2012 Demonstration Proposal

See below for information about the demonstration proposal

Final Demonstration Proposal Submitted to CMS

MassHealth’s final proposal for a State Demonstration to Integrate Care for Dual Eligible Individuals was submitted to CMS on February 16, 2012. The final Demonstration Proposal and accompanying documents are posted below. In addition, CMS posted the proposal at www.cms.gov/Medicare-Medicaid-Coordination/Medicare-and-Medicaid-Coordination/Medicare-Medicaid-Coordination-Office/FinancialAlignmentInitiative/StateProposals.html on February 17.

CMS is seeking public comment through a 30-day notice period. During this time interested individuals or groups may submit comments to help inform CMS’ review of the proposal. To be assured consideration, please submit comments by 5 p.m. EST, March 19. You may submit comments on this proposal to [e-mail].

Public Comments on the Draft Demonstration Proposal

MassHealth’s draft Demonstration Proposal on Integrating Medicare and Medicaid for Dual Eligible Individuals was posted on Dec. 7, 2011, for a 30-day public comment period, ending January 10, 2012.

Written Comments Submitted to MassHealth on the Draft Demonstration Proposal

In addition to hearing oral comments provided in two public hearings (see posting below), MassHealth received many written comments from stakeholders.

The written comments received by MassHealth are posted below. The comments are organized into three files according to who authored them: members, community organizations, and providers/health plans. The Index indicates which author’s comments are contained in each file.  

Transcripts from Public Hearings on the Draft Demonstration Proposal

The transcripts from each of the public hearings are now available.

Draft Demonstration Proposal for Public Comment and Public Hearings

The Commonwealth of Massachusetts Executive Office of Health and Human Services (EOHHS)/MassHealth is developing a new program to integrate Medicare and Medicaid for individuals ages 21-64 who are eligible for both programs (“dual eligibles”). Under a proposed Demonstration with the federal Centers for Medicare & Medicaid Services (CMS), MassHealth and CMS will use combined Medicare and Medicaid funding to contract with integrated care organizations to provide integrated, comprehensive care, including MassHealth and Medicare benefits, plus diversionary behavioral health benefits and additional long term services and supports.

MassHealth’s draft Demonstration Proposal on Integrating Medicare and Medicaid for Dual Eligible Individuals was posted for a 30-day public comment period, ending January 10, 2012. MassHealth held two public hearings about the draft proposal on:

• December 16, 2011, 1 PM - 4 PM
  Worcester Public Library, Saxe Room
  3 Salem Square
  Worcester, MA

• January 4, 2012, 10 AM - 1 PM
  State Transportation Building, Conference Rooms 2 & 3
  10 Park Place
  Boston, MA

Original Notice for Draft Demonstration Proposal

The original notice posted on this website on December 7, 2011, about our draft proposal and our public hearings is also available below.