Massachusetts Three-Way Contract:  
A Summary of Beneficiary Protections in the First Dual Eligible Demonstration 


On July 18, 2013, Massachusetts became the first state to sign a three-way contract for its dual eligible demonstration project. The Medicare-Medicaid Coordination Office in the Centers for Medicare and Medicaid Services published the three-way contract signed with the Commonwealth of Massachusetts, and the three managed care plans participating in that state's dual eligible demonstration.  


NSCLC has prepared a summary of consumer protections in the Massachusetts contract, including information on:
  • Enrollment
  • Care Team and Care Coordinator
  • Assessments
  • LTSS and Supplemental Services
  • Care Continuity
  • Appeals
The Massachusetts three-way contract is useful as a starting point for understanding the general structure of three-way contracts and for thinking about how to address consumer protections in three-way contracts that are being negotiated in other demonstration states. 


The summary of the three-way contract and all state MOUs are available on NSCLC's dual eligible demonstration website, at
For more information on dual eligible demonstration projects, visit NSCLC's dual demonstration website,  The site contains information and tools to help state and national advocates be more effective in representing consumers through the planning and implementation of the demonstrations.


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NSCLC staff are available to help advocates with answers to questions about program rules and requirements, reviewing and analyzing pleadings, commenting on proposed litigation, assisting in the formulation of strategies, drafting opinion letters and providing memoranda, articles and other written materials.