Information for Organizations Interested in Serving as One Care Plans

See below for information for organizations interested in serving as One Care Plans.

Announcement for Organizations Interested in Participating as One Care Plans – February 11, 2019

The Executive Office of Health and Human Services (EOHHS) has released the Request for Responses (RFR) for One Care Plans. EOHHS is also releasing an updated timeline under which plans selected through this RFR for contract negotiations would accept enrollments effective for January 1, 2021 under Duals Demonstration 2.0 and the new One Care Contract. The RFR is published on COMMBUYS at http://www.commbuys.com under COMMBUYS Bid Number BD-18-1039-EHS01-EHS02-20518.

EOHHS recognizes the vital role that One Care plays in the diverse communities of individuals living with disabilities it serves, as well as its importance as a national leader on Medicare and Medicaid integration. This RFR reflects important lessons learned since One Care began in 2013; incorporates the thoughtful and insightful feedback received from the One Care Implementation Council, members, advocates, providers, potential plans, and other interested parties; and outlines strong requirements for innovative, person-centered, fiscally-sound care delivery to effectively address the needs of members and hold One Care Plans accountable for improving their enrollees’ health and well-being.

The procurement timeline released today is as follows:

  1. RFR Issued: February 11, 2019
  2. Respondents’ Conferences:
  • 1st Respondents’ Conference:
    March 4, 2019
    10:00 a.m. – 12:00 p.m. (EST)
  • 2nd Respondents’ Conference (if needed):
    March 11, 2019
    2:00 p.m. – 4:00 p.m. (EST)
    Please check COMMBUYS for an update, which will be posted no later than 5:00 p.m. on March 6, 2019
  1. Written Inquiries Due: March 29, 2019
  2. Letter of Intent Due: April 30, 2019
  3. Respondents’ Responses Due: 4:00 p.m. (EST) May 24, 2019
  4. Anticipated Date for Selection Announcement: Early Fall 2019
  5. Anticipated Contract Execution Date: Late Spring/Summer 2020
  6. Anticipated Service Start Date: January 1, 2021

The full COMMBUYS announcement is also available below. Any questions about this announcement or the RFR should be directed to: Lou DeLena at louis.delena@state.ma.us.

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MassHealth Announcement for Organizations Interested in Participating as One Care plans in 2020 – December 24, 2018

In anticipation of the release of the procurement and to assist potential bidders, the Executive Office of Health and Human Services (EOHHS) is releasing a Databook and an Eligibility and Enrollment File with this announcement.

The Databook contains summarized demographic and cost data related to eligible populations and covered services for One Care, and is being released with a narrative to describe the information in the Databook. EOHHS expects to make additional data files summarizing data from Medicare data sources available in 2019. 

The Eligibility and Enrollment Filesummarizes the number of MassHealth members eligible for and enrolled in One Care by county and Zip Code as of October 26, 2018. This information is provided for all 14 Massachusetts counties to indicate where members live and would be eligible for One Care if it were currently available statewide. 

These files are provided for information purposes only and is subject to change. EOHHS makes no guarantees of enrollment or rates to any future bidder who may become a One Care Plan under any procurement.  

EOHHS will not release anything further related to the procurement during calendar year 2018. ​

MassHealth will post updates about the One Care procurement process on both COMMBUYS (www.commbuys.com) and at www.mass.gov/service-details/information-for-organizations-interested-in-serving-as-one-care-plans, which is linked from the Duals Demonstration 2.0 (www.mass.gov/duals-demonstration-20) and One Care (www.mass.gov/one-care) websites under “Information for Organizations Interested in Serving as One Care Plans.”

MassHealth has updated COMMBUYS with an important announcement for organizations interested in participating as One Care plans effective January 1, 2020 – November 2, 2018

The Centers for Medicare and Medicaid Services (CMS) has released the Contract Year 2020 Notice of Intent to Apply (NOIA) web tool and key dates for the 2020 Medicare-Medicaid Plan (MMP) application cycle.

Organizations that do not currently operate a One Care plan in Massachusetts must submit a NOIA indicating their intention to operate an MMP in Massachusetts in accordance with timelines established by CMS. The NOIA deadline to ensure timely access to the CMS Health Plan Management System (HPMS) is November 12, 2018. NOIAs are non-binding, but are a pre-requisite to initiating the contracting process with CMS to operate a One Care Plan.

