ˜ Structured Outpatient Addictions Program (SOAP) for Adolescents SOAP is a short-term, clinically intensive, structured day and/or evening substance abuse service. It provides multidisciplinary treatment to address the subacute needs of teens with addiction and/or co-occurring addiction and mental health conditions, while allowing them to continue to work or attend school and be part of family life. 4. Helping Families Access Services You can help a family find the most appropriate behavioral health service as quickly as possible by becoming familiar with the services and the three “clinical hubs” of the service system: • outpatient therapy; • In-Home Therapy (IHT); and • Intensive Care Coordination (ICC). To help you and the youths and families you see, MassHealth has developed Worried About the Way Your Child Is Acting or Feeling? a family-friendly brochure that contains descriptions of the new MassHealth behavioral health services. Copies of the brochure are available by calling MassHealth Customer Service at 1-800-841-2900 (TTY: 1-800-790-4130) or by visiting the CBHI Web page. You can help families take the first step to help their child. No referral is needed. Families choose the service that they think may be best and call the behavioral health provider directly to learn more. The behavioral health provider will work with the family to see if the service is appropriate for the child’s needs and the family’s situation, and if not, the behavioral health provider will help the family get a more-appropriate service. 5. Helping Families Find Services in Their Area You can help a family locate a behavioral health service in their area in one of the following ways. 1. Consult the provider lists in Appendix A of this guide. (Note: Provider lists are subject to change. For the most current information, contact the child’s health plan.). 2. Call the customer service department of the youth’s MassHealth health plan. Knowledgeable staff are available to help the family find the right service. Boston Medical Center (BMC) HealthNet Plan: 1-888-566-0010 (English and other languages), 1-888-566-0012 (Spanish), TTY: 1-800-421-1220 Health New England: 1-413-788-0123 or 1-800-786-9999, TTY: 1-800-439-2370 Fallon Community Health Plan: 1-800-868-5200, TTY: 1-877-608-7677 Neighborhood Health Plan: 1-800-462-5449, TTY: 1-800-655-1761 Network Health: 1-888-257-1985, TTY: 1-888-391-5535 Massachusetts Behavioral Health Partnership (manages the mental health and substance abuse services for Primary Care Clinician plan members and MassHealth fee-for-service members): 1-800-495-0086, TTY: 617-790-4130 If a family does not know their child’s health plan, the parent or guardian can call MassHealth Customer Service (1-800-841-2900, TTY: 1-800-497-4648) to find out. ˜8 ˜ 6. Frequently Asked Questions Can I call on behalf of the family or a youth between the ages of 18 and 21? • You can call with the family’s or older youth’s permission. How do I assist a family to access outpatient therapy? • Families can access an outpatient provider by contacting their child’s MassHealth health plan. (Customer service phone numbers for the MassHealth health plans are listed at the end of this guide.) If the parents or caregivers are unsure of the youth’s health plan, they can call MassHealth Customer Service at 800-841-2099 (TTY: 800-497-4648) for help. • Families can also ask their primary care provider for help finding an outpatient