CBHI stands for the Children's Behavioral Health Initiative. It is an effort by MassHealth to provide more community-based behavioral health or mental health services to youth under the age of 21 with MassHealth and who meet certain criteria. Sometimes these services are also called "Rosie D." services.
MassHealth designed these services to help youth under 21 who are experiencing mental health, behavioral, emotional, or substance abuse issues and their families. The services also support the families of the youth.
When a child acts out, the caretaker — school, parent, other professional — may call mobile crisis intervention services instead of the police or ambulance. The child does not need to have used the MCI or other CBHI services in the past in order to get MCI, but the caller must call the MCI provider in the area. To find out the MCI in your area, call MassHealth client services or the Children's Law Center.
In order to receive CBHI services, the youth must be under the age of 21. Youth with MassHealth Family Assistance, Basic, or Essential may receive outpatient therapy, in-home therapy, or mobile crisis intervention. Youth on MassHealth Standard or CommonHealth may use any CBHI service. A MassHealth-approved counselor must determine that the service is needed before a child can receive it.
A parent/guardian (or any adult in the child's life) may call an outpatient therapist, in-home therapist, or CSA in order to ask for services. A parent/guardian (or other adult) may call the provider directly without getting a referral from another doctor. To find a provider in your area, call the child's Health Plan (which should be listed on the child's MassHealth card).
No. When a provider meets with the child, that provider will make a determination what services the child needs. The child does not need to have a certain diagnosis before going to see a provider.
MassHealth pays for the services as long as the child has the correct type of MassHealth and a provider determines the services used are medically necessary. Most providers will work with the family and child to ensure that MassHealth will pay for the services.
If a CSA or other provider finds that a child does not need a certain service and you disagree with that decision, call the Children's Law Center.
To determine what coverage type a child has call the number on the child's MassHealth card or call MassHealth Customer Service at 1-800-841-2900. Many community health centers can help a child enroll in MassHealth or change coverage types. If you are having trouble enrolling a child in MassHealth or a specific type of MassHealth, contact the Children's Law Center.
If MassHealth will not enroll a child or will not pay for services that a provider has said are necessary, the child's parent/guardian may file a grievance and appeal. For help with the grievance or appeal, contact the Children's Law Center.