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: October 2025

Frequently Asked Questions

Key questions and answers provider organizations may have about the application process - Last Updated: October 2025

List of Actuaries Who Have Indicated Interest to Do Risk Certification Actuarial Reviews for RBPOs as of October 1, 2025 

Renewal Risk Certificate Application 
Application for those organizations seeking Risk Certificates for the Term March 1, 2026 through February 28, 2027
 

Initial Risk Certificate Application 
Application for those organizations seeking Risk Certificates for the Term March 1, 2026 through February 28, 2027

Risk Certificate Waiver Application 
Application for those organizations seeking Risk Certificate Waivers for the Term March 1, 2026 through February 28, 2027

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

Organizations Currently Granted RBPO Risk Certificate and Risk Certificate Waivers

Organizations Previously Granted RBPO Risk Certificate and Risk Certificate Waivers

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

Contact

The Division has a dedicated email inbox for RBPO Licensing questions:  DOI.RBPO@mass.gov. 

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