MassHealth and Health Care Reform

1115 Demonstration Extension Request (December 2007)

• Cover Letter (PDF) | RTF   
• Demonstration Extension Proposal Submitted to CMS 12/21/07 (PDF) | TEXT

Attachments

(A) MA Budget Neutrality Calculation for SFY 2009 - 2011 (PDF) |  RTF

(B) Healthy Massachusetts Compact (PDF) | RTF

1115 Demonstration Extension Request (June 2007)

• Cover Letter (PDF) | TEXT   
• Demonstration Extension Proposal Submitted to CMS 6/29/07 (PDF) | RTF

Attachments

(B) Health Care Quality and Cost Council SFY 2008 Statewide Goals (PDF) | TEXT

(C) Proposed Changes to Section 2 of the Program Specifications (PDF) | RTF

(D) Proposed Changes to Section 11 of the Program Specifications (PDF) | RTF

Most Recent 1115 Demonstration Waiver Special Terms and Conditions

• Approval Letter and Special Terms and Conditions (6/19/07) (PDF)  | TEXT 

1115 Demonstration Waiver Amendment (Health Care Reform) Publications

Amendment Submission to CMS

• Cover Letter (05/01/06) (PDF) | Word

• Waiver Amendment (PDF) | Word 

Attachments

(A)  Chapter 58 of the Acts of 2006

(B)  Title XXI SCHIP State Plan Amendment (PDF) | Word

• Exhibit - MassHealth Eligibility Standards (PDF) | Excel

• Exhibit - MassHealth Coverage by Federal Reimbursement Matrix (PDF) | Excel 

(C)  Safety Net Care Pool Sources and Uses (PDF) | Excel

(D)  Safety Net Care Pool Payment Methodologies (PDF) | Word

(E)  Budget Neutrality Projection (PDF) | Excel

Amendment Approval from CMS

• Approval Letter (07/26/06) (PDF) | RTF

• Expenditure Authority (PDF) | RTF

• Special Terms and Conditions (PDF) | RTF

• Waiver List (PDF) | RTF

MassHealth Publications Related to Health Care Reform

• New Services for Adults and Tobacco Cessation Services for Members of All Ages - English (PDF) | TEXT

• New Services for Adults and Tobacco Cessation Services for Members of All Ages - Spanish (PDF) | TEXT

Provider Publications Related to Health Care Reform

• Transmittal Letter PHY-112: Revised Regulations About New Tobacco Cessation Services: Correction (PDF) | TEXT

• All Provider Bulletin 155: Expansion of Services for Adult MassHealth Members and Tobacco Cessation Services for Members of All Ages (PDF) | TEXT

• Transmittal Letter AIH-41: Coverage of Administrative Days for Members Aged 21 Years or Older (PDF) | TEXT

• Transmittal Letter AOH-8: Revised Regulations About New Tobacco Cessation Services (PDF) | TEXT

• Transmittal Letter CHC-74: Revised Regulations About Tobacco Cessation Services (PDF) | TEXT

• Transmittal Letter CRP-21: Coverage of Chiropractor Services for Members Aged 21 Years or Older (PDF) | TEXT

• Transmittal Letter DEN-77: Coverage of Dental Services for Members Aged 21 Years or Older (PDF) | TEXT

• Transmittal Letter DEN-76: Revised Regulations About New Tobacco Cessation Services (PDF) | TEXT

• Transmittal Letter FAS-16: Coverage of Dental Services for Members Aged 21 Years or Older (PDF) | TEXT

• Transmittal Letter OPD-59: Revised Regulations About Tobacco Cessation Services (PDF) | TEXT

• Transmittal Letter ORT-18: Coverage of Medically Necessary Orthotics to Members Aged 21 Years or Older (PDF) | TEXT

• Transmittal Letter PHM-55: Revised Regulations About Tobacco Cessation Services (PDF) | TEXT

• Transmittal Letter PHY-111: Physician Manual (Revised Regulations About New Tobacco Cessation Services and Independent Diagnostic Testing Facility (IDTF) Services) (PDF) | RTF

• Transmittal Letter POD-53: Coverage of Medically Necessary Orthotic Shoes for Members Aged 21 Years or Older PDF | TEXT

• Transmittal Letter POD-52: Revised Regulations About New Tobacco Cessation Services (PDF) | TEXT

• Transmittal Letter PRT-18: Coverage of Medically Necessary Prosthetics to Members Aged 21 Years or Older (PDF) | TEXT

• Transmittal Letter SAT-15: Coverage of 24-Hour Post-Medical Detoxification Services for Members Aged 21 Years or Older PDF | TEXT

• Transmittal Letter VIS-35: Coverage of  Vision Care Services for Members Aged 21 Years or Older (PDF) | TEXT