What do MassHealth and Commonwealth Care cover?

This chart, compiled by The Massachusetts Law Reform Institute and Health Care for All, compares the services provided by Commonwealth Care and each of the five main types of direct MassHealth coverage. It reflects the minimum services mandated by state regulations as well as additional services covered by specific Commonwealth Care plans.

Coverage differences exist between the various MassHealth and Commonwealth Care plans. Commonwealth Care members should pay special attention to which services, beyond the mandated ones, their managed care organization covers. Some areas to examine include:

• Adult day health and foster care services, non-emergency medical transportation, day habilitation and hearing aids.
• Podiatry and orthotics for patients who do not have diabetes.
• Time limits for nursing and acute inpatient care.
• Dental services for clients in Commonwealth Care plans other than Plan type 1.

Click here for the full table comparing services. (PDF)