A program license is required for any program including private programs operated or contracted by the Department which operates a residential site and is organized primarily to provide treatment, rehabilitation, support and supervision for mentally ill persons
Community Licensing Guidelines, Regulations, Applications, and Documents
- Licensing Guidelines
- 104 CMR 28.00: Licensing and Operational Standards for Community Programs
- 104 CMR 32.00: Investigation and Reporting Responsibilities
- Appendix B - Site Feasibility Assessment
- Appendix C - Pre-placement Survey Requirements
- Appendix D - Physical Facility Pre-placement Survey
- Appendix E - Self Preservation Test
- Appendix F- Affidavit for Local Building Official
- Appendix G - Instructions for Completing Application
- Appendix H - Application For Licensure
- Appendix I - Waiver Petition
- Appendix J - Pool Policy
- Appendix K – New Group Home Request
Community Crisis Stabilization Licensing Forms
- Community Crisis Stabilization Site Feasibility Assessment Tool
- Community Crisis Stabilization Licensing Application
- Community Crisis Stabilization Instructions for Licensing Application
- Community Crisis Stabilization Waiver Petition/Determination Form
- Community Crisis Stabilization Pre-Placement Survey
Person Served Rights/Report a Complaint
If you wish to submit a complaint concerning a licensed private or residential program in the Commonwealth of Massachusetts, complete the complaint form and email to Jennifer.Evans2@mass.gov or mail to:
Director of Community Licensing
Department of Mental Health
167 Lyman St. Westborough, MA 01581
Contact Us
Kim Clougherty
Director of Community Services
617-626-8164
Kim.clougherty@massmail.state.ma.us
Jennifer Evans
Director of Community Licensing/ Program Evaluation
508 977-3420
Jennifer.Evans2@mass.gov