provider. They can also directly contact a behavioral health outpatient provider and ask if they take MassHealth. How do I help a family access In-Home Therapy? • Appendix A lists the In-Home Therapy providers available to members enrolled in MassHealth’s health plans. Members who are enrolled in the Massachusetts Behavioral Health Partnership (MBHP) have additional provider choices. This selection is also listed in Appendix A. Current In-Home Therapy provider network information for each MassHealth health plan is also available by contacting the family’s health plan. The number can be found on the family’s health plan card. How do I help a family access ICC? • Appendix A lists Intensive Care Coordination providers. The service is delivered by 32 organizations called Community Service Agencies (CSAs). There are CSAs for each geographic area of the state. Families with MassHealth-enrolled youth can go to any CSA of their choosing. What if a young person (under 21) is living independently? • A youth enrolled in MassHealth Standard or MassHealth CommonHealth and who lives without a parent or guardian, or otherwise does not require parental consent for treatment, can request these services, including ICC, and can work with the Care Coordinator to convene his or her own team. How do I assist a family to access Mobile Crisis Intervention? • Mobile Crisis Intervention is provided by regionally based emergency service providers (ESPs). Appendix A lists the regional Mobile Crisis Intervention providers. ˜9 ˜ 7. For More Information To learn more about the services mentioned in this guide, visit the following resources. MassHealth: www.mass.gov/masshealth Children’s Behavioral Health Initiative (CBHI): www.mass.gov/masshealth/childbehavioralhealth On this website you can find: this Guide for staff; ordering information for the family brochure, “Worried About the Way Your Child is Acting of Feeling?”; detailed descriptions of the new home-and community-based services; the” Medical Necessity Criteria” for these new services: and many other resources. National Wraparound Initiative: www.rtc.pdx.edu/nwi 8. Helpful Telephone Numbers To speak to a customer-service representative, please call the appropriate phone number below. If the child is not enrolled in a MassHealth managed care plan MassHealth Customer Service: 1-800-841-2900 (TTY: 1-800-497-4648 for people with partial or total hearing loss) If the child is enrolled in a MassHealth managed care plan Boston Medical Center (BMC) HealthNet Plan: 1-888-566-0010 (English and other languages) or 1-888-566-0012 (Spanish) (TTY: 1-800-421-1220 for people with partial or total hearing loss) Health New England: 1-413-788-0123 or 1-800-786-9999 (TTY: 1-800-439-2370 for people with partial or total hearing loss) Fallon Community Health Plan: 1-800-868-5200 (TTY: 1-877-608-7677 for people with partial or total hearing loss) Neighborhood Health Plan: 1-800-462-5449 (TTY: 1-800-655-1761 for people with partial or total hearing loss) Network Health: 1-888-257-1985 (TTY: 1-888-391-5535 for people with partial or total hearing loss) Massachusetts Behavioral Health Partnership (manages the mental health and substance abuse services for Primary Care Clinician plan members): 1-800-495-0086 (TTY: 617-790-4130 for people with partial or total hearing loss) Afterword This guide was produced by the Children’s Behavioral Health Initiative (CBHI), an interagency initiative of the