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Automatic assignment (or “auto-assignment”) is the term MassHealth uses to describe how we automatically enroll someone in a One Care plan. It is sometimes also called “passive enrollment.”
Not everyone who meets this description will be automatically enrolled in a One Care plan.
Before the coverage begins, MassHealth will send two notices to members who are being automatically enrolled in a One Care plan.
Both notices will tell members how they can join a different One Care plan or choose not to enroll in One Care.
If you tell MassHealth that you would like to keep your care the way it is now, MassHealth will not enroll you in a One Care plan now or at a later date. You can always choose to join a One Care plan at any time.
Below are samples of 60 day notices for members who are not yet eligible for, or enrolled in, Medicare.
Below are samples of 60 day notices for members who are already enrolled in MassHealth and Medicare.
Along with auto-assignment notices, if you are being auto-assigned into a One Care plan and you are already enrolled in Medicare, you may also receive a notice about One Care and Medicare Part D (see the additional resources section below for a sample Part D notice). This notice explains what auto-assignment in One Care means for Part D prescription drug coverage for members who already have a Part D plan. MassHealth sent this information to address concerns that members are getting notices from their Part D plans about losing their current prescription drug coverage.
When you enroll in One Care:
MassHealth Customer Service
Monday – Friday 8 a.m.-5 p.m.
TTY: (800) 497-4648 (for people who are deaf, hard of hearing, or speech disabled)
24 hours a day, 7 days a week
TTY: (877) 486-2048 (for people who are deaf, hard of hearing, or speech disabled)
One Care Ombudsman (OCO)
The One Care Ombudsman (OCO) is an independent program that helps individuals address concerns or conflicts that may interfere with their enrollment in One Care or their access to One Care benefits and services. The OCO works with MassHealth and each of the three One Care plans to help resolve concerns so that persons with disabilities can receive their health care benefits and exercise the rights to which they are entitled in One Care. OCO staff can work with you in person or over the phone.
Monday – Friday 9 a.m. - 5 p.m.
(855) 781-9898 (Toll Free)
MassRelay: dial 711 (for people who are deaf, hard of hearing, or speech disabled)
SHINE (Serving the Health Insurance Needs of Everyone)
SHINE counselors can work with you and your caregivers to help you understand your options. They are trained to assist people who have Medicare and MassHealth and will provide impartial information about your health insurance options. SHINE counselors are available Monday–Friday, 9 a.m.–5 p.m. A counselor can work with you in person, by phone, or through e-mail.
Monday – Friday 9 a.m.-5 p.m.
TTY: (800) 439-2370 (for people who are deaf, hard of hearing, or speech disabled)