Family Assistance***




Acute inpatient hospital


Adult day health




Adult foster care




Ambulatory prenatal care


Ambulatory surgery center services



Audiologist/hearing services


Behavioral health (mental health and substance use disorder) services




Chronic disease and rehabilitation inpatient hospital


Community health center


Continuous skilled nursing





Day habilitation




Dental services


Dialysis services


Durable medical equipment (includes oxygen and respiratory therapy equipment)


Early intervention



Early and periodic screening, diagnosis and treatment (EPSDT) services



Emergency Inpatient and Outpatient Hospital Services 

Family planning


Group adult foster care services




Hearing aid and dispensing services


Home health




Intensive Early Intervention  



Medicare Part B premium





Medical/surgical supplies


Nursing facility services



Nurse midwife


Nurse practitioner




Outpatient hospital


Personal care










Preventive pediatric healthcare screening and diagnostic (PPHSD) services







Radiology and diagnostic services


Therapy (physical, occupational, and speech/language)


Transportation (emergency)


Transportation (non-emergency)   

Vision care (exams/treatment)


Vision care (ophthalmic materials)


Please Note:

Text marked with this symbol indicates increased service coverage for members aged 21 years and older as a result of health-care reform legislation effective July 1, 2006.

**MassHealth Senior Buy-In also covers Medicare Part A Premium and Medicare Parts A and B coinsurance and deductibles, where applicable.

***Persons in Family Assistance with HIV will receive coverage for all medically necessary services, including the expansion of chiropractor, dental, vision, orthotic, prosthetic, and tobacco-cessation services.


MassHealth Limited Coverage:

MassHealth pays only for the treatment of a medical condition (including labor and delivery) that manifests itself by acute symptoms of sufficient severity that the absence of immediate medical attention could reasonably be expected to result in:

  • placing the member's health in serious jeopardy;
  • serious impairment to bodily functions; or
  • serious dysfunction of any bodily organ or part.


The Children's Medical Security Plan (CMSP):

The CMSP provides primary and preventive medical and dental coverage to certain uninsured children who are not eligible for other MassHealth coverage types, except MassHealth Limited. CMSP may charge a monthly premium, depending on family income. Citizenship is not a factor in the eligibility determination for CMSP.

For questions about benefits, covered services, provider network, and other inquiries about CMSP, contact CMSP Customer Service at 1-800-909-2677.

For questions about eligibility or how to obtain an application, contact a MassHealth Enrollment Center at 1-888-665-9993.


This information is provided by MassHealth.