Executive Office of Health and Human Services. Our mission is to strengthen, expand, and integrate Massachusetts services into a comprehensive, community-based system of care so that families and their children with significant behavioral, emotional, or mental health needs can obtain the services necessary for success in home, school, and community. ˜ 10 ˜ Attachment A: Service Providers by Area Metro Boston (Note: Providers are subject to change.) Outpatient Therapy Boston Medical Center (BMC) HealthNet Plan 1-888-566-0010 (English and other languages) 1-888-566-0012 (Spanish) | TTY: 1-800-421-1220 Fallon Community Health Plan 1-800-868-5200 | TTY: 1-877-608-7677 Health New England 1-413-788-0123 or 1-800-786-9999 TTY: 1-800-439-2370 Neighborhood Health Plan 1-800-462-5449 | TTY: 1-800-655-1761 Network Health 1-888-257-1985 | TTY: 617-888-391-5535 Primary Care Clinician (PCC) Plan 1-800-841-2900 | TTY: 1-800-497-4648 Massachusetts Behavioral Health Partnership 1-800-495-0086 | TTY: 617-790-4130 If unsure of the child’s health plan, call MassHealth Customer Service to find out: 1-800-841-2900, TTY: 1-800-497-4648. In-Home Therapy Academic & Behavioral Clinic (ABaC) Dorchester . . . . . . . . . . . 1-617-822-0829 Arbour Counseling Services Allston . . . . . . . . . . . . .1-617-782-0505 Bay State Community Services Weymouth . . . . . . . . . . . 1-781-331-4015, Ext. 30 Brookline Community Mental Health Center** Brookline . . . . . . . . . . . . 1-617-277-8107 Children’s Charter Key Program ** Waltham . . . . . . . . . . . . 781-894-4325 Ext.19 Children’s Services of Roxbury** Boston . . . . . . . . . . . . .617-989-9499 Dimock Community Health Center** Roxbury. . . . . . . . . . . . .1-617-442-8800 The Family Center Somerville . . . . . . . . . . . 1-617-628-8815 Family and Community Solutions Brighton, Dorchester, Jamaica Plain, Needham 1-617-787-1901 Family Service of Greater Boston Jamaica Plain . . . . . . . . . 1-617-523-6400, Ext. 5861 Germaine Lawrence** Arlington . . . . . . . . . . . . 1-617-648-6200 The Guidance Center** Cambridge, Somerville . . . . 1-781-958-8184 Home for Little Wanderers Brighton, Jamaica Plain, Norwood, Roslindale, Roxbury, Somerville, Walpole, Waltham 1-617-469-8652 Referral Pager . . . . . . . . . 1-781-317-8081 Justice Resource Institute Lexington . . . . . . . . . . . . 1-781-247-6800, Ext. 207 Latin American Health Institute Boston . . . . . . . . . . . . .1-617-778-1171 MSPCC Jamaica Plain . . . . . . . . . 1-617-983-5800 North American Family Institute ** Arlington . . . . . . . . . . . . 1-978-882-4831 North Suffolk Mental Health Association Boston, Chelsea, Revere . . . 1-617-912-7774 ˜ 11 ˜ In-Home Therapy (continued) Osiris Family Institute Roxbury. . . . . . . . . . . . .1-617-442-2002 Priority Professional Care** Mattapan. . . . . . . . . . . .1-857-598-4774 Pyramid Builders Associates Boston . . . . . . . . . . . . .1-617-516-0280 Riverside Community Care Dedham, Needham, Newton, Norwood, Wakefield 1-781-433-0672, Ext. 5622 Roxbury Multi-Service Center** Dorchester . . . . . . . . . . . 1-617-560-8422, Ext. 421 Somerville Mental Health Somerville . . . . . . . . . . . 1-617-625-0710 South Bay Mental Health Weymouth . . . . . . . . . . . 1-617-847-1937 South Shore Mental Health Boston . . . . . . . . . . . . .1-617-877-5952 Quincy . . . . . . . . . . . . .1-617-847-1937 Wayside Youth & Family Support Network Arlington, Waltham . . . . . . 