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1115 MassHealth Demonstration ("Waiver")

Currently Approved 1115 MassHealth Demonstration ("Waiver")

The Commonwealth of Massachusetts’ current 1115 Demonstration  (Project Number II-W-00030/I) Extension was approved on September 28, 2022, effective October 1, 2022 through December 31, 2027.

  • MassHealth Demonstration Approval: PDF | Word
    • Waiver and Expenditure Authorities PDF | Word
    • STCs MassHealth 1115 Waiver Extension PDF | Word
  • Demonstration Approval Fact Sheet: PDF | Word
  • 1115 MassHealth Demonstration Extension Summary: PDF | Word

On 10/26/22, MassHealth held a public meeting to discuss the current MassHealth 1115 Demonstration, as well as the annual report on the progress of delivery system reform for calendar year 2020. Stakeholders had an opportunity to comment and ask questions.

Approval of Interim Evaluation Report – September 29, 2022

  • Approved Interim Evaluation Report: PDF | Word

Amendment of 1115 MassHealth Demonstration ("Waiver") –  August 11, 2022

On August 11, 2022, CMS approved Massachusetts' amendment requests related to serious mental illness and serious emotional disturbance (SMI/SED), Community Support Program services for individuals with justice involvement (CSP-JI), and Medicare cost-sharing assistance (MSP).

  • Demonstration Amendment Approval Letter: PDF | Word

 

Approval of Temporary 1115 Demonstration Extension by CMS (June 9, 2022 – September 30, 2022)

Centers for Medicare and Medicaid Services Expenditure Authority: PDF | Word

Centers for Medicare and Medicaid Services Special Terms & Conditions: PDF | Word

Centers for Medicare and Medicaid Services Special Waivers List: PDF | Word

Find the letter from CMS approving the temporary extension of the 1115 Waiver: PDF | Word

For more information about the request to extend the 1115 Demonstration, please see: 1115 MassHealth Demonstration ("Waiver") Extension Request

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)

See previous Demonstration Waiver documents

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

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