1. Program Definition and Services 

Behavioral Health Services in Massachusetts encompass a wide range of mental health and substance use disorder treatments. Services include: 

• Outpatient counseling and therapy 

• Inpatient psychiatric care 

• Substance use disorder treatment 

• Crisis intervention services 

• Community-based support programs 

• Integrated primary care and behavioral health services 

2. Regulations 

Behavioral Health Services are governed by: 

• 130 CMR 404.000: Adult Day Health Services 

• 130 CMR 630.000: Home and Community-Based Services Waiver Services 

• 105 CMR 150.000: Standards for Long-Term Care Facilities 

3. Licensing or Certification 

Providers must be licensed by the Department of Mental Health (DMH) or the Department of Public Health (DPH), depending on the specific service offered 

4. Responsible State Agency 

Multiple agencies oversee Behavioral Health Services: 

• Department of Mental Health (DMH) 

• Department of Public Health (DPH) 

• MassHealth 

• Massachusetts Rehabilitation Commission (MRC) 

5. Application Process 

Providers can apply through the MassHealth Provider Online Service Center. Individuals seeking services can apply through DMH or their local behavioral health provider 

6. Required Documentation 

Providers must submit: 

• Proof of licensure 

• Compliance documentation with state and federal regulations 

• Staff qualifications and training records 

• Individuals seeking services must submit: 

• Completed Request for DMH Services application 

• Authorization(s) for Release of Information 

• Relevant medical/psychiatric information 

7. Timeline for Approval 

The timeline for approval is not specified in the available information. However, DMH must make a determination within 90 days of receiving a completed application for services 

8. Pre-Application Process 

There is no formal pre-application process mentioned. However, providers should ensure they meet all eligibility and licensing requirements before applying. 

9. Pre-Application Training 

No specific pre-application training is mentioned. However, providers must meet licensing requirements and staff qualifications. 

10. Additional Notes 

• Massachusetts has implemented a Roadmap for Behavioral Health Reform to simplify access and improve the outpatient behavioral health care system 

• As of March 6, 2025, new regulations require health plans to ensure parity in fee schedules for behavioral health providers compared to primary care providers 

• The Massachusetts Behavioral Health Access (MABHA) website helps providers and individuals locate openings in mental health and substance use disorder services 

• DMH serves as the payer of last resort for the uninsured and underinsured