1-781-891-0556, Ext. 17 **For MBHP Members only Intensive Care Coordination Bay State Community Services Quincy . . . . . . . . . . . . . 1-617-471-8400, Ext. 163 Children’s Services of Roxbury Boston . . . . . . . . . . . . .1-617-989-9499 The Guidance Center Cambridge, Somerville . . . . 1-617-354-1519, Ext. 114 Home for Little Wanderers Dorchester . . . . . . . . . . . 1-617-288-7450, Ext. 107 Roslindale . . . . . . . . . . . 1-617-469-8688 Intensive Care Coordination (continued) The Learning Center for the Deaf, Walden School Statewide. . . . . . . . . . . . 1-508-879-5110 Videophone . . . . . . . . . . 1-866-641-1780 MSPCC Jamaica Plain . . . . . . . . . 1-617-983-5842 North Suffolk Mental Health Association Revere. . . . . . . . . . . . . .1-617-912-7708 Riverside Community Care Arlington . . . . . . . . . . . . 1-877-869-3016 Mobile Crisis Intervention Boston 24-hour access number Allston, Brighton, Charlestown, Dorchester, East Boston, Hyde Park, Jamaica Plain, Lower Mills, Mattapan, Roslindale, Roxbury, South Boston, West Roxbury, Brookline, Chelsea, Revere, Winthrop . . . . . . . . . . . . . . . . . .1-800-981-4357 Cambridge/Somerville 24-hour access number 1-800-981-4357 Norwood 24-hour access number Canton, Dedham, Dover, Foxboro, Medfield, Millis, Needham, Newton, Norfolk, Norwood, Plainville, Sharon, Walpole, Wellesley, Weston, Westwood, Wrentham . . . . . . . . . . . . . . . . . .1-800-529-5077 South Shore 24-hour access number Braintree, Cohasset, Hingham, Hull, Milton, Norwell, Quincy, Randolph, Scituate, Weymouth . . . . . . . . . . . . . . . . . .1-800-528-4890 ˜ 12 ˜ Southeastern Massachusetts (Note: Providers are subject to change.) Outpatient Therapy Boston Medical Center (BMC) HealthNet Plan 1-888-566-0010 (English and other languages) 1-888-566-0012 (Spanish) | TTY: 1-800-421-1220 Fallon Community Health Plan 1-800-868-5200 | TTY: 1-877-608-7677 Health New England 1-413-788-0123 or 1-800-786-9999 TTY: 1-800-439-2370 Neighborhood Health Plan 1-800-462-5449 | TTY: 1-800-655-1761 Network Health 1-888-257-1985 | TTY: 1-888-391-5535 Primary Care Clinician (PCC) Plan 1-800-841-2900 | TTY: 1-800-497-4648 Massachusetts Behavioral Health Partnership 1-800-495-0086 | TTY: 617-790-4130 If unsure of the child’s health plan, call MassHealth Customer Service to find out: 1-800-841-2900, TTY: 1-800-497-4648. In-Home Therapy Arbour Fuller Hospital** Attleboro . . . . . . . . . . . .1-508-761-8500, Ext. 2302 BAMSI** Brockton, East Bridgewater . 1-508-584-0074, Ext. 101 Bay State Community Services Plymouth . . . . . . . . . . . . 1-508-830-3444, Ext. 306 Child & Family Services Cape Cod. . . . . . . . . . . .1-508-778-1839 Fall River . . . . . . . . . . . .1-508-676-5708 New Bedford . . . . . . . . . . 1-508-990-0894 Community Care Services, Inc Attleboro, Berkley, Cape Cod, Fall River, Middleboro, New Bedford, Plymouth, Taunton . . . . . . . . . . . . . . . . . .1-508-245-4009 In-Home Therapy (continued) Community Counseling of Bristol County, Inc Attleboro , Taunton . . . . . . 1-508-977-8124 Family Continuity Hyannis, Plymouth . . . . . . 1-508-862-0273 Family Services Association ** Fall River . . . . . . . . . . . .1-508-730-1138 Justice Resource Institute Brockton, Cape Cod, Taunton 1-508-828-1304 Latin American Health Institute Brockton . . . . . . . . . . . . 1-508-941-0005, Ext. 235 Martha’s Vineyard Community Services Martha’s Vineyard . . . . . . . 1-508-693-7900 MSPCC Hyannis . . . . . . . . . . . . . 