MassHealth Health Care Reform

1115 Demonstration Waiver

1115 Demonstration ("Waiver") Amendment Approval (December 14, 2017)

1115 Demonstration Amendment Approval (English, PDF 11.62 MB)

1115 Demonstration Amendment Approval (English, DOCX 551.11 KB)

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

MassHealth Section 1115 Demonstration Amendment Request (English, PDF 156.25 KB)

MassHealth Section 1115 Demonstration Amendment Request (English, DOC 134 KB)

Budget Neutrality Worksheet (English, PDF 70.03 KB)

Budget Neutrality Worksheet (English, DOCX 25.49 KB)

Public Comments to Proposed MassHealth Section 1115 Demonstration Amendment Request (English, DOC 8.5 MB)

Draft 1115 Demonstration ("Waiver") Amendment Request (As posted for Public Comment July 20, 2017)

The public comment period is now CLOSED.

The public-comment period is now open and will close at 5:00 PM on Monday, August 21, 2017.

Public Notice for 1115 Demonstration Amendment Request (English, PDF 184.14 KB)

Public Notice for 1115 Demonstration Amendment Request (English, DOC 79 KB)

Summary of 1115 Demonstration Amendment Request (English, PDF 264.37 KB)

Summary of 1115 Demonstration Amendment Request (English, DOC 41 KB)

1115 Demonstration Amendment Request Draft (English, PDF 307.9 KB)

1115 Demonstration Amendment Request Draft (English, DOC 111.5 KB)

1115 Demonstration ("Waiver") Amendment Request (Filed June 26, 2017)

Section 1115 Demonstration Amendment Request Submitted to CMS (English, PDF 73.54 KB)

Section 1115 Demonstration Amendment Request Submitted to CMS (English, DOCX 30.08 KB)

Budget Neutrality Worksheets (English, PDF 16.43 KB)

Budget Neutrality Worksheets (English, DOCX 19.68 KB)

Comments Received for Section 1115 Demonstration Amendment Request (English, PDF 12.23 MB)

Comments Received for Section 1115 Demonstration Amendment Request (English, DOCX 643.04 KB)

Draft 1115 Demonstration ("Waiver") Amendment Request (As posted for Public Comment May 12, 2017)

The public comment period is now CLOSED.

The public-comment period is now open and will close at 5:00 p.m. on Monday, June 12, 2017.

Public Notice for 1115 Demonstration Amendment Request (English, DOC 199 KB)

Public Notice for 1115 Demonstration Amendment Request (English, PDF 161.36 KB)

Summary of 1115 Demonstration Amendment Request (English, PDF 182.39 KB)

Summary of 1115 Demonstration Amendment Request (English, DOC 42.5 KB)

Draft 1115 Demonstration Amendment Request (English, PDF 182.39 KB)

Draft 1115 Demonstration Amendment Request (English, DOC 42.5 KB)

1115 Demonstration ("Waiver") Amendment and Extension Approval (November 4, 2016)

1115 Waiver Approval Letter (November 4, 2016) (English, PDF 622.67 KB)

1115 Waiver Approval Letter (November 4, 2016) (English, DOC 52 KB)

1115 Waiver Amendment Approved (English, PDF 2.89 MB)

1115 Waiver Amendment Approved (English, DOC 3.47 MB)

1115 Waiver Extension Approval (English, PDF 1.15 MB)

1115 Waiver Extension Approval (English, DOC 1.15 MB)

1115 Demonstration ("Waiver") Extension Request (Filed July 22, 2016)

1115 Waiver Summary (English, PDF 55.91 KB)

1115 Waiver Summary (English, DOC 165 KB)

Section 1115 Demonstration Extension Request Submitted to CMS (English, PDF 1.64 MB)

Section 1115 Demonstration Extension Request Submitted to CMS (English, DOC 1.42 MB)

Appendix A. Public Notices (English, DOC 7.08 MB)

Appendix A. Public Notices (English, PDF 3.93 MB)

Appendix B. Tribal Consultation Documents (English, PDF 798.95 KB)

Appendix B. Tribal Consultation Documents (English, DOC 133.59 KB)

Appendix C. Public Comments (English, PDF 7.44 MB)

Appendix C. Public Comments (English, DOC 10.57 MB)

Appendix C. Public Comments (English, PDF 7.44 MB)

Appendix C. Public Comments (English, DOC 10.57 MB)

Appendix D. Budget Neutrality Worksheets (English, DOC 1.71 MB)

Appendix D. Budget Neutrality Worksheets (English, PDF 96.41 KB)

