Behavioral Health Care Management/Coordination
One Care
Eligibility: Age: 21-64
Insurance: MassHealth Standard or CommonHealth & Medicare A, B
Senior Care Options
Eligibility: Age: 65 & Older
Insurance: MassHealth Standard & Medicare A, B or MassHealth Standard (only)
BHCP
Eligibility: Age: 21-64
Insurance: MassHealth + ACO or MCO
Must Have: A relevant diagnosis & some relevant utilization /co-morbidities in last 12 months.
LTSS
Eligibility: Age: 3-64
Insurance: MassHealth + ACO or MCO
Other Qualifiers: Complex LTSS or BH needs
Actively lives in CAWM service area.
CCBHC - GAP
Eligibility: Age: 3 & older
Insurance: Any or None
Must Haves: Urgent/Medical/Crisis Needs
Other Qualifiers: Dual diagnosed (MH & SU)
CSP
Eligibility: Age: 21 & Older
Insurance: MBHP, Tufts, BMC, or CCA One Care
Must Haves: Discharged from IPLOC, CCS, ATS in last 6mo.
Multiple ED visits in last 90days
Dual Diagnosed (MH & SU)