1-508-775-0275 Pyramid Builders Associates Brockton . . . . . . . . . . . .1-617-516-0280 South Bay Mental Health** Attleboro, Brockton, Fall River, Plymouth, S. Yarmouth 1-508-427-5362 South Shore Mental Health Brockton, Plymouth. . . . . . 1-617-847-1914 St Vincent’s Home Fall River . . . . . . . . . . . .1-508-235-3291 **For MBHP Members only Intensive Care Coordination BAMSI Brockton . . . . . . . . . . . . 1-508-587-2579, Ext. 30 Bay State Community Services Plymouth . . . . . . . . . . . . 1-508-830-3444, Ext. 321 Child and Family Services New Bedford . . . . . . . . . . 1-508-990-0894 ˜ 13 ˜ Community Counseling of Bristol County Attleboro . . . . . . . . . . . . 1-508-828-9112 Intensive Care Coordination (continued) Family Service Association Fall River . . . . . . . . . . . .1-508-730-1138 Justice Resource Institute 1-888-889-8902 Cape Cod . . . . . . . . . . . .1-508-771-3156 The Learning Center for the Deaf, Walden School Statewide. . . . . . . . . . . . 1-508-879-5110 Videophone . . . . . . . . . . 1-866-641-1780 Mobile Crisis Intervention Southern Coast 24-hour access number: Acushnet, Carver, Dartmouth, Duxbury, Fairhaven, Halifax, Hanover, Hanson, Kingston, Marion, Marshfield, Mattapoisett, New Bedford, Pembroke, Plymouth, Plympton, Rochester, Wareham . . . . . . . . . . . . . . . . . .1-877-996-3154 Northeastern Massachusetts Mobile Crisis Intervention (continued) Brockton 24-hour access number: Abington, Avon, Bridgewater, Brockton, East Bridgewater, Easton, Holbrook, Rockland, Stoughton, West Bridgewater, Whitman . . . . . . . . . . . . . . . . . .1-877-670-9957 Cape Cod and the Islands 24-hour access number: Aquinnah, Barnstable, Bourne, Brewster, Chatham, Chilmark, Cotuit, Dennis, Eastham, Edgartown, Falmouth, Gosnold, Harwich, Hyannis, Mashpee, Nantucket, Oak Bluffs, Orleans, Osterville, Provincetown, Sandwich, Tisbury, Truro, Wellfleet, West Tisbury, Woods Hole, Yarmouth . . . . . . . . . . . . . . . . . .1-800-322-1356 Fall River 24-hour access number: Fall River, Freetown, Somerset, Swansea, Westport . . . . . . . . . . . . . . . . . .1-877-425-0048 Taunton/Attleboro 24-hour access number: Attleboro, Berkley, Dighton, Lakeville, Mansfield, Middleborough, North Attleboro, Norton, Raynham, Rehoboth, Seekonk, Taunton . . . . . . . . . . . . . . . . . .1-800-660-4300 (Note: Providers are subject to change.) Outpatient Therapy Boston Medical Center (BMC) HealthNet Plan 1-888-566-0010 (English and other languages) 1-888-566-0012 (Spanish) | TTY: 1-800-421-1220 Fallon Community Health Plan 1-800-868-5200 | TTY: 1-877-608-7677 Health New England 1-413-788-0123 or 1-800-786-9999 TTY: 1-800-439-2370 Neighborhood Health Plan 1-800-462-5449 | TTY: 1-800-655-1761 Network Health 1-888-257-1985 | TTY: 1-888-391-5535 Primary Care Clinician (PCC) Plan 1-800-841-2900 | TTY: 1-800-497-4648 Massachusetts Behavioral Health Partnership 1-800-495-0086 | TTY: 617-790-4130 If unsure of the child’s health plan, call MassHealth Customer Service to find out: 1-800-841-2900, TTY: 1-800-497-4648. In-Home Therapy Children’s Friend and Family Services Salem. . . . . . . . . . . . . .1-978-744-7905, Ext. 250 Eliot Community Human Services Lynn. . . . . . . . . . . . . . .1-781-581-4493 Family Continuity Lawrence. . . . . . . . . . . .1-978-687-1617 Peabody . . . . . . . . . . . .1-978-927-9410 Health & Education Services, Inc Beverly, Gloucester, Haverhill, Ipswich, Lawrence, Salem 1-978-620-1700 Key Program** Methuen . . . . . . . . . . . .1-978-685-0194 ˜ 14 ˜ In-Home Therapy (continued) Lowell Treatment Center Lowell . . . . . . . . . . . . . . 