Appendix E. Interim Evaluation (English, DOC 318.63 KB)

Appendix E. Interim Evaluation (English, PDF 409.24 KB)

Draft 1115 Demonstration ("Waiver") Extension Request (as posted for public comment June 15, 2016)

Public Notice for 1115 Demonstration Extension Request (English, DOC 26.5 KB)

Public Notice for 1115 Demonstration Extension Request (English, PDF 76.53 KB)

Section 1115 Demonstration Extension Request (English, PDF 1.31 MB)

Section 1115 Demonstration Extension Request (English, DOCX 408.19 KB)

Appendix B: Budget Neutrality Worksheets (English, PDF 182.39 KB)

Appendix B: Budget Neutrality Worksheets (English, DOC 42.5 KB)

1115 Demonstration ("Waiver") Extension Technical Corections Approval (January 20, 2015)

1115 Demonstration Extension Technical Corrections Approval (English, PDF 1.71 MB)

1115 Demonstration Extension Technical Corrections Approval (English, DOC 1.65 MB)

1115 Demonstration ("Waiver") Extension Approval (October 30, 2014)

1115 Demonstration Extension Approval (English, DOC 1.67 MB)

1115 Demonstration Extension Approval (English, PDF 1.84 MB)

1115 Demonstration ("Waiver") Extension Request (September 30, 2013)

Cover Letter (English, PDF 108.18 KB)

Cover Letter (English, DOC 375.5 KB)

Section 1115 Demonstration Extension Request Submitted to CMS (English, DOC 681.5 KB)

Section 1115 Demonstration Extension Request Submitted to CMS (English, PDF 564.5 KB)

Appendix A. List of Frequently Used Abbreviations (English, DOC 23 KB)

Appendix A. List of Frequently Used Abbreviations (English, PDF 194.66 KB)

Appendix B. Interim Evaluation of the Demonstration (English, DOC 7.9 MB)

Appendix B. Interim Evaluation of the Demonstration (English, PDF 14.81 MB)

Appendix C. Safety Net Care Pool Funding (English, DOC 41 KB)

Appendix C. Safety Net Care Pool Funding (English, PDF 53.74 KB)

Appendix D. Budget Neutrality Worksheets (English, XLS 296.5 KB)

Appendix E. Public Notice Materials (English, DOC 1.26 MB)

Appendix E. Public Notice Materials (English, PDF 2.54 MB)

1115 Demonstration ("Waiver") Amendment Approved (October 1, 2013)

1115 Demonstration Amendment Approval Documents (English, DOC 5.88 MB)

1115 Demonstration Amendment Approval Documents (English, PDF 2.86 MB)

Draft 1115 Demonstration ("Waiver") Renewal Request (as posted for public comment August 20, 2013)

The public comment period is now CLOSED.

The public-comment period is now open and will close at 5:00 p.m. on Thursday, September 19, 2013.

Section 1115 Demonstration Slides from Public Stakeholder Meetings (English, PPTX 6.37 MB)

Section 1115 Demonstration Slides from Public Stakeholder Meetings (English, DOCX 21.4 KB)

Summary of 1115 Demonstration and Public Comment Process (English, PDF 336.02 KB)

Summary of 1115 Demonstration and Public Comment Process (English, RTF 9.52 KB)

MassHealth 1115 Waiver Renewal Draft for Public Comment (English, PDF 1.05 MB)

MassHealth 1115 Waiver Renewal Draft for Public Comment (English, RTF 9.34 MB)

Appendix A. List of Frequently Used Abbreviations (English, PDF 199.47 KB)

Appendix A. List of Frequently Used Abbreviations (English, RTF 2.26 KB)

Appendix B. Requested Safety Net Care Pool Funding (English, PDF 305.8 KB)

Appendix B. Requested Safety Net Care Pool Funding (English, RTF 21.16 KB)

Appendix C. Budget Neutrality Worksheets (English, XLS 286 KB)

1115 Demonstration ("Waiver") Amendment Request (Filed June 4, 2013)

Cover Letter (English, TXT 2.29 KB)

Cover Letter (English, PDF 58.4 KB)

Amendment Request Proposal Submitted to CMS (English, PDF 338.37 KB)

Amendment Request Proposal Submitted to CMS (English, DOC 127 KB)

ACA Transition Plan (English, DOCX 95.47 KB)

 ACA Transition Plan (English, DOCX 95.47 KB)

Draft 1115 Demonstration ("Waiver") Amendment Request (As posted for Public Comment May 1, 2013)

The public comment period is now CLOSED.

The Public Comment Period (May 1, 2013 – May 30, 2013) has now closed.

