Slide 1: One Care:  Implementation Council Meeting
Executive Office of Health & Human Services
MassHealth Demonstration to Integrate Care for Dual Eligibles
Tuesday, January 14, 2020, 10:00 AM – 12:00 PM
Boston Society of Architects
290 Congress Street, Boston, MA, Suite 200
Slide 2: RFR for One Care Plans:  Selection of Entities for Contract Negotiations
•	On January 7, 2020 MassHealth announced the following five entities were selected to enter into contract negotiations to serve as One Care plans:
o	Boston Medical Center HealthNet Plan 
o	Commonwealth Care Alliance
o	Fallon Community Health Plan 
o	Tufts Health Public Plans 
o	UnitedHealthcare Community Plan 
•	These organizations will now move into contract negotiations and readiness review processes with MassHealth and CMS to serve as One Care Plans in January 2021
Slide 3: Upcoming Procurement and Demonstration Activities
•	MassHealth and CMS must:
o	Finalize and execute MOU for Duals Demo 2.0
o	Develop and run Readiness Review processes
o	Develop and finalize Three-Way Contracts
o	Develop and finalize Two-Way Contracts (MassHealth)
•	Selected entities must complete many steps before they can accept enrollments, including the following: 
o	Medicare MMP Application or Service Area Expansions (as applicable)
o	CMS Submissions
o	Readiness Reviews
o	Receive all necessary state and federal approvals
o	Negotiate and execute both a Three-Way Contract with MassHealth and CMS and a Two-way Contract with MassHealth
Slide 4: Implementation Council Participation in Procurement
•	Implementation Council supported the development of consumer scenarios that were incorporated into the RFR for One Care Plans
•	MassHealth had invited consumer members of the Implementation Council to review the programmatic responses to the RFR for One Care Plans, and to share feedback – including strengths and weaknesses – with the EOHHS review team. The diverse perspectives from consumer reviewers was incredibly important to the review process.
•	We want to recognize the significant time and work invested by Council members who participated in reviewing responses
•	We also appreciate the work of the UMMS team that supported the consumer reviewers

Thank you!!!

Slide 5: One Care MassHealth+Medicare
Bringing your care together

VISIT US ONLINE
www.mass.gov/one-care

EMAIL US 
OneCare@state.ma.us