1-800-727-6324, Ext. 1 MSPCC Lawrence, Lowell . . . . . . . 1-978-681-9544 North American Family Institute (NFI)** Peabody . . . . . . . . . . . .1-978-882-4831 Pyramid Builders Associates Lynn. . . . . . . . . . . . . . .1-781-780-3566 St Ann’s Home Methuen 1-978-682-5276 South Bay Mental Health** Lawrence, Lowell . . . . . . . 1-800-244-4691 Wayside Youth & Family Support Network Malden . . . . . . . . . . . . . 1-781-891-0556, Ext. 17 **For MBHP Members only Intensive Care Coordination Children’s Friend and Family Services Lawrence. . . . . . . . . . . .1-978-682-7289 Lynn. . . . . . . . . . . . . . .1-781-593-7676 Eliot Community Human Services Malden . . . . . . . . . . . . .1-781-395-0632 Health & Education Services, Inc Beverly . . . . . . . . . . . . .1-978-922-0025 Haverhill . . . . . . . . . . . . 1-978-374-0414 The Learning Center for the Deaf, Walden School Statewide. . . . . . . . . . . . 1-508-879-5110 Videophone . . . . . . . . . . 1-866-641-1780 MSPCC Lowell. . . . . . . . . . . . . .1-978-937-3087 Mobile Crisis Intervention North Essex 24-hour access number Amesbury, Beverly, Boxford, Danvers, Essex, Georgetown, Gloucester, Groveland, Hamilton, Haverhill, Ipswich, Manchester-by-the-Sea, Marblehead, Merrimac, Middleton, Newbury, Newburyport, Peabody, Rockport, Rowley, Salem, Salisbury, Topsfield, Wenham, West Newbury . . . . . . . . . . . . . . . . . .1-866-523-1216 Lawrence 24-hour access number Andover, Lawrence, Methuen, North Andover . . . . . . . . . . . . . . . . . .1-877-255-1261 Lowell 24-hour access number Billerica, Chelmsford, Dracut, Dunstable, Lowell, Tewksbury, Tyngsboro, Westford . . . . . . . . . . . . . . . . . .1-800-830-5177 Tri-City 24-hour access number Everett, Lynn, Lynnfield, Malden, Medford, Melrose, Nahant, North Reading, Reading, Saugus, Stoneham, Swampscott, Wakefield . . . . . . . . . . . . . . . . . .1-800-988-1111 ˜ 15 ˜ Central Massachusetts (Note: Providers are subject to change.) Outpatient Therapy Boston Medical Center (BMC) HealthNet Plan 1-888-566-0010 (English and other languages) 1-888-566-0012 (Spanish) | TTY: 1-800-421-1220 Fallon Community Health Plan 1-800-868-5200 | TTY: 1-877-608-7677 Health New England 1-413-788-0123 or 1-800-786-9999 TTY: 1-800-439-2370 Neighborhood Health Plan 1-800-462-5449 | TTY: 1-800-655-1761 Network Health 1-888-257-1985 | TTY: 1-888-391-5535 Primary Care Clinician (PCC) Plan 1-800-841-2900 | TTY: 1-800-497-4648 Massachusetts Behavioral Health Partnership 1-800-495-0086 | TTY: 617-790-4130 If unsure of the child’s health plan, call MassHealth Customer Service to find out: 1-800-841-2900, TTY: 1-800-497-4648. In-Home Therapy Advocates Framingham, Marlborough. . 1-508-485-9300 Community Healthlink Gardner, Leominster, Worcester . . . . . . . . . . . . . . . . . .1-508-421-4527 Counseling and Assessment Clinic of Worcester, LLC Fitchburg, Worcester . . . . . 1-508-756-5400 Family Continuity Programs Whitinsville, Worcester . . . . 1-508-234-4181 LUK Crisis Center Fitchburg, Webster, Worcester . . . . . . . . . . . . . . . . . .1-800-579-0000 In-Home Therapy (continued) MSPCC Worcester. . . . . . . . . . . . 1-508-753-2967 Multicultural Wellness Center Worcester . . . . . . . . . . . 