DEPARTMENT OF HEALTH & HUMAN SERVICES
Centers for Medicare & Medicaid Services
7500 Security Boulevard, Mail Stop S2-25-26
Baltimore, Maryland  21244-1850	CENTUIS FOR MEDICARE &MEDICAID SERVICES
CENTER FOR MEDICAID & CHIP SERVICES

State Demonstrations Group

Daniel Tsai
Assistance  Secretary, MassHealth
Executive Office of Health and Human Services One Ashburton Place
Boston, MA 021 08

JUN 2 6 2019

Dear Mr. Tsai:

This letter is to inform you that the Centers for Medicare & Medicaid Services (CMS) has approved the technical corrections to Massachusetts ' section  1115(a) Medicaid demonstration, entitled "MassHealth" (Project Number  11-W-00030/1). These technical corrections include one grammatical change and clarification of various programmatic operations, including:

•	Modifying table formatting within STC 39 -Table B so that benefit lines for "Chapter
766 Home Assessment " and "Medically Necessary NEMT" are visible;
•	Clarifying within STC 39 that Chiropractic Care and Target Case Management are
services provided  und er CarePlus;
•	Removing a typo in STC 88(f)(i)(l)(a).

Your project officer for this demonstration is Eli Greenfield.  He is available to answer any questions concerning your demonstration.  Mr. Greenfield's contact information is:

Centers for Medicare & Medicaid Services Center for Medicaid & CHIP Services
Mail Stop: S2-25-26
7500 Security Boulevard Baltimore , MD 21244-1850 Telephone: (410) 786-6157
E-mail: Eli.Greenfield @cms.hhs.gov

Official communications regarding this demonstration should be sent simultaneously to
Mr. Greenfield and Mr. Francis McCullough, Director, in our Division of Medicaid Field Operations
East Office. Mr. McCullough's contact information is as follows:

Centers for Medicare & Medicaid Services
JFK Federal Building Room 2325

Page 2- Mr. Dan Tsai

Boston, MA 02203
Telephone: (617) 565-1226
E-mail:   francis.mccullough@cms.hhs.gov

If you have any questions regarding this approval, please contact your project officer.

Sincerely,

Director

J2- Jl).J----

Division of System Reform Demonstrations

Enclosure

cc: Francis McCullough, Director, Division of Medicaid Field Operations East Julie McCarthy, Division of Medicaid Field Operations East