MassHealth Demonstration 
to Integrate Care for Dual Eligibles
Implementation Council Meeting
January 31, 2014, 12:00 PM – 2:00 PM
1 Ashburton Place
Boston, MA

Slide 2:
Round Two Auto-Assignment
■	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

■	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 3:
■	Members who are being automatically enrolled received a 60-day notice by January 30 
■	30-day reminder notice will follow at the end of February
■	Copies of notices will be posted on the One Care website
■	Individuals can always self-select or opt out
■	MassHealth continues to encourage all individuals to carefully consider their enrollment options and make their own choice, using resources such as:
–	Enrollment packet materials (also available on One Care website, www.mass.gov/masshealth/onecare)
–	One Care plans (call or visit plan websites for more information and to search their provider directories. See One Care website for plan contact information
–	SHINE (Serving the Health Insurance Needs of Everyone) counselors (for an appointment, call 1-800-243-4636)
–	MassHealth Customer Service (call 1-800-841-2900, TTY: 1-800-497-4648)

Slide 4:
Auto-Assignment and Medicare Part D
■	In addition to receiving auto-assignment notices, the 60-day notice mailing will include an insert on “One Care and Part D” to help members understand what auto-assignment in One Care means for their Part D coverage
■	This is to address concerns that members are receiving notices from their Part D plans about being disenrolled
■	Key messages from the insert include:
–	You may receive a notice from your Part D plan that it will no longer cover your drugs as of April 1
–	You will continue to receive your prescription drug benefits from your current plan through March 31, 2014 
–	Your new prescription coverage from the One Care plan will start on April 1
–	There will be no gap in your prescription drug coverage. 
–	If you do not want to be in One Care, you may stay in your current prescription drug plan. You just need to call MassHealth before April 1

Slide 5:
One Care and Part D
■	MassHealth understands that members may also have questions about their Part D coverage in One Care, such as:
–	Whether their specific drugs are covered
–	How the continuity of care policy applies to drugs
■	MassHealth is open to suggestions from the Implementation Council and stakeholders on ways to provide this or similar information
Slide 6:

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

Email us at OneCare@state.ma.us