1-508-752-4665 Riverside Community Care Upton. . . . . . . . . . . . . .1-508-529-7000 SMOC Behavioral Health Services Framingham . . . . . . . . . . 1-508-879-2250 South Bay Mental Health** Leominster, Worcester . . . . 1-800-244-4691 Wayside Youth & Family Support Network Framingham . . . . . . . . . . 1-508-620-0010, Ext. 306 Milford . . . . . . . . . . . . . 1-508-620-0010, Ext. 324 YOU, Inc Southbridge, Worcester . . . 1-508-770-0511, Ext. 122 Gardner, . . . . . . . . . . . . 1-978-632-2321, Ext. 16 Intensive Care Coordination Community Healthlink Leominster . . . . . . . . . . . 1-877-240-2755 Worcester. . . . . . . . . . . . 1-877-778-5030 The Learning Center for the Deaf, Walden School Statewide. . . . . . . . . . . . 1-508-879-5110 Videophone . . . . . . . . . . 1-866-641-1780 Wayside Youth & Family Services Framingham . . . . . . . . . . 1-508-620-0010 YOU, Inc. . . . . . . . . . . . 1-508-765-9102, Ext. 18 Southbridge . . . . . . . . . . 1-800-435-9990 ˜ 16 ˜ Mobile Crisis Intervention MetroWest 24-hour access number Acton, Ashland, Arlington, Bedford, Belmont, Boxborough, Burlington, Carlisle, Concord, Framingham, Holliston, Hopkinton, Hudson, Lexington, Lincoln, Littleton, Maynard, Marlborough, Natick, Northborough, Sherborn, Southborough, Stow, Sudbury, Waltham, Watertown, Wayland, Westborough, Wilmington, Winchester, Woburn . . . . . . . . . . . . . . . . . .1-800-640-5432 North County 24-hour access number Ashburnham, Ashby, Ayer, Barre, Berlin, Bolton, Clinton, Fitchburg, Gardner, Groton, Harvard, Hubbardston, Lancaster, Leominster, Lunenburg, New Braintree, Oakham, Pepperell, Princeton, Rutland, Shirley, Sterling, Templeton, Townsend, Westminster, Winchendon . . . . . . . . . . . . . . . . . .1-800-977-5555 Western Massachusetts South County 24-hour access number Bellingham, Blackstone, Brimfield, Brookfield, Charlton, Douglas, Dudley, East Brookfield, Franklin, Holland, Hopedale, Medway, Mendon, Milford, Millville, Northbridge, North Brookfield, Oxford, Southbridge, Sturbridge, Sutton, Upton, Uxbridge, Wales, Warren, Webster, West Brookfield . . . . . . . . . . . . . . . . . .1-800-294-4665 Worcester 24-hour access number Auburn, Boylston, Grafton, Holden, Leicester, Millbury, Paxton, Shrewsbury, Spencer, West Boylston, Worcester . . . . . . . . . . . . . . . . . .1-866-549-2142 (Note: Providers are subject to change.) Outpatient Therapy Boston Medical Center (BMC) HealthNet Plan 1-888-566-0010 (English and other languages) 1-888-566-0012 (Spanish) | TTY: 1-800-421-1220 Fallon Community Health Plan 1-800-868-5200 | TTY: 1-877-608-7677 Health New England 1-413-788-0123 or 1-800-786-9999 TTY: 1-800-439-2370 Neighborhood Health Plan 1-800-462-5449 | TTY: 1-800-655-1761 Network Health 1-888-257-1985 | TTY: 1-888-391-5535 Primary Care Clinician (PCC) Plan 1-800-841-2900 | TTY: 1-800-497-4648 Massachusetts Behavioral Health Partnership 1-800-495-0086 | TTY: 617-790-4130 If unsure of the child’s health plan, call MassHealth Customer Service to find out: 1-800-841-2900, TTY: 1-800-497-4648. In-Home Therapy Academic & Behavioral Clinic (ABaC) Springfield . . . . . . . . . . . 1-617-822-0829 Behavioral Health Network (BHN) . . . . . . . . . . . . . . . . . .1-413-736-0127 or Holyoke, Springfield . . . . . 1-413-427-0808 Brien Center for Mental Health and Substance Abuse Services Great Barrington . . . . . . . 1-413-528-9156 North Adams . . . . . . . . . . 1-413-664-4541 Pittsfield, Berkshire County . 1-413-499-0412 Brightside for Families and Children West Springfield . . . . . . . . 