Organizations interested in operating a One Care Plan beginning in 2020, and not currently operating a One Care Plan, should submit a NOIA by November 12, 2018, as described in CMS’ guidance at:  https://www.cms.gov/Research-Statistics-Data-and-Systems/Computer-Data-and-Systems/HPMS/HPMS-Memos-Archive-Weekly-Items/SysHPMS-Memo-2018-Week3-Oct-15-19.html?DLPage=1&DLEntries=10&DLSort=1&DLSortDir=descending

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Update on One Care Plan Procurement Timeline

On October 9, 2018, MassHealth posted the following on COMMBUYS:

MassHealth has appreciated the robust engagement of members, advocates, providers, current and potential plans, and other interested parties in stakeholder activities over the last several months.  We are in the process of reviewing and incorporating feedback from the Request for Information (RFI) on topics related to One Care, Senior Care Options (SCO) and Duals Demonstration 2.0 that closed on September 24th.  We expect to release the procurement for One Care Plans in the next 1-2 months.

Please direct any questions about this announcement to: 

Executive Office of Health and Human Services
Attn: Melissa Morrison
One Ashburton Place, 11th floor
Boston, MA 02108
Email: Melissa.Morrison@state.ma.us

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Announcement for Organizations Interested in Participating as One Care Plans in 2020 - July 13, 2018

MassHealth is pleased to share several updates about the expected upcoming process to procure organizations to participate as One Care plans effective January 1, 2020. 

In addition, we are also announcing three public listening sessions (www.mass.gov/service-details/duals-demonstration-open-meetings) to hear from stakeholders about topics related to Duals Demonstration 2.0.  The meeting announcement and the full COMMBUYS announcement are also available below. 

Expected One Care Plan Procurement Process

To be a One Care plan, organizations must both:

  1. Be selected through the MassHealth procurement process; and
  2. Meet all application and contracting requirements established by the federal Centers for Medicare & Medicaid Services (CMS) to be eligible to participate with Medicare as a One Care plan. 

EOHHS and CMS will provide updates about the CMS requirements for 2020 as they become available.

Anticipated Procurement Timeline:

Milestone Date
One Care Plan Procurement Release August 2018 (tentative)
Letters of Intent Requested by MassHealth September 2018 (tentative)
Bidder Responses Due October 2018 (tentative)
Medicare Notice of Intent to Apply (NOIA) Due* November 2018
One Care Plan Selection January 2019 (tentative)
Medicare Applications Due* February 2019
Network Submissions Due for Validation** March 2019
Joint Readiness Reviews** February - July 2019 (tentative)
Medicare Bids Due* June 3, 2019
First Enrollment Effective Date January 1, 2020

*Milestone is a part of CMS’ annual Medicare application and contracting process

**Joint MassHealth and CMS/Medicare process

MassHealth will post updates about the One Care procurement process on both COMMBUYS (www.commbuys.com) and here (www.mass.gov/service-details/information-for-organizations-interested-in-serving-as-one-care-plans).

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Update: January 2020 Effective Date for One Care Plan Procurement – June 30, 2017

MassHealth has decided to move its timeline for releasing the One Care plan procurement to 2018 and anticipates having new One Care plans in place on January 1, 2020. The new timing of this procurement will allow:

  • Opportunities to align agency-wide long-term services and supports (LTSS) policies and timelines among the One Care, MCO, and ACO programs;
  • Interested parties to fully participate in the One Care procurement; and
  • MassHealth to conduct robust stakeholder engagement in developing the One Care procurement

MassHealth will post updates about the One Care procurement process on both COMMBUYS (www.commbuys.com) and here.

The full COMMBUYS announcement is also available below.

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Update: the Effective Date for One Care Plan Procurement Has Been Changed to 2019

MassHealth has decided to push out the effective date of the reprocurement for One Care plans by one year, from January 1, 2018 to January 1, 2019.

We have executed a two-year extension to the One Care demonstration and the health plans currently in the program to continue through December 31, 2018. MassHealth plans to reopen the opportunity for interested health plans to submit Letters of Intent and questions for the upcoming reprocurement in early 2017.

MassHealth will be providing more information about the new timeline in the near future. Future updates about One Care procurement will be posted both here and on COMMBUYS

MassHealth is Now Accepting Letters of Intent from Organizations Interested in Participating as One Care Plans in 2018

MassHealth is pleased to announce that it is accepting Letters of Intent (LOIs) from organizations interested in participating as One Care plans effective January 1, 2018. MassHealth will accept LOIs until 5:00 PM on Friday, August 12, 2016. MassHealth requests that interested organizations submit LOIs for informational and resource planning purposes. Submission of an LOI is voluntary and non-binding. Failure to submit a Letter of Intent will not preclude an organization from applying to participate as a One Care plan.

In addition, MassHealth will accept written questions from interested parties until 5:00 PM on Friday, July 29, 2016. MassHealth will post responses to questions which may help clarify this request on the Duals website under “Information for Organizations Interested in Serving as One Care Plans” and on COMMBUYS.

Please see announcement below for more information.

Note that the deadlines for written questions and LOI submission posted on COMMBUYS on July 7th, 2016 were extended. The extended deadlines are reflected in the updated LOI announcement posted here, and in the text above.

MassHealth will post updates about the One Care procurement both here and on COMMBUYS.

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