MassHealth Health Care Reform

1115 Demonstration Waiver

1115 Demonstration ("Waiver") Amendment Approval (December 14, 2017)

1115 Demonstration Amendment Approval: PDF | Word

1115 Demonstration ("Waiver") Amendment Request (Filed September 8, 2017)

MassHealth Section 1115 Demonstration Amendment Request: PDF |Word

Budget Neutrality Worksheet: PDF | Word

Public Comments to Proposed MassHealth Section 1115 Demonstration Amendment Request (English, DOC 8.5 MB)

Draft 1115 Demonstration ("Waiver") Amendment Request (As posted for Public Comment July 20, 2017)

The public comment period is now CLOSED.

The public-comment period is now open and will close at 5:00 PM on Monday, August 21, 2017.

Public Notice for 1115 Demonstration Amendment Request: PDF | Word

Summary of 1115 Demonstration Amendment Request: PDF | Word

1115 Demonstration Amendment Request Draft: PDF | Word

1115 Demonstration ("Waiver") Amendment Request (Filed June 26, 2017)

Section 1115 Demonstration Amendment Request Submitted to CMS (English, PDF 73.54 KB)

Section 1115 Demonstration Amendment Request Submitted to CMS (English, DOCX 30.08 KB)

Budget Neutrality Worksheets (English, PDF 16.43 KB)

Budget Neutrality Worksheets (English, DOCX 19.68 KB)

Comments Received for Section 1115 Demonstration Amendment Request (English, PDF 12.23 MB)

Comments Received for Section 1115 Demonstration Amendment Request (English, DOCX 643.04 KB)

Draft 1115 Demonstration ("Waiver") Amendment Request (As posted for Public Comment May 12, 2017)

The public comment period is now CLOSED.

The public-comment period is now open and will close at 5:00 p.m. on Monday, June 12, 2017.

Public Notice for 1115 Demonstration Amendment Request (English, DOC 199 KB)

Public Notice for 1115 Demonstration Amendment Request (English, PDF 161.36 KB)

Summary of 1115 Demonstration Amendment Request (English, PDF 182.39 KB)

Summary of 1115 Demonstration Amendment Request (English, DOC 42.5 KB)

Draft 1115 Demonstration Amendment Request (English, PDF 182.39 KB)

Draft 1115 Demonstration Amendment Request (English, DOC 42.5 KB)

1115 Demonstration ("Waiver") Amendment and Extension Approval (November 4, 2016)

1115 Waiver Approval Letter (November 4, 2016) (English, PDF 622.67 KB)

1115 Waiver Approval Letter (November 4, 2016) (English, DOC 52 KB)

1115 Waiver Amendment Approved (English, PDF 2.89 MB)

1115 Waiver Amendment Approved (English, DOC 3.47 MB)

1115 Waiver Extension Approval (English, PDF 1.15 MB)

1115 Waiver Extension Approval (English, DOC 1.15 MB)

1115 Demonstration ("Waiver") Extension Request (Filed July 22, 2016)

1115 Waiver Summary (English, PDF 55.91 KB)

1115 Waiver Summary (English, DOC 165 KB)

Section 1115 Demonstration Extension Request Submitted to CMS (English, PDF 1.64 MB)

Section 1115 Demonstration Extension Request Submitted to CMS (English, DOC 1.42 MB)

Appendix A. Public Notices (English, DOC 7.08 MB)

Appendix A. Public Notices (English, PDF 3.93 MB)

Appendix B. Tribal Consultation Documents (English, PDF 798.95 KB)

Appendix B. Tribal Consultation Documents (English, DOC 133.59 KB)

Appendix C. Public Comments (English, PDF 7.44 MB)

Appendix C. Public Comments (English, DOC 10.57 MB)

Appendix C. Public Comments (English, PDF 7.44 MB)

Appendix C. Public Comments (English, DOC 10.57 MB)

Appendix D. Budget Neutrality Worksheets (English, DOC 1.71 MB)

Appendix D. Budget Neutrality Worksheets (English, PDF 96.41 KB)

Appendix E. Interim Evaluation (English, DOC 318.63 KB)

