Slide 1:  One Care:  Implementation Council Meeting
Executive Office of Health & Human Services
MassHealth Demonstration to Integrate Care for Dual Eligibles
Tuesday, December 10, 2019, 10:00 AM – 12:00 PM
Boston Society of Architects
290 Congress Street, Boston, MA, Suite 200
Slide 2: Updates from MassHealth 1
•	Nursing Facility Task Force
o	Governor Baker signed legislation establishing the Nursing Facility Task Force in July 2019
o	The Task Force is charged with:
•	Evaluating ways to ensure the financial stability of skilled nursing facilities;
•	Considering the role of skilled nursing facilities within the continuum of elder care services; and
•	Addressing current workforce challenges
o	The Task Force is chaired by the Secretary of Health and Human Services and is comprised of a diverse panel of policymakers, medical professionals, experts on long-term care and aging policy, and representatives from skilled nursing facilities
o	Meetings are open to the public and materials are posted online (www.mass.gov/orgs/nursing-facility-task-force)
o	The next meeting is:
•	2:00 p.m. – 4:00 p.m. on December 20, 2019
•	50 Milk Street, 8th floor, Boston, MA 02109
Slide 3: Updates from MassHealth 2
•	Personal Care Attendant (PCA) Services Transition of Care
o	MassHealth is beginning a process to ensure that members who disenroll to fee-for-service (FFS) from One Care or SCO, and who are receiving self-directed PCA services for hands-on assistance are able to access those PCA services without disruption
•	Personal Assistance for Cueing and Monitoring cannot be provided through MassHealth FFS
•	This process would not address members who lose MassHealth eligibility
o	In order to ensure members continue to seamlessly access PCA services a time limited prior authorization will be issued for their PCA services in MassHealth FFS
o	This is effective starting with disenrollments requests received after January 1, 2020  
o	One Care and SCO plans are responsible for notifying the PCM agency of the disenrollment 
o	MassHealth is holding a training for all PCM agencies on December 17 with information about how to request these prior authorizations   
•	Procurement Updates
Slide 4: One Care 
MassHealth+Medicare
Bringing your care together

VISIT US ONLINE

EMAIL US 
OneCare@state.ma.us