1-413-788-7366 Carson Center for Human Services Ware. . . . . . . . . . . . . . .1-413-967-6241 Westfield . . . . . . . . . . . . 1-413-568-1421 Clinical and Support Options Athol . . . . . . . . . . . . . .1-978-249-9490 Greenfield . . . . . . . . . . . 1-413-774-1000 Northampton . . . . . . . . . 1-413-582-0471 Pittsfield . . . . . . . . . . . . 1-413-236-5656 Springfield . . . . . . . . . . . 1-413-737-9544 ˜ 17 ˜ In-Home Therapy (continued) Mobile Crisis Intervention Community Services Institute** Springfield . . . . . . . . . . . 1-413-739-5572 Cutchins Programs for Children and Families** Northampton . . . . . . . . . 1-413-584-1310 Gandara Center. . . . . . . . 413-846-0445 or Holyoke, Springfield. . . . . . 413-866-0446 The Key Program Easthampton. . . . . . . . . . 1-413-733-3113 Greenfield, Northampton . . 1-413-772-6422 Pittsfield, Berkshire County . 1-413-443-7218 Springfield . . . . . . . . . . . 1-413-781-6485 . . . . . . . . . . . . . . . . . .1-413-733-3113, Ext. 1 MSPCC Holyoke. . . . . . . . . . . . .1-413-532-9446 Springfield . . . . . . . . . . . 1-413-734-4978 Northeast Center for Youth and Families Easthampton. . . . . . . . . . 1-413-529-7777 ServiceNet . . . . . . . . . . .1-413-585-1328 Greenfield, Northampton . . 1-877-984-6855 **For MBHP Members only Intensive Care Coordination Behavioral Health Network (BHN) Chicopee, Springfield, Ware . 1-413-737-0960 Brien Center for Mental Health and Substance Abuse Services Pitsfield. . . . . . . . . . . . . 1-413-499-0412 Carson Center for Human Services . . . . . . . . . . . . . . . . . .1-888-877-6346 Westfield . . . . . . . . . . . . 1-413-572-4111 Clinical & Support Options Athol, Orange . . . . . . . . . 1-978-249-9490 Greenfield . . . . . . . . . . . 1-413-774-1000 Northampton . . . . . . . . . 1-413-582-0471 Gandara Center. . . . . . . . 1-413-846-0445 or Holyoke , Springfield . . . . . 1-413-866-0446 The Berkshires 24-hour access number Adams, Alford, Becket, Cheshire, Clarksburg, Dalton, Egremont, Florida, Great Barrington, Hancock, Hinsdale, Lanesboro, Lee, Lenox, Monroe, Monterey, Mount Washington, New Ashford, New Marlboro, North Adams, Otis, Peru, Pittsfield, Richmond, Sandisfield, Savoy, Sheffield, Stockbridge, Tyringham, Washington, West Stockbridge, Williamstown, Windsor . . . . . . . . . . . . . . . . . .1-800-252-0227 Greenfield 24-hour access number Ashfield, Athol, Bernardston, Buckland, Charlemont, Colrain, Conway, Deerfield, Erving, Gill, Greenfield, Hawley, Heath, Leverett, Leyden, Millers Falls, Montague, New Salem, Northfield, Orange, Petersham, Phillipston, Rowe, Royalston, Shelburne, Shutesbury, Sunderland, Turners Falls, Warwick, Wendell, Whately . . . . . . . . . . . . . . . . . .1-800-562-0112 Northampton 24-hour access number Amherst, Chesterfield, Cummington, Easthampton, Florence, Goshen, Hadley, Hatfield, Middlefield, Northampton, Pelham, Plainfield, Westhampton, Williamsburg, Worthington . . . . . . . . . . . . . . . . . .1-800-562-0112 Southern Pioneer Valley 24-hour access number Agawam, Belchertown, Blandford, Bondsville, Chester, Chicopee, East Longmeadow, Granby, Granville, Hampden, Holyoke, Huntington, Indian Orchard, Longmeadow, Ludlow, Monson, Montgomery, Palmer, Russell, South Hadley, Southampton, Southwick, Springfield, Thorndike, Three Rivers, Tolland, Ware, Westfield, West Springfield, Wilbraham . . . . . . . . . . . . . . . . . .1-800-437-5922 ˜ 18 ˜ ˜ 19 ˜