Appendix E. Interim Evaluation (English, PDF 409.24 KB)

Draft 1115 Demonstration ("Waiver") Extension Request (as posted for public comment June 15, 2016)

Public Notice for 1115 Demonstration Extension Request (English, DOC 26.5 KB)

Public Notice for 1115 Demonstration Extension Request (English, PDF 76.53 KB)

Section 1115 Demonstration Extension Request (English, PDF 1.31 MB)

Section 1115 Demonstration Extension Request (English, DOCX 408.19 KB)

Appendix B: Budget Neutrality Worksheets (English, PDF 182.39 KB)

Appendix B: Budget Neutrality Worksheets (English, DOC 42.5 KB)

1115 Demonstration ("Waiver") Extension Technical Corections Approval (January 20, 2015)

1115 Demonstration Extension Technical Corrections Approval (English, PDF 1.71 MB)

1115 Demonstration Extension Technical Corrections Approval (English, DOC 1.65 MB)

1115 Demonstration ("Waiver") Extension Approval (October 30, 2014)

1115 Demonstration Extension Approval (English, DOC 1.67 MB)

1115 Demonstration Extension Approval (English, PDF 1.84 MB)

1115 Demonstration ("Waiver") Extension Request (September 30, 2013)

Cover Letter: PDF | Word

Section 1115 Demonstration Extension Request Submitted to CMS: PDF |Word

Appendix A. List of Frequently Used Abbreviations: PDF | Word

Appendix B. Interim Evaluation of the Demonstration: PDF | Word

Appendix C. Safety Net Care Pool Funding: PDF | Word

Appendix D. Budget Neutrality Worksheets (English, XLS 296.5 KB)

Appendix E. Public Notice Materials: PDF | Word

1115 Demonstration ("Waiver") Amendment Approved (October 1, 2013)

1115 Demonstration Amendment Approval Documents (English, DOC 5.88 MB)

1115 Demonstration Amendment Approval Documents (English, PDF 2.86 MB)

Draft 1115 Demonstration ("Waiver") Renewal Request (as posted for public comment August 20, 2013)

The public comment period is now CLOSED.

The public-comment period is now open and will close at 5:00 p.m. on Thursday, September 19, 2013.

Section 1115 Demonstration Slides from Public Stakeholder Meetings: PPT | Word

Summary of 1115 Demonstration and Public Comment Process: PDF | Word

MassHealth 1115 Waiver Renewal Draft for Public Comment: PDF | Word

Appendix A. List of Frequently Used Abbreviations: PDF | Word

Appendix B. Requested Safety Net Care Pool Funding: PDF | Word

Appendix C. Budget Neutrality Worksheets (English, XLS 286 KB)

1115 Demonstration ("Waiver") Amendment Request (Filed June 4, 2013)

Cover Letter (English, TXT 2.29 KB)

Cover Letter (English, PDF 58.4 KB)

Amendment Request Proposal Submitted to CMS (English, PDF 338.37 KB)

Amendment Request Proposal Submitted to CMS (English, DOC 127 KB)

ACA Transition Plan (English, DOCX 95.47 KB)

 ACA Transition Plan (English, DOCX 95.47 KB)

Draft 1115 Demonstration ("Waiver") Amendment Request (As posted for Public Comment May 1, 2013)

The public comment period is now CLOSED.

The Public Comment Period (May 1, 2013 – May 30, 2013) has now closed.

Summary of 1115 Demonstration Amendment and Public Comment Process (English, DOC 37.5 KB)

Summary of 1115 Demonstration Amendment and Public Comment Process (English, PDF 66.12 KB)

1115 Demonstration Amendment Request Draft (English, PDF 268.56 KB)

1115 Demonstration Amendment Request Draft (English, DOC 115.5 KB)

ACA Transition Plan Draft (English, PDF 470.75 KB)

ACA Transition Plan Draft (English, DOC 289.5 KB)

1115 Demonstration Amendment Budget Neutrality Draft (English, PDF 136.38 KB)

1115 Demonstration Amendment Budget Neutrality Draft (English, XLS 236 KB)

1115 Demonstration ("Waiver") Extension Approved (December 20, 2011)

Demonstration Extension Approval Documents (English, TXT 384.52 KB)

