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1115 MassHealth Demonstration ("Waiver") Extension Request

Find the extension proposal and other supporting documents here.

On August 18, 2021 the Massachusetts Executive Office of Health and Human Services (EOHHS) announces its intent to submit a Request to Extend the MassHealth Section 1115 Demonstration to the Centers for Medicare and Medicaid Services (CMS). This fall, EOHHS will submit an 1115 demonstration extension request to continue progress in improving health outcomes and closing health disparities with five goals:

  1. Continue the path of restructuring and re-affirm accountable, value-based care – increasing expectations for how ACOs improve care and trend management, and refining the model.
  2. Reform and invest in primary care, behavioral health and pediatric care that expands access and moves the delivery system away from siloed, fee-for-service health care.
  3. Advance health equity, with a focus on initiatives addressing health-related social needs and specific disparities, including maternal health and health care for justice-involved individuals.
  4. Sustainably support the Commonwealth’s safety net, including level, predictable funding for safety net providers, with a continued linkage to accountable care.
  5. Maintain near-universal coverage including updates to eligibility policies to support coverage and equity.

Table of Contents

Supporting Documents

  • 1115 Demonstration Extension Public Notice:  PDF | Word
  • 1115 Demonstration Extension Summary:  PDF | Word
  • 1115 Demonstration Extension Summary ESP: PDF | Word
  • 1115 Demonstration Extension Request:  PDF | Word
  • 1115 Demonstration Extension Budget Neutrality Workbook: PDF | Excel
  • 1115 Demonstration Interim Evaluation Report:   PDF | Word

Public Comment Period

EOHHS will accept written comments on the proposed Request through September 20, 2021. Written comments may be delivered by email or mail. By email, please send comments to 1115-Comments@mass.gov and include “Comments on 1115 Demonstration Extension Request” in the subject line. By mail, please send comments to: EOHHS Office of Medicaid, Attn: 1115 Demonstration Comments, One Ashburton Place, 11th Floor, Boston, MA 02108. Comments must be received by 5 pm on September 20, 2021 in order to be considered. Paper or electronic copies of the extension request documents and/or submitted comments may be obtained by emailing a request to 1115-Comments@mass.gov or by mailing a request to EOHHS Office of Medicaid, Attn: 1115 Demonstration Comments, One Ashburton Place, 11th Floor, Boston, MA 02108. Comments will be posted on the MassHealth 1115 Demonstration website.

EOHHS will host two public listening sessions to hear public comments on the Request. Stakeholders are invited to review the Request in advance and share with EOHHS staff at the listening sessions any input and feedback, or questions for future clarification. The listening sessions are scheduled as follows:


Password: 948301

    • Or iPhone one-tap (US Toll):  +13126266799,98201482334# or +16468769923,98201482334#
    • Or dial by Telephone:

+1 312 626 6799 (US Toll)

+1 646 876 9923 (US Toll)

+1 301 715 8592 (US Toll)

+1 346 248 7799 (US Toll)

+1 669 900 6833 (US Toll)

+1 253 215 8782 (US Toll)

Meeting ID: 982 0148 2334 -  Password: 948301

International numbers available: https://umassmed.zoom.us/u/adJOqArzhe
 

Password: 067626

  • Or iPhone one-tap (US Toll):  +16468769923,95670890113# or +13017158592,95670890113#
     
  • Or dial by Telephone:

+1 646 876 9923 (US Toll)

+1 301 715 8592 (US Toll)

+1 312 626 6799 (US Toll)

+1 669 900 6833 (US Toll)

+1 253 215 8782 (US Toll)

+1 346 248 7799 (US Toll)

Meeting ID: 956 7089 0113 -  Password: 067626

International numbers available:  https://umassmed.zoom.us/u/aF0xpSqVI

Live transcription and closed captioning will be available at both events, and we anticipate providing Spanish interpretation. Please contact Alysa St. Charles at Alysa.StCharles@umassmed.edu to request reasonable accommodations or additional language translation for either date.

Further information about the Massachusetts 1115 Demonstration can be found on the CMS website: https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/82006.

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