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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.

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)

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

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