Eligible Members

(A) (1) MassHealth Members. The MassHealth agency covers psychiatric day treatment program services only when provided to eligible MassHealth members, subject to the restrictions and limitations described in the MassHealth agency’s regulations. The MassHealth agency’s regulations at 130 CMR 450.105: Coverage Types specifically state, for each MassHealth coverage type, which services are covered and which members are eligible to receive those services. (2) Recipients of the Emergency Aid to the Elderly, Disabled and Children Program. For information on covered services for recipients of the Emergency Aid to the Elderly, Disabled and Children Program, see 130 CMR 450.106: Emergency Aid to the Elderly, Disabled and Children Program. (B) For information on verifying member eligibility and coverage type, see 130 CMR 450.107: Eligible Members and the MassHealth Card. (C) See 130 CMR 450.124: Behavioral Health Services for limitations on mental health and substance-abuse services provided to members enrolled with a MassHealth managed-care provider.