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1115 MassHealth Demonstration ("Waiver")

Currently Approved 1115 MassHealth Demonstration ("Waiver")

The Commonwealth of Massachusetts’ current 1115 Demonstration agreement (Project Number II-W-00030/I) Extension was approved on November 4, 2016, effective July 1, 2017, through June 30, 2022. This extension seeks to transform the delivery of care for most MassHealth members and to change how that care is paid for, with the goals of improving quality and establishing greater control over spending.

1115 MassHealth Demonstration ("Waiver") Amendment Request (Filed June 8, 2021, updated June 17, 2021)

  • Section 1115 Demonstration ("Waiver") Amendment Request Submitted to CMS (PDF) | (Word)
  • Public Comments to Proposed MassHealth Section 1115 Demonstration ("Waiver") Amendment Request (PDF) | (Word)

Draft 1115 MassHealth Demonstration ("Waiver") Amendment Request (as posted for public comment March 23, 2021)

The public-comment period closed on April 25, 2021.

  • 1115 MassHealth Demonstration (“Waiver”) Amendment Public Notice (PDF) | (Word)
  • 1115 MassHealth Demonstration (“Waiver”) Amendment Request (PDF) | (Word)
  • 1115 MassHealth Demonstration (“Waiver”) Amendment Summary (PDF) | (Word)
  • MassHealth 1115 Demonstration ("Waiver") Amendment Public Meeting Slides - March 31, 2021 (PDF) | (Word) | (PPT)

On May 23, 2019, CMS approved Massachusetts’ amendment request related to post-eligibility treatment of income for veteran annuities. On June 26, 2019 CMS approved technical corrections related to this amendment approval. Please see approval letters for a more detailed list of the edits included.

  • 1115 MassHealth Demonstration (“Waiver”) Amendment Approval Letter 5-23-19 (PDF) | (Word)
  • 1115 MassHealth Demonstration (“Waiver”) Technical Corrections Approval Letter 6-26-19 (PDF) | (Word)
  • 1115 MassHealth Demonstration (“Waiver”) Expenditure Authority (06-26-19) (PDF) | (Word)
  • 1115 MassHealth Demonstration (“Waiver”) Waiver List (06-26-19) (PDF)(Word)
  • 1115 MassHealth Demonstration (“Waiver”) STC (06-26-19) (PDF) (Word)

1115 MassHealth Demonstration ("Waiver") Evaluation Design – January 31, 2019

  • 1115 MassHealth Demonstration (“Waiver”) Evaluation Design Approval Letter (PDF) | (Word)
  • 1115 MassHealth Demonstration (“Waiver”) Evaluation Design (PDF) | (Word)

1115 MassHealth Demonstration ("Waiver") Revised Evaluation Design – March 30, 2021 

  • 1115 MassHealth Demonstration ("Waiver") Revised Evaluation Design Approval Letter (PDF) | (Word)
  • 1115 MassHealth Demonstration (“Waiver”) Revised Evaluation Design (PDF) | (Word)

Technical Corrections of 1115 MassHealth Demonstration ("Waiver") – October 23, 2018

On October 23, 2018, CMS approved a number of technical corrections throughout Massachusetts' Demonstration documents. Please see approval letter for a more detailed list of the edits included.

  • 1115 MassHealth Demonstration (“Waiver”) Technical Corrections Approval Letter 10-23-18 (PDF) | (Word)
  • 1115 MassHealth Demonstration (“Waiver”) Expenditure Authority 10-23-18 (PDF) | (Word)

  • 1115 MassHealth Demonstration (“Waiver”) Waiver List 10-23-18 (PDF) | (Word)

  • 1115 MassHealth Demonstration (“Waiver”) STC 10-23-18 (PDF) | (Word)

Amendment of 1115 MassHealth Demonstration ("Waiver") – June 27, 2018

On June 27, 2018, CMS approved Massachusetts' amendment request related to veteran annuities.

  • 1115 MassHealth Demonstration (“Waiver”) Amendment Approval Letter 6-27-18 (PDF) | (Word)

  • 1115 MassHealth Demonstration (“Waiver”) Expenditure Authority 6-27-18 (PDF) | (Word)

  • 1115 MassHealth Demonstration (“Waiver”) Waiver List 6-27-18  (PDF| (Word)

  • 1115 MassHealth Demonstration (“Waiver”) STC 6-27-18 (PDF| (Word)

  • 1115 MassHealth Demonstration (“Waiver”) Attachments Zip File | (PDF)

Amendment of 1115 MassHealth Demonstration ("Waiver") – December 14, 2017

On December 14, 2017, CMS approved Massachusetts’ amendment request related to provisional eligibility and former foster care youth.

  • 1115 MassHealth Demonstration (“Waiver”) Approval Letter – 12-14-17 (PDF) (Word)
  • 1115 MassHealth Demonstration (“Waiver”) – Amended 12-14-17 (PDF) | (Word)

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

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