Applications for DMH Services

Applications and forms for DMH services.

Most mental health services, including medication and therapy are provided through health insurance – MassHealth (Medicaid), the Massachusetts Health Connector (health insurance marketplace) or through private insurance (employer-based). The Department of Mental Health (DMH) provides supplemental services for children, youth and adults with the most serious mental health needs.

For additional resources and information about Mental Health Services in Massachusetts, visit our Mental Health Resources page.

Table of Contents

Contact Info - Where to Submit Your DMH Application

Not sure which office covers your town? Find it here.  Contact your office using the contact information below with questions about the DMH application process. Submit applications using DMH Secure Email.

OfficeMailing AddressPhone NumberFax NumberE-mail Address
Boston

85 East Newton Street

Boston, MA 02118

(617) 626-9200(617) 626-9216MBA.serviceauthapplications@mass.gov
Brockton

165 Quincy Street,

Brockton, MA 02302

(508) 897-2000(508) 897-2047SEA.serviceauthapplications@mass.gov
Northampton

1 Prince Street

Northampton, MA 01060

(413) 587-6200(413) 587-6240WMA.serviceauthapplications@mass.gov
Tewksbury

P.O. Box 387

Tewksbury, MA 01876-0387

(978) 863-5000(978) 863-5091

Under 18:  NEA.CYFServiceAuthRequest@mass.gov

18 & Older: NEA.serviceauthapplications@mass.gov

Worcester

361 Plantation Street

Worcester, MA 01605

(774) 420-3140(774) 420-3165CMA.serviceauthapplications@mass.gov

Fillable Application for DMH Services - can be submitted electronically

This fillable application can be completed and submitted via email without printing or scanning. Email the completed application and related forms to the office covering your town on the table above.

Please note: In order to complete this process, hand-signed authorization(s) to release information will be needed to receive information from the applicant's healthcare/education providers. DMH can provide assistance to individuals unable to print, sign, and scan hand-signed Releases of Information.

Submit this application using DMH Secure Email

Printable applications for DMH Services

Eligibility Information

Most mental health services, including medication and therapy are provided through health insurance – MassHealth (Medicaid), the Massachusetts Health Connector (health insurance marketplace) or through private insurance (employer-based).  The Department of Mental Health (DMH) has a specialized role in the healthcare delivery system.  DMH provides supplemental services for people with the most serious needs.  These services are beyond those supplied through health insurance and require approval by DMH. Learn more about DMH eligibility.

Massachusetts Behavioral Health Help Line

For 24/7 Supports, please call or text 833-773-2445. You can also visit https://www.masshelpline.com/ to live chat. This line is for crisis supports as well as resource and mental health service inquiries.

For 24/7 Supports, please call or text 833-773-2445. You can also visit https://www.masshelpline.com/ to live chat. This line is for crisis supports as well as resource and mental health service inquiries. 

Contact   for Applications for DMH Services

Online

Massachusetts Behavioral Health Help Line Massachusetts BHHL 

Phone

Available Monday through Friday 8:30am-5pm

This voicemail box is checked regularly Monday through Friday. Calls are returned within 48 hours.

Call or Text 24/7

Address

Central Office
25 Staniford St., Boston, MA 02114

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