Information About Risk-Bearing Provider Organizations

Find links here to updated information regarding Risk-Bearing Provider Organizations (RBPOs), including regulations, guidelines, application forms and a list of entities which have received waivers.

From time to time new documents may be added or certain documents may be amended to reflect changes in law, regulation or practice.

2025-2026 RBPO Term Initial and Renewal Application Materials and Certification Information

RBPO - Informational Presentation 

PowerPoint presentation to assist risk-bearing provider organizations with application process.
Last Updated: September 2023

Frequently Asked Questions

Key questions and answers provider organizations may have about the application process - Revised August, 2015

Renewal Risk Certificate Application PDF  WORD 
Application for those organizations seeking Risk Certificates for the Term March 1, 2025 through February 28, 2026
 

Initial Risk Certificate Application PDF  WORD 
Application for those organizations seeking Risk Certificates for the Term March 1, 2025 through February 28, 2026

List of Actuaries Who Have Indicated Interest to Do Risk Certification Actuarial Reviews for RBPOs as of March 12, 2019 

Risk Certificate Waiver Application PDF  WORD 
Application for those organizations seeking Risk Certificate Waivers for the Term March 1, 2025 through February 28, 2026

Lists of Organizations Previously Granted RBPO Risk Certificate and Risk Certificate Waivers

Organizations Granted Risk Certificates for the Annual Period March 1, 2024 - February 28, 2025

Organizations Granted Risk Certificate Waivers for the Annual Period: March 1, 2024 - February 28, 2025

Organizations Granted Risk Certificates for the Annual Period: March 1, 2023 - February 29, 2024

Organizations Granted Risk Certificate Waivers For The Annual Period: March 1, 2023 – February 29, 2024

Organizations Granted Risk Certificates for the Annual Period: March 1, 2022 - February 28, 2023

Organizations Granted Risk Certificate Waivers for the Annual Period: March 1, 2022 – February 28, 2023

Organizations Granted Risk Certificates for the Annual Period: March 1, 2021 - February 28, 2022

Organizations Granted Risk Certificate Waivers for the Annual Period: March 1, 2021 – February 28, 2022

Organizations Granted Risk Certificates For The Annual Period: March 1, 2020- February 28, 2021

Organizations Granted Risk Certificate Waivers for the Annual Period: March 1, 2020 – February 28, 2021

Organizations Granted Risk Certificates for the Annual Period: March 1, 2019 - February 29, 2020

Organizations Granted Risk Certificate Waivers for the Annual Period: March 1, 2019 - February 29, 2020

Organizations Granted Risk Certificate Waivers for the Annual Period: March 1, 2018 – February 28, 2019

As of December 2017

Organizations Granted Risk Certificates for the Annual Period:  March 1, 2018 - February 28, 2019

As of January 2018

Organizations Granted Risk Certificate Waivers For The Annual Period: March 1, 2017 - February 28, 2018 
As of December 2016

Organizations Granted Risk Certificates For The Annual Period: March 1, 2017 - February 28, 2018 
As of January, 2017

Organizations Granted Risk Certificates For The Annual Period: March 1, 2016 - Febuary 28, 2017 
As of July 1, 2016

Organizations Granted Risk Certificate Waivers For The Annual Period: March 1, 2016 - February 28, 2017 
Current list of organizations that have been granted risk waivers for the annual term March 1, 2016 - February 28, 2017. Updated October 21, 2015

RBPO Filing Guidance and Legal Information

Regulation: 211 CMR 155.00 

The Division’s regulation drafted to implement Massachusetts General Law Chapter 176T concerning Risk-Bearing Provider Organizations

Bulletin 2014-05

The Division’s bulletin drafted to provide additional guidance with respect to the requirements of provider organizations when applying for initial Risk Certificates or Risk Certificate Waivers

Final RBPO Filing Guidance Notice 

Current information and RBPO guidance, including applications and details regarding the process for becoming certified or obtaining a waiver