How does MassHealth cover addiction treatment?
MassHealth is the state's Medicaid and Children's Health Insurance Program. According to MassHealth, it covers a broad range of substance use disorder services:
| Level of care |
What it is |
| Acute treatment services (ATS) |
Medically monitored inpatient detox with 24-hour nursing |
| Clinical stabilization services (CSS) |
Step-down care after detox, often with longer stays |
| Residential rehabilitation |
24-hour residential programs for adults, families, youth and people with co-occurring conditions |
| Intensive outpatient (IOP) |
Several hours of mostly group treatment each week |
| Outpatient counseling |
Individual or group therapy |
| Opioid treatment programs |
Methadone, buprenorphine and naltrexone without a 24-hour stay |
| Recovery support |
Recovery coaches and recovery support navigators |
MassHealth says all coverage types except MassHealth Limited include these services, and you don't need a referral. Providers must hold BSAS licensure to enroll with MassHealth. Explore Massachusetts programs that accept MassHealth.
Have questions about MassHealth or private insurance? Call (877) 847-2855 to talk with our admissions helpline. It's free and confidential.
Who licenses rehabs in Massachusetts?
The Bureau of Substance Addiction Services (BSAS), part of the Massachusetts Department of Public Health, licenses substance use disorder treatment programs. BSAS also licenses individual alcohol and drug counselors (LADCs).
Before you commit, ask the program for its BSAS license and confirm it covers the level of care you need. Our guide on how to choose a rehab explains other quality checks, including accreditation and medication treatment.
What is Section 35?
Families often ask what they can do when a loved one won't accept help. Section 35 (Massachusetts General Laws Chapter 123, Section 35) allows a court to order involuntary treatment for an alcohol or substance use disorder.
According to the state:
- Who can petition: Police officers, physicians, spouses, blood relatives, guardians and court officials.
- Where to file: Any District or Juvenile Court, regardless of where the person lives.
- Rights: The person has the right to an attorney, who is appointed if they can't afford one.
- Criteria: Clear and convincing evidence that the person has a substance use disorder that creates a likelihood of serious harm to themselves or others, and that the harm is current or imminent. Commitment should be ordered only when less restrictive options aren't available.
- Length: Up to 90 days, and shorter if the person no longer meets the criteria.
- Where treatment happens: At approved facilities, chosen based on the person's needs and bed availability.
Section 35 is a legal process, not a level of care. It's meant for serious situations. Our guide on how to help a loved one covers approaches that encourage someone to choose treatment on their own.
How does care usually progress in Massachusetts?
Massachusetts uses a clear set of levels of care, and many people move through several of them. A common path looks like this:
- ATS (detox): Medically monitored withdrawal, often lasting about a week. Withdrawal from alcohol and benzodiazepines can be life-threatening, so medical supervision matters.
- CSS: A step-down setting that gives you more time to stabilize and plan next steps.
- Residential rehabilitation: A longer 24-hour program focused on recovery skills and routines.
- IOP or outpatient counseling: Ongoing treatment while you live at home.
- Recovery support: Recovery coaches and navigators who help you stay connected to care.
Medication for opioid use disorder can be part of care at any stage. Your treatment team should explain each step and help line up the next one before you leave.
What should you ask a Massachusetts program?
Before you commit, ask:
- What is your BSAS license, and which services does it cover?
- Do you accept my MassHealth or private plan?
- Do you offer or coordinate medication for opioid or alcohol use disorder?
- How do you treat co-occurring mental health conditions?
- What happens when I'm ready to step down to the next level of care?
Where can you find treatment in Massachusetts?
Treatment programs are spread across the state, with the most options in and around:
- Greater Boston, including Cambridge, Quincy and the North and South shores
- Worcester and Central Massachusetts
- Springfield and the Pioneer Valley
- Lowell, Lawrence and the Merrimack Valley
- Brockton, Fall River and New Bedford in Southeastern Massachusetts
- Cape Cod and the Islands
- Pittsfield and the Berkshires
Use the filters on this page to find detox programs, residential treatment, intensive outpatient programs, methadone clinics or sober living.
Should you get treatment in Massachusetts or travel?
If you have MassHealth, staying in Massachusetts is usually simplest, since coverage generally applies to in-state providers. The state's range of levels of care, from ATS and CSS through residential and outpatient programs, also makes it easier to step down without changing regions.
If you have private insurance, compare networks and out-of-pocket costs before considering programs in other New England states or farther away. Ask any program how it will support your aftercare when you return home.
Find the right program in Massachusetts
Massachusetts has a well-developed treatment system, but it still helps to verify licenses and ask direct questions. For help comparing programs and checking your coverage, call (877) 847-2855 to reach our admissions helpline. If you or someone you love is in danger, call 911, or call or text 988 for the Suicide & Crisis Lifeline.