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What you need to know

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List of MassHealth Accountable Care Organizations and Manage Care Organizations
Currently Approved 1115 MassHealth Demonstration ("Waiver")
For information regarding procurement materials, please consult the COMMBUYS.
Behavioral Health (BH) and Long-Term Services and Supports (LTSS) Community Partners (CPs) are community-based entities that work with Accountable Care Organizations (ACOs) and Managed Care Organizations (MCOs) to provide care management and coordination to certain members identified by MassHealth, ACOs, and MCOs. BH CPs provide supports to certain members with significant behavioral health needs, including serious mental illness and addiction. LTSS CPs provide supports to certain members with complex LTSS needs, such as children and adults with physical and developmental disabilities and brain injuries.

MassHealth members enrolled in an ACO or MCO may be eligible to participate in the CP program. CPs are not available to members enrolled in the Primary Care Clinician (PCC) Plan or in Mass Health’s fee-for-service (FFS) program unless the member is affiliated with the Department of Mental Health’s Adult Community Clinical Supports program. When members have other state agency or provider supports, CPs supplement and coordinate with those supports but do not duplicate the functions provided by them.
Read below for information about the TPA for LTSS services
The Massachusetts Executive Office of Health and Human Services (EOHHS) invited individuals to participate in a series of eight work groups to inform the restructuring of the MassHealth Program.
MassHealth’s Provider Facing Reporting and Transparency Initiative
See below for the 2015 hospital upper payment limit.
See below for information about MassHealth stakeholder meetings that took place in 2017.
See below for information about MassHealth stakeholder meetings that took place in 2016.
See below for information about MassHealth stakeholder meetings that took place in 2015.
Join us at an upcoming listening session, where you can provide feedback on this important covered service.
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