Chart of MassHealth covered services

This chart shows which services are covered under each of 5 MassHealth coverage types

Use this chart to see which services are covered by each of the following coverage types:

• Standard
• CommonHealth
• Medicare Savings Program (formally MassHealth Senior Buy-In)
• Family Assistance
• CarePlus

MassHealth covered services

Services	Standard	CommonHealth	Medicare Savings Program**	Family Assistance***	CarePlus
Abortion	Yes	Yes	X	Yes	Yes
Acupuncture Services	Yes	Yes	X	Yes	Yes
Acute inpatient hospital †	Yes	Yes	X	Yes	Yes
Adult day health	Yes	Yes	X	X	X
Adult foster care	Yes	Yes	X	X	X
Ambulatory prenatal care	Yes	Yes	X	Yes	Yes
Ambulatory surgery center services	Yes	Yes	X	X	Yes
Audiologist/hearing services	Yes	Yes	X	Yes	Yes
Behavioral health (mental health and substance use disorder) services	Yes	Yes	X	Yes	Yes
Chiropractor †	Yes	Yes	X	Yes	Yes
Chronic disease and rehabilitation inpatient hospital	Yes	Yes	X	Yes	Yes
Community health center	Yes	Yes	X	Yes	Yes
Continuous skilled nursing	Yes	Yes	X	X	X
Day habilitation	Yes	Yes	X	X	X
Dental services †	Yes	Yes	X	Yes	Yes
Dialysis services	Yes	Yes	X	Yes	Yes
Doula services	Yes	Yes	X	Yes	Yes
Durable medical equipment (includes oxygen and respiratory therapy equipment)	Yes	Yes	X	Yes	Yes
Early intervention	Yes	Yes	X	Yes	X
Early and periodic screening, diagnosis and treatment (EPSDT) services	Yes	Yes	X	X	X
Emergency Inpatient and Outpatient Hospital Services	Yes	Yes	X	Yes	Yes
Family planning	Yes	Yes	X	Yes	Yes
Group adult foster care services	Yes	Yes	X	X	X
Hearing aid and dispensing services	Yes	Yes	X	Yes	Yes
Home health	Yes	Yes	X	Yes	Yes
Hospice	Yes	Yes	X	Yes	Yes
Intensive Early Intervention	Yes	Yes	X	Yes	X
Laboratory	Yes	Yes	X	Yes	Yes
Medicare Part B premium	X	X	Yes	X	X
Medical/surgical supplies	Yes	Yes	X	Yes	Yes
Nursing facility services	Yes	Yes	X	Yes	Yes
Nurse midwife	Yes	Yes	X	Yes	Yes
Nurse practitioner	Yes	Yes	X	Yes	Yes
Orthotic †	Yes	Yes	X	Yes	Yes
Outpatient hospital	Yes	Yes	X	Yes	Yes
Personal care	Yes	Yes	X	X	X
Pharmacy	Yes	Yes	X	Yes	Yes
Physician	Yes	Yes	X	Yes	Yes
Podiatrist	Yes	Yes	X	Yes	Yes
Preventive pediatric healthcare screening and diagnostic (PPHSD) services	X	X	X	Yes	X
Prosthetic †	Yes	Yes	X	Yes	Yes
Radiology and diagnostic services	Yes	Yes	X	Yes	Yes
Therapy (physical, occupational, and speech/language)	Yes	Yes	X	Yes	Yes
Transportation (emergency)	Yes	Yes	X	Yes	Yes
Transportation (non-emergency)	Yes	Yes	X	X	Yes
Vision care (exams/treatment) †	Yes	Yes	X	Yes	Yes
Vision care (ophthalmic materials)	Yes	Yes	X	Yes	Yes

Please Note:

† This symbol indicates increased service coverage for members 21 years of age and older. The increased coverage was the result of health-care reform legislation effective July 1, 2006.

**Medicare Savings Program 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

For people with MassHealth Limited, MassHealth will pay for the treatment of only certain medical conditions.

The symptoms have to be

• Acute (not a long-term condition)
• So severe that if the member doesn't get medical attention right away, it could result in serious harm to the member's
  • Health
  • Bodily functions, or
  • Organs or other parts of the body.

The Children's Medical Security Plan (CMSP)

The CMSP provides primary and preventive medical and dental coverage to certain uninsured children. These children are not eligible for other MassHealth coverage types except for MassHealth Limited.

CMSP may charge a monthly premium, depending on family income.

Citizenship is not a factor for getting CMSP coverage.

For questions about benefits, covered services, provider network, and other questions about CMSP, contact CMSP Customer Service at [phone].

For questions about eligibility or how to obtain an application, contact a MassHealth Enrollment Center at [phone].