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MassHealth Innovations

We at MassHealth commit ourselves to a sustainable, strong program for our 1.9 million members. Our goal is to transform the basic structure of MassHealth, which has not changed for the past 20 years.

MassHealth is launching a new system of provider-led organizations called Accountable Care Organizations, or ACOs. These entities are provider led organizations that coordinate care, have an enhanced role for primary care, and are paid based on care outcomes verses the volume of services provided. In addition, we are making changes to our managed care organization (MCO) program to align with these new goals. These new entities will work with Community Partners, community-based organizations that provide care coordination to ACO and MCO members. To make this happen, we negotiated a new 5-year 1115 waiver with the federal government. This includes $1.8 billion of investment over 5 years.

What you need to know

MassHealth Primary Care Sub-Capitation Program  Massachusetts Delivery System Reform Incentive Payment Program  Full list of ACOs and MCOs  MassHealth Demonstration Waiver  Procurements  MassHealth Community Partners (CP) Program  MassHealth Risk Adjustment Methodology  MassHealth FY18 Budget Updates  Stakeholder Work Groups  Provider Reporting  2015 Hospital Upper Payment Limit  2017 Updates and Previous Meetings   2016 Updates and Previous Meetings  2015 Updates and Previous Meetings   Recovery coach program listening session   MassHealth Quality and Equity Incentive Programs 

Contact Information

Address

P.O. Box 278, Quincy, MA 02171
Directions 

Phone

Main: Call MassHealth Customer Service for Providers, Main: at (800) 841-2900

Open Monday–Friday 8 a.m.–5 p.m.

TTY/TDD: Call MassHealth Customer Service for Providers, TTY/TDD: at 711

Online

Email Email MassHealth Customer Service for Providers at provider@masshealthquestions.com

Fax

(617) 988-8974

Events

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