Does MassHealth / Medicaid cover ketamine therapy or ketamine treatment?

Latest medical review on: October 21st, 2025. Medically reviewed by Chief Medical Officer Dr. Ben Yudkoff.
Unfortunately, Lumin Health is out of network and cannot accept MassHealth or Medicaid plans to cover ketamine therapy or Spravato (esketamine) for depression and other mental health challenges.
We are grateful for your interest in starting treatment with us and apologize for not being able to accept MassHealth or Medicaid insurance plans.
Does Lumin Health accept MassHealth / Medicaid for Spravato treatment?
There is always the option to self-pay though; so please get in touch with us anytime if that is an option for you.
Are there other resources Lumin Health can recommend?
Frequently asked questions
Due to the nature of MassHeath / Medicaid plans, we cannot accept coverage for esketamine (Spravato). As such, we recommend that any person interested in ketamine therapy enrolls in a course of intramuscular ketamine injections as the out-of-pocket cost for those is significantly less than the out-of-pocket costs for Spravato (esketamine). Please don't hesitate to get in touch with our dedicated intake team if self-pay options are available to you and you are interested in exploring if this treatment is right for you.
No, the FDA has not determined that ketamine is safe and effective for psychiatric disorders, and this use is considered "off-label". The FDA has issued warnings about compounded ketamine products for these uses.
That being said, a formulation of esketamine is FDA-approved and is covered by most major insurance plans. Get in touch with Lumin Health to learn how you can start treatment.
Ketamine therapy is generally recommended for individuals with serious depression or related conditions that haven’t responded well to standard treatments. If you have tried traditional antidepressants and talk therapy without sufficient improvement, you may be a good candidate to consider ketamine or esketamine. The best way to know for sure is to have a professional evaluation. At Lumin Health, our experienced medical team will conduct a thorough assessment of your medical history, current symptoms, and past treatment trials to determine if ketamine or Spravato is appropriate and safe for you. We take into account factors like your diagnosis, how many treatments you’ve tried, and any health issues that might affect ketamine’s treatment. If you’re deemed a good candidate and you decide to proceed, starting treatment is straightforward – you can book a free consultation with us (online or by phone at 617-863-8810) to discuss your case and ask any questions. From the initial consultation to your first session, the process is usually quick. In fact, most patients can begin treatment within a few weeks after the evaluation (and we do our best to accommodate urgent cases faster). Our staff will guide you through every step – verifying your insurance coverage for Spravato (esketamine) if applicable or discussing payment options for ketamine, scheduling your appointments, and coordinating care with your existing providers if needed. This personalized intake process ensures that you feel informed and supported from day one so you can start your ketamine therapy journey with confidence and hope for relief.