Summary of 1115 Demonstration Amendment and Public Comment Process (English, DOC 37.5 KB)

Summary of 1115 Demonstration Amendment and Public Comment Process (English, PDF 66.12 KB)

1115 Demonstration Amendment Request Draft (English, PDF 268.56 KB)

1115 Demonstration Amendment Request Draft (English, DOC 115.5 KB)

ACA Transition Plan Draft (English, PDF 470.75 KB)

ACA Transition Plan Draft (English, DOC 289.5 KB)

1115 Demonstration Amendment Budget Neutrality Draft (English, PDF 136.38 KB)

1115 Demonstration Amendment Budget Neutrality Draft (English, XLS 236 KB)

1115 Demonstration ("Waiver") Extension Approved (December 20, 2011)

Demonstration Extension Approval Documents (English, TXT 384.52 KB)

Demonstration Extension Approval Documents (English, PDF 656.59 KB)

1115 Demonstration Extension Request (June 2010)

Demonstration Extension Request (English, PDF 225.51 KB)

Demonstration Extension Request (English, RTF 1.4 MB)

1115 Demonstration ("Waiver") Amendment Request (Filed March 1, 2010)

Cover Letter (English, PDF 422.8 KB)

Cover Letter (English, RTF 78.05 KB)

Amendment Request Proposal Submitted to CMS (English, PDF 80.42 KB)

Amendment Request Proposal Submitted to CMS (English, TXT 41.71 KB)

Redlined Special Terms and Conditions (March 1, 2010) (English, PDF 283.68 KB)

Redlined Special Terms and Conditions (March 1, 2010) (English, RTF 1.96 MB)

Federal Budget Neutrality Summary (March 1, 2010) (English, XLS 245 KB)

Federal Budget Neutrality Summary (March 1, 2010) (English, PDF 4.34 KB)

Payment Methodology -Transitional Relief to Private Hospitals (English, PDF 8 KB)

Payment Methodology -Transitional Relief to Private Hospitals (English, RTF 90.92 KB)

Waiver Amendment as Approved September 30, 2010 (English, PDF 341.98 KB)

Waiver Amendment as Approved September 30, 2010 (English, RTF 1.15 MB)

Waiver Amendment as Approved January 19, 2011 (English, PDF 1.5 MB)

Waiver Amendment as Approved January 19, 2011 (English, RTF 1.22 MB)

1115 Demonstration ('Waiver") Extension Approved (December 22, 2008)

Demonstration Extension Approval Documents (English, PDF 3.16 MB)

Demonstration Extension Approval Documents (English, RTF 1.75 MB)

1115 Demonstration Extension Request (December 2007)

Cover Letter (English, PDF 92.38 KB)

Cover Letter (English, RTF 15.17 KB)

Demonstration Extension Proposal Submitted to CMS (12/21/07) (English, PDF 126 KB)

Demonstration Extension Proposal Submitted to CMS (12/21/07) (English, TXT 66.04 KB)

MA Budget Neutrality Calculation for SFY (2009 – 2011) (English, PDF 207.52 KB)

MA Budget Neutrality Calculation for SFY (2009 – 2011) (English, RTF 308.16 KB)

Healthy Massachusetts Compact (English, PDF 153.92 KB)

Healthy Massachusetts Compact (English, RTF 15.17 KB)

1115 Demonstration Extension Request (June 2007)

Cover Letter (English, PDF 926.8 KB)

Cover Letter (English, TXT 3.95 KB)

Demonstration Extension Proposal Submitted to CMS (06/29/07) (English, PDF 158.25 KB)

Demonstration Extension Proposal Submitted to CMS (06/29/07) (English, RTF 526.99 KB)

(A) Public Education Plan (English, PDF 78.43 KB)

(A) Public Education Plan (English, TXT 6.88 KB)

(B) Health Care Quality and Cost Council SFY 2008 Statewide Goals (English, PDF 66.59 KB)

(C) Proposed Changes to Section 2 of the Program Specifications (English, PDF 163.15 KB)

(C) Proposed Changes to Section 2 of the Program Specifications (English, RTF 172.74 KB)

(D) Proposed Changes to Section 11 of the Program Specifications (English, PDF 57.8 KB)

(D) Proposed Changes to Section 11 of the Program Specifications (English, RTF 22.4 KB)

1115 Demonstration Waiver Special Terms and Conditions (June 2007)

Approval Letter and Special Terms and Conditions (6/19/07) (English, PDF 918.87 KB)

Approval Letter and Special Terms and Conditions (6/19/07) (English, TXT 342.92 KB