Slide 1: One Care Implementation Council Meeting
Executive Office of Health & Human Services
MassHealth Demonstration to Integrate Care for Dual Eligibles
April 13, 2021, 10:00 AM – 12:00 PM
Virtual Meeting via Zoom
Slide 2: Updates: Procurement for One Care Plans and Duals Demo 2.0
•	Background
o	In Spring 2020, due to the COVID-19 pandemic, MassHealth decided to delay the procurement implementation for One Care Plans by a year to January 2022. 
o	In addition, MassHealth and CMS paused work on the Duals Demo 2.0 Memorandum of Understanding (MOU).
•	Procurement for One Care Plans: 
o	EOHHS selected five entities to enter contract negotiations to become One Care Plans for January 1, 2021; two later withdrew. 
o	MassHealth has resumed contract negotiations with the three remaining selected entities to implement the procurement for One Care Plans for January 1, 2022: 
•	Commonwealth Care Alliance
•	Tufts Health Public Plans
•	UnitedHealthcare Community Plan
o	MassHealth is conducting Readiness Reviews for the selected entities to provide One Care products for 2022.
o	United is not currently contracted with CMS as a One Care Plan, and will also be subject to a joint Readiness process with CMS and MassHealth. All three selected entities must meet annual Medicare submission requirements.
o	Despite the uncertainty in timing for the MOU to be finalized for Duals Demo 2.0, we expect the procurement for One Care plans would still be implemented for January 2022; 
o	The timing to incorporate the new Demo elements into Three-way Contracts would depend on when the MOU is signed.
Slide 3: Updates: Duals Demo 2.0 and SCO
•	Duals Demo 2.0:
o	Duals Demo 2.0 would be authorized through a Memorandum of Understanding (MOU) between CMS and EOHHS.
o	MassHealth and CMS resumed work on the MOU in Fall 2020 after the pause due to COVID-19, and will share additional details about the MOU when they are available.
o	While work has resumed, the timing for completing the necessary reviews has been postponed.
o	To ensure no gaps in One Care, CMS and MassHealth expect to provide for extensions to the current demonstration and contracts as necessary.
o	CMS and MassHealth are working through contracting details, and expect to share additional information about this process later this Spring.
•	Senior Care Options (SCO)
o	MassHealth had proposed that SCO be incorporated into Duals Demo 2.0 to bring additional flexibilities to the program, and we expect that SCO will be included in the MOU when it is finalized.
o	MassHealth expects that the current SCO contracts would be split into Three-way Contracts and Two-way Medicaid Contracts under Duals Demo 2.0.
o	While SCO and One Care would both be incorporated into Duals Demo 2.0, they would continue to operate as separate and distinct programs going forward.
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