Eligible Members

(A) (1) MassHealth Members. The MassHealth agency covers licensed independent behavioral health clinician services only when provided to eligible MassHealth members, subject to the restrictions and limitations described in 130 CMR 462.000 and 130 CMR 450.000: Administrative and Billing Regulations. The 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 (EAEDC) 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 450.105: Coverage Types and 130 CMR 450.124: Behavioral Health Services for limitations on mental health and substance use disorder services provided to members enrolled with a MassHealth managed care provider.