EOHHS News
MassHealth Section 1115 Demonstration Amendment
EOHHS submitted a request to amend the MassHealth Section 1115 Demonstration to the Centers for Medicare and Medicaid Services (CMS) on June 4, 2013. The MassHealth Section 1115 Demonstration provides federal authority for Massachusetts to expand eligibility to individuals who are not otherwise Medicaid or CHIP eligible, offer services that are not typically covered by Medicaid, and use innovative service delivery systems that improve care, increase efficiency, and reduce costs.
The Demonstration amendment request outlines the specific authorities being requested from CMS to implement changes consistent with the Affordable Care Act (ACA), affecting eligibility, benefits, programs and delivery systems, as well as changes to expenditure authorities under the Demonstration. An attachment to the Amendment is a Transition Plan that explains in additional detail how the State plans to coordinate the transition of individuals enrolled in the Demonstration to a new coverage option available under the ACA without interruption in coverage to the maximum extent possible.
The proposed Amendment and Transition Plan and additional relevant information are available at:
Mass.Gov
The Massachusetts Duals Demonstration is now called One Care: MassHealth plus Medicare. One Care is a new health care option for people with disabilities. One Care offers a better, simpler way for people to get the care they need. To join One Care, a person must be eligible for both MassHealth and Medicare and be 21 to 64 years old. For more information about One Care, please visit:
A revised timeline for the implementation of One Care is provided below. These changes have been agreed to by MassHealth and CMS following careful consideration of the time needed to achieve key milestones before enrollment of members into One Care plans begins.
Key dates in the revised timeline include:
|
Work Stream |
Expected
Date |
Entity |
Action |
|
Readiness
Review |
Mid-June |
Plans |
One Care plans resubmit provider networks |
|
Outreach |
July |
MA |
Public awareness campaign begins |
|
Contract |
Mid- July |
CMS, MA
and
Plans |
Three-way contracts signed |
|
Implementation |
August |
MA and
Plans |
MassHealth and plan implementation
readiness activities |
|
Outreach |
Sept. 1 |
MA |
Self-selection letters sent to individuals
in target population. Outreach to potential enrollees begins. |
|
Marketing |
Sept. 1 |
Plans |
Plan marketing begins |
|
Implementation |
October 1 |
All |
One Care start date, self-selection
enrollments only |
|
Implementation |
November 1 |
MA |
60 day notice sent to first auto-
assignment group (individuals in C1 and F1 rating categories) |
|
Implementation |
January 1,
2014
|
Plans |
Effective date for first wave of auto-
assignment
- 2nd wave of auto-assigment effective tentatively April 1, 2014
- Possible 3rd wave of auto-assignment tentatively July 1, 2014
|
MassHealth thanks all stakeholders for continuing to work with us on this important initiative.
Upcoming Events
Money Follows the Person (MFP) Transition Coordination RFA Bidders Conference
June 12, 2013, 2:30 PM
Worcester Senior Center
128 Providence Street
Worcester, MA
Requests for reasonable accommodations should be sent to MFP@state.ma.us
Money Follows the Person (MFP) Stakeholder Meeting
June 25, 2013
2:00 PM - 3:00 PM
McCormack Building, 21st Floor
1 Ashburton Place
Boston, MA
Please contact MFP@state.ma.us if you would like to attend the meetings. Requests for reasonable accommodations should be sent to MFP@state.ma.us. Although an RSVP is not required, it is appreciated.
Quarterly Affordable Care Act Implementation Stakeholder Meeting
September 16, 2013
1:30 PM - 2:30 PM
1 Ashburton Place, 21st Floor
Boston, MA
