Persons Institutionalized for Mental Disease
Effective Feb 13, 2026M.G.L. c. 118E s. 7 and 12MassHealth
- (A) Individuals younger than 18 years old and those 65 years of age or older who are patients in a public or private institution for mental disease may be eligible for MassHealth.
- (B) Individuals who reach 18 years old while they are patients in an institution for mental disease may be eligible for MassHealth until they reach age 22 years old, provided they are disabled in accordance with Title XVI requirements.
- (C) Individuals between 18 and 65 years old who are patients in public or private institutions for mental disease are not eligible for MassHealth, except as provided in 130 CMR 517.005(B). Such individuals may establish eligibility for MassHealth when entering an acute hospital from a public or private institution for mental disease if otherwise categorically and financially eligible.