CCP and LTSS Care Partners eligibility criteria follow the MassHealth guidelines for members enrolling in the community partner program. Below is a list of criteria broken down by program (Behavioral Health (BH) CP and Long-Term Services and Supports (LTSS) CP). Please contact us for any detailed questions related to eligibility!

BH CP

  • MassHealth (Medicaid) only members — Members who also have Medicare are NOT eligible
  • Ages 21 to 64
  • Members with:
    • Mental health diagnoses
    • Substance use disorder
    • Complex medical needs
    • Multiple emergency visits and hospital stays
  • Currently in an ACO/MCO plan under MassHealth
  • MassHealth members in DMH’s ACCS program can be in BH CP if they are over 21 and live within our service area; None of the other eligibility requirements apply for these members

LTSS CP

  • MassHealth (Medicaid) only members — Members who also have Medicare are NOT eligible
  • Ages 3 to 64
  • Members with complex and/ or chronic medical conditions, such as:
    • Autism
    • Physical disabilities
    • Acquired brain injuries
    • Intellectual and developmental disabilities
    • Heart and lung conditions that limit daily functioning
  • Currently in an ACO/MCO plan under MassHealth