Which Inpatient Rehab Is Accepted By Masshealth PCC?

Do you have a MassHealth PCC and would like to know which Inpatient Rehabilitation accepts this policy? Perhaps you are considering changing insurance and would like to know what your coverage will look like No matter what brought you here today, we have the answer for you.

treatment programs

We know how difficult it can be to find the right insurance for you.

We also know that when looking for the right rehabilitation center, it can be easy to feel overwhelmed and not sure who to turn to or who to trust.

The answer is not immediately found. How to help and how to recover is unknown.

And that’s where we come to help you. Today, we’re going to show you some of the best inpatient rehab centers that accept MassHealth PCC. Read on now to learn more.

MassHealth Drug and Alcohol Rehab Insurance Coverage

Treatment for addiction to drugs and alcohol is considered a critical health benefit in this category. This coverage is therefore available from any state-regulated medical provider commercially regulated by the state. SUD treatment was traditionally not covered by government or private insurance policies.

Even when the coverage was limited, medical assistance was seriously limited due to high co-payments and annual limitations on visit duration and medication required was placed on higher levels. These are reasons many people don’t access affordable SUD treatments or why many people still see alcohol as expensive.

Does MassHealth cover inpatient?

Masshealth provides health services including physician visits, hospitals, rehabilitation and therapeutic services and counseling to individuals with addiction.

If you were unable to enroll in Medicaid, there are still affordable treatment options. Many rehab centers have a sliding scale option to choose a fee that’s right for you, and others have free, government-funded programs. Massachusetts Medicaid Insurance Coverage For Drug And Alcohol Rehab FAQs As you continue your search for a rehab center that accepts Medicaid, consider some of the following questions. Rehabs in Florida If you were unable to enroll in Medicaid, there are still affordable treatment options.

Many rehab centers have a sliding scale option to choose a fee that’s right for you, and others have free, government-funded programs. Massachusetts Medicaid Insurance Coverage For Drug And Alcohol Rehab FAQs As you continue your search for a rehab center that accepts Medicaid, consider some of the following questions.

What type of insurance is MassHealth PCC Plan?

Primary Care Clinicians Plans (PCPs) offer managed care health insurance to mass healthcare subscribers. The PCC plan defines a primary care clinician as the primary physician (PCP). A member may select or be assigned PCCs by MassHealth Networks. Dual diagnosis is a term used to describe when someone suffers from both a mental health disorder and a substance abuse disorder.

What does MassHealth CarePlus cover?

MassHealthcarePlus provides cheap health care to those without health coverage from Medicaid or private insurance. This Program provides prescription drug coverage as a medical aid to medical professionals.

How To Use Your Massachusetts Medicaid Plan For Drug Rehab To use MassHealth to pay for drug rehab, follow these steps: Apply for Medicaid Once you’re approved, you’ll receive a card in the mail Bring this card to the treatment center Determine a treatment program and pay the remaining copay, if applicable (many programs have a $0 copay for Medicaid recipients) If you were unable to enroll in Medicaid, there are still affordable treatment options.

Children’s Health Insurance Program

MassHealth is a health insurance provider that operates in the Commonwealth of Massachusetts. This program was established as a combination of Medicaid and the Children’s Health Insurance Program (CHIP) to provide health care to low or medium-income patients and families, seniors, and other vulnerable uninsured population groups living in Massachusetts.

Addiction Treatment Services

Locating an alcohol or drug rehab center in Massachusetts that accepts Medicaid will help secure treatment coverage and allay the financial burden of treatment cost. Addiction Treatment Services Covered By MassHealth Each Medicaid program is both state- and federally funded, so states implement regulations for which services are covered for each essential health benefit.

Tricare does cover rehab services. Depending on the type of coverage you have, your Tricare plan may cover inpatient and outpatient rehabilitation services. These services may include physical therapy, occupational therapy, speech-language pathology and other rehabilitative treatments.

Medication Assisted Treatment

Functional skills training provided by a MassHealth personal care management agency HIV pre- and post-test counseling services HIV testing Hospitalization Medication assisted treatment (MAT) for opioid use disorder Non-elective admissions Obstetric services for pregnant and postpartum members (provided up to the end of the month in which the 60-day period following the termination of pregnancy ends).

Top 5 rehab centers accepting Massachusetts Medicaid (MassHealth)

MassHealth provides Accountable Care Organization Plans that provide comprehensive addiction treatment. Most Massachusetts rehabilitation programs accept MassHealth making treatment for addictions more affordable for Medicaid beneficiaries.

Women’s rehabs are specialized treatment centers designed to meet the specific needs of women struggling with addiction. These centers provide a variety of services, including individual and group therapy, medical care, educational programs, and relapse prevention strategies.

