Pursuant to G.L., c. 6D, §15, the HPC is required to "establish a process for certain registered provider organizations to be certified as accountable care organizations." The purpose of the certification program is to complement existing local and national care transformation and payment reform efforts, validate value-based care, and promote investments by payers in efficient, high-quality, and cost-effective care.
The HPC collaborated with MassHealth and other state purchasers to develop a certification program that aligns with payment reform efforts. The Commission voted to approve ACO certification standards on April 27, 2016. Subsequently, the HPC has developed detailed documentation requirements and an application system through which ACOs will submit the required materials. This information can be found in the Application Requirements and Platform User Guide (PUG), linked on the right-hand side of the page.
This spring, the HPC completed a beta testing phase of the application system and expects to open the application to all ACOs in mid-June 2017. ACOs that are required by MassHealth to obtain certification before the start of the MassHealth ACO contract performance year must submit their applications to the HPC by October 1, 2017.
The HPC has held a series of instructional trainings and webinars related to the ACO certification program. On March 22, 2017, the HPC held a webinar for stakeholders to review the ACO certification application requirements and introduce the application system. This summer, the HPC hosted two in-person training sessions and a webinar on July 11, 2017, that provided an overview of the application and detailed guidance on how to use the system. Recordings of these webinars, as well as additional instructional videos can be found by following the link on the right-hand side of this page.
The HPC’s ACO certification program complements its PCMH certification program (see previous page).
Questions about the ACO certification program may be sent to HPC-Certification@state.ma.us
|Applicants that have received HPC ACO Certification|
|Boston Accountable Care Organization (BACO)|
Community Care Cooperative (C3)