Slide 1:
One Care: MassHealth plus Medicare
MassHealth Demonstration to Integrate Care for Dual Eligibles

Slide 2:
Total Enrollment

•	Effective February 1, total number of enrollees: 9,541
o	Commonwealth Care Alliance (CCA): 6,238
o	Fallon Total Care: 2,503
o	Network Health: 800
•	Total number of opt-outs as of February 1: 16,642
•	Additional details regarding enrollment as of February 1 are posted in the Monthly Enrollment Report on the One Care website
Slide 3:
Round Two Auto-Assignment Update
•	Round two auto-assignments will take effect April 1, 2014
•	Approximately 6,400 people are being automatically enrolled in a One Care plan for an April 1 start date
•	MassHealth mailed 60-day notices to those individuals on January 24-25, and 30-day reminder notices on February 21
•	Round two includes individuals from across the target population, including those with higher levels of LTSS and behavioral health need (i.e., C1, C2 and C3 rating categories) 
•	In addition to primary care, MassHealth used data on where individuals accessed LTSS and behavioral health services to match individuals to a One Care plan
•	MassHealth worked closely with the One Care plans throughout the assignment process to understand their capacity to accept additional auto-assignment enrollments, and to maximize matches with their provider networks 

Slide 4:
Auto-Assignment and Medicare Part D
•	Both the 60-day and 30-day notice mailings included an insert on “One Care and Part D” to help members understand what auto-assignment in One Care means for their Part D coverage, including:
o	You will continue to receive your prescription drug benefits from your current plan through March 31, 2014 
o	Your new prescription coverage from the One Care plan will start on April 1
•	This is to address concerns that members are receiving notices from their Part D plans about being disenrolled
•	To provide additional information to members, MassHealth is working with CMS to develop more comprehensive information about Part D coverage and One Care
o	Will address enrollment, continuity of care, covered drugs, and other key topics
o	MassHealth will also work with SHINE, which has expertise in helping individuals understand Medicare Part D and their options
Slide 5:
LTS Coordinator
•	MassHealth is continuing efforts to ensure that we have an effective Independent Living and Long Term Services and Support (LTS) Coordinator role in One Care

•	MassHealth is working with stakeholders, the Implementation Council, and the One Care plans to
o	Develop a common understanding of, and vision for, the role of the LTS Coordinator
o	Achieve balance in implementation such that the LTS Coordinator resources meet the actual needs of One Care members (numbers and skill sets); adds value; and is fiscally responsible 
o	Determine approaches for communicating the value, role and availability of an LTS Coordinator to enrollees and members

Slide 6:
LTS Coordinator (cont’d)
•	Out of these dialogues, specific action steps are being identified; so far, these include:
o	Developing standard language/materials for members that explains the LTS Coordinator and the option for members to have one on their Care Team
o	Designing training protocols for providers and plans on how the LTS Coordinator role will be implemented in One Care

•	Implementation Council will be represented in the ongoing dialogue, along with DAAHR, ILCs, RLCs, ASAPs, the One Care plans, the One Care Ombudsman, and EOHHS/MassHealth

Slide 7:
Assessment Data
•	MassHealth has begun working with the plans to collect information on assessment including the following:
o	Number of assessments completed
o	Number of LTS Coordinator referrals
o	Number of LTS Coordinator encounters

•	Along with other early indicators, this data will give us a sense of how implementation is going with regard to the assessment process and the use of LTS Coordinators

Slide 8:
Mailing to Additional Members
•	In September 2013, MassHealth sent a One Care Enrollment Package to approximately 82,000 members and their guardians
o	Introduced One Care and let members know about the opportunity to self-select into a One Care plan in their area
o	Included a One Care Enrollment Guide, a cover letter with a purple stripe, a List of Covered Services, and an Enrollment Decision Form
•	MassHealth is now planning to send a similar mailing, in late March, to:
o	Individuals who have become eligible for One Care since September mail file was created
o	Others who appear eligible in MassHealth data, but were not mailed to in September
•	Expected to include approximately 10,000-15,000 members in total
•	MassHealth will look at feedback and experience with September mailing to make improvements for March mailing

Slide 9:
Consumer Outreach Strategies
•	Focused on increasing public awareness of One Care with efforts at the community level, including
o	Scheduling sessions/events with community organizations that work with One Care target populations (e.g. ILCs, RLCs, organizations focused on homelessness) 
o	Briefing legislators on One Care and identifying opportunities and/or venues in their districts for targeted outreach
•	Targeting 3-6 community sessions over the next 6 months
•	These efforts will be informed by outreach Implementation Council members and others have been doing with their community contacts 

Slide 10:
Provider Engagement Strategies
•	Targeted outreach to key providers (April/May 2014)
o	Planning event to bring influential providers into conversation about advantages of participating in One Care 
o	Targeting primary care in particular, which is key in member enrollment decisions
o	Scheduling for April/May
•	Communication with members and providers (Ongoing)
o	Developing provider facing materials (FAQ, Provider Guide, Flyer) to communicate with providers about One Care
o	One Care member materials assure members they can change their mind about enrollment at any time
o	Encouraging plans to continue provider network development; strategically focus on large provider groups
•	Coordinate with the Implementation Council Provider Strategy workgroup

Slide 11:
MassHealth and Implementation Council Planning Meeting 
•	MassHealth is coordinating with the Implementation Council chairs to set up a meeting within the next few weeks
•	Key agenda items will be:
o	2013 Implementation Council Annual Report
o	2014 work plan
o	2014 priorities

Slide 12:

Visit us at www.mass.gov/masshealth/onecare 

Email us at OneCare@state.ma.us