What Is Masshealth PCC?

Masshealth PCC is Masshealth health insurance, part of the Medicare family.

A PCC or Primary Care Clinician Plan allows a member access to his Masshealth hospital and specialist physicians.

This is coordinated by the PCC and also provides access to the Massachusetts Behavioral Health Partnership (MBHP).

The PCC plan lets you choose or be assigned a PCC from MassHealth’s vast list.

If he feels that the PCC no longer suits him, he can change it at any time.

You can also change your plan from PCC to Accountable Care Organization (AC) or Managed Care Organization (MCO) at any time if you wish.

Please note that PCP, which is part of ACO, is not available for PCC plans.

If this affects you, please contact Masshealth directly. They provide detailed advice.

To be eligible for a plan, you must be under the age of 65 and have no liability insurance.

If this is you, you can apply for the Standard, Joint Health, Care Plus, or Family Assistance versions of the PCC plan.

Again, we encourage you to contact Masshealth directly for more information on these plans and how to apply.

Now that we’ve established what the plans are, let’s see which inpatient rehabilitation accepts these insurance plans.

What Is Inpatient Rehab?

primary care clinician pcc

Inpatient Rehabilitation or Inpatient Rehabilitation is a center where you check yourself into a center.

Here you will experience a controlled environment designed to cure addictions.

Most of these clinics offer 24/7 mental and medical support to help you recover in a safe place where you can work at your own pace.

The length of stay in an inpatient facility depends on the treatment required.

For example, you may need to detox before starting recovery. This may take longer than the rehabilitation center for relapses.

Remind everyone to go to their own space and the focus is on the recovery process, not time.

A long-term treatment center is a facility that provides intensive, comprehensive care for individuals with mental health or substance use disorders.

hey’re also eligible for mental health and substance abuse treatment services from qualified addiction practitioners. MassHealth offers addiction treatment services similar to other medical insurance providers.

Mental Health Treatment

Outpatient mental health services through MBHP. Its wide network of providers enables quality care access to MassHealth members in various settings like hospital outpatient departments or clinics and community health centers. Mental health treatment may include individual and/or group therapy, as well as therapy for couples and family therapy. These therapy sessions help patients deal with issues like anxiety, depression, or trauma.

Top 5 Rehab Centers Accepting MassHealth – Detox Rehab

Mass Health refers to Medicaid in Massachusetts. It offers insurance for drug rehab services. Among these are child health coverage, seniors care, behavioral health partnerships, primary care services and others. Find the best Medicaid coverage for addictions.

Now let’s take a look at the inpatient rehabilitation measures accepted by the Masshealth PCC. We have a small selection list for you.

Below you can find out more about Humana Cover Rehab.

This is a great way to find accurate and up-to-date information that you can use.

Behavioral Health Services

MassHealth members have access to doctor’s visits, hospital stays, prescription drugs, and other medical services. MassHealth members are also provided with coverage for behavioral health services. This means that they can get insurance coverage for addiction treatment and mental health disorders.


Gosnold has centers in Cataumet and Falmouth, both of which offer inpatient rehabilitation.

Gosnold is a designated member of the National Association of Addiction Treatment Providers, Joint Commission Accredited, LegitScript Certified, and Blue Distinction Center.

The track record speaks for itself and is a good choice. Your health plan should cover short-term detoxification and other short-term stays at this facility, but may not cover long-term inpatient programs. Check how long you can stay at the center.

Swift River

Swift River is a new center that specializes in drug and alcohol addiction treatment.

Since it opened a few years ago, it has 112 beds available and was taken over by a large health insurance company.

You can expect lots of local staff and a great wooded setting. It should provide a quiet and safe place to get the help you need.

How Can I Find An Inpatient Rehab Near Me?

The best way to find an inpatient rehab near you is to contact Masshealth. You can contact them directly on the phone, at (855) 838-6664, or you can head online to search for inpatient rehab centers near me.

Once you have found a center near you, you will want to contact them and ask if they accept Masshealth PCC or not.

The last thing you want is to find a center that you think is a great fit, only to find out that you would have to fund it yourself.

Don’t forget that you can use our list above to find an inpatient rehab that you know accepts Masshealth PCC.

It is worth noting that centers might change what insurance they accept, so it is always best to contact them directly beforehand to make sure.

You can do this easily over the phone, or most inpatient rehab centers will have an email address that you can use to contact them if you would prefer.

Final Thoughts

You can also contact MassHealth directly to learn more about your health insurance plan and the support you can access.

You have now completed rehabilitation of two inpatients for MassHealth PCC. We recommend using websites such as Addiction Center to find other rehab centers nearby that can provide hospitalization services without paying for it yourself.

Ryan Ascroft