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What can I do if federal changes mean I lose MassHealth coverage?

Learn what to do if federal changes affect your MassHealth coverage and where to get health care or other supports if you lose coverage.

The Trump Administration is making changes to MassHealth (Medicaid) that may mean members lose coverage or face new barriers to keeping coverage. These include: 

MassHealth’s priority is to help eligible Massachusetts residents keep coverage and care, while complying with new federal rules. 

If you receive a notice that your MassHealth coverage is ending or changing, contact MassHealth to understand why. In some cases, MassHealth can help you get your coverage type back or help you get alternative MassHealth coverage; some members may still be eligible for MassHealth Limited and/or the Health Safety Net (HSN). Ways to contact MassHealth include:

Resources

The following resources, listed in alphabetical order, are available to Massachusetts residents who are no longer eligible for comprehensive MassHealth coverage because of federal changes. This is not a complete list.

Behavioral Health Help Line

Massachusetts residents can contact the Behavioral Health Help Line for real-time support, including an initial clinical assessment and connection to mental health and substance use treatment services. The service is free, available 24 hours a day, 7 days a week, and does not require health insurance.

Learn more about the Behavioral Health Help Line, call (833) 773-2445, or use the online chat

Breast/cervical cancer screening

The Massachusetts Breast and Cervical Cancer Program helps eligible low-income, uninsured, or underinsured Massachusetts residents access free breast and cervical cancer screening and diagnostic services. 

See a list of all the MBCCP sites or call (877) 414-4447

Community Behavioral Health Centers (CBHCs)

CBHCs provide mental health and substance use services at locations across Massachusetts, including crisis services, evaluations, therapy, medication services, and referrals to treatment. Crisis services are available 24/7 to anyone in Massachusetts, whether or not they have health insurance.

Find your nearest CBHC

Community Health Centers (CHCs)

CHCs provide primary care and other health services to people across Massachusetts, including those who are uninsured. 

Find your nearest CHC

Councils on Aging (COAs) and senior centers

COAs are local community organizations that support older adults. They can help people find low-cost or free services available in their city or town. Services vary by community, but they may include transportation, meals, health screenings, wellness activities, and referrals to other local resources.

Find your local Council on Aging or senior center

Dental care

People without dental insurance may be able to find lower-cost dental care through some CHCs or dental schools. 

Learn more about finding dental care in Massachusetts, including care at dental schools

Domestic violence services

SafeLink is Massachusetts’ statewide, 24/7 toll-free hotline for anyone affected by domestic or dating violence. SafeLink is free and confidential and can provide support, safety planning, and connections to local services. 

Find domestic violence services in your county or call (877) 785-2020

Family Resource Centers (FRCs)

FRCs are located throughout Massachusetts and provide free services and supports for families with children from birth through age 18. Services may include parenting programs, support groups, early childhood services, help with basic needs, educational support, and referrals to other community resources.

Learn more about FRCs and the resources they provide

Massachusetts Aging & Disability Resource Consortia (ADRC)

ADRC member agencies help older adults, people with disabilities, and their caregivers connect with services that meet their needs, including health care, housing, and transportation services. ADRCs include Aging Services Access Points (ASAPs) and other partner organizations. 

Find your closest ADRC member agency

Massachusetts HIV Drug Assistance Program (HDAP)

HDAP helps eligible Massachusetts residents living with HIV pay for prescription medications for HIV, hepatitis C, and other health conditions, as well as certain health insurance premiums. To be eligible, applicants must live in Massachusetts, be HIV-positive, and have an income at or below 500% FPL. The program is administered by Community Resource Initiative (CRI).

Learn more about HDAP and apply online or call (617) 502-1703

Massachusetts Substance Use Helpline

Get information and connections to harm reduction, treatment, and recovery services for substance use, including direct connections to programs when needed. The line is free and available 24/7, 365 days a year via phone call, text, or chat.

Visit the Massachusetts Substance Use Helpline, call (800) 327-5050, or use the online chat

MassOptions

MassOptions is a free statewide resource that can help older adults, people with disabilities, and caregivers connect with resources, including healthcare, housing, and transportation.

Browse MassOptions or call 1-800-243-4636

Sexual and reproductive health

Massachusetts Department of Public Health (DPH)-funded clinics provide sexual and reproductive health services, including birth control, sexually transmitted infection (STI) and human immunodeficiency virus (HIV) testing and treatment, and pregnancy-related services. Services are confidential, available regardless of immigration status, and many services are free or low cost. 

Find out more about DPH clinics for sexual and reproductive health

For support finding additional public resources, such as housing or food supports, throughout Massachusetts, see: Public Resource Directory - Massachusetts. 

Date published: October 16, 2026

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