Demonstration Extension Approval Documents (English, PDF 656.59 KB)

1115 Demonstration Extension Request (June 2010)

Demonstration Extension Request (English, PDF 225.51 KB)

Demonstration Extension Request (English, RTF 1.4 MB)

1115 Demonstration ("Waiver") Amendment Request (Filed March 1, 2010)

Cover Letter (English, PDF 422.8 KB)

Cover Letter (English, RTF 78.05 KB)

Amendment Request Proposal Submitted to CMS (English, PDF 80.42 KB)

Amendment Request Proposal Submitted to CMS (English, TXT 41.71 KB)

Redlined Special Terms and Conditions (March 1, 2010) (English, PDF 283.68 KB)

Redlined Special Terms and Conditions (March 1, 2010) (English, RTF 1.96 MB)

Federal Budget Neutrality Summary (March 1, 2010) (English, XLS 245 KB)

Federal Budget Neutrality Summary (March 1, 2010) (English, PDF 4.34 KB)

Payment Methodology -Transitional Relief to Private Hospitals (English, PDF 8 KB)

Payment Methodology -Transitional Relief to Private Hospitals (English, RTF 90.92 KB)

Waiver Amendment as Approved September 30, 2010 (English, PDF 341.98 KB)

Waiver Amendment as Approved September 30, 2010 (English, RTF 1.15 MB)

Waiver Amendment as Approved January 19, 2011 (English, PDF 1.5 MB)

Waiver Amendment as Approved January 19, 2011 (English, RTF 1.22 MB)

1115 Demonstration ('Waiver") Extension Approved (December 22, 2008)

Demonstration Extension Approval Documents (English, PDF 3.16 MB)

Demonstration Extension Approval Documents (English, RTF 1.75 MB)

1115 Demonstration Extension Request (December 2007)

Cover Letter (English, PDF 92.38 KB)

Cover Letter (English, RTF 15.17 KB)

Demonstration Extension Proposal Submitted to CMS (12/21/07) (English, PDF 126 KB)

Demonstration Extension Proposal Submitted to CMS (12/21/07) (English, TXT 66.04 KB)

MA Budget Neutrality Calculation for SFY (2009 – 2011) (English, PDF 207.52 KB)

MA Budget Neutrality Calculation for SFY (2009 – 2011) (English, RTF 308.16 KB)

Healthy Massachusetts Compact (English, PDF 153.92 KB)

Healthy Massachusetts Compact (English, RTF 15.17 KB)

1115 Demonstration Extension Request (June 2007)

Cover Letter: PDF | Word

Demonstration Extension Proposal Submitted to CMS (06/29/07): PDF | Word

• (A) Public Education Plan: PDF | Word
• (B) Health Care Quality and Cost Council SFY 2008 Statewide Goals: PDF
• (C) Proposed Changes to Section 2 of the Program Specifications: PDF | Word
• (D) Proposed Changes to Section 11 of the Program Specifications: PDF | Word

1115 Demonstration Waiver Special Terms and Conditions (June 2007)

Approval Letter and Special Terms and Conditions (6/19/07) (English, PDF 918.87 KB)

Approval Letter and Special Terms and Conditions (6/19/07) (English, TXT 342.92 KB)

1115 Demonstration Waiver Amendment (Health Care Reform) Publications

(A) Chapter 58 of the Acts of 2006

Cover Letter (05/01/06): PDF | Word

Waiver Amendment: PDF | Word

(B) Title XXI SCHIP State Plan Amendment: PDF | Word

Exhibit - MassHealth Eligibility Standards: PDF | XLS

Exhibit - MassHealth Coverage by Federal Reimbursement Matrix: PDF | XLS

(C) Safety Net Care Pool Sources and Uses: PDF | XLS

(D) Safety Net Care Pool Payment Methodologies: PDF | Word

(E) Budget Neutrality Projection: PDF | XLS

Approval Letter: PDF | Word

Expenditure Authority: PDF | Word

Special Terms and Conditions: PDF | Word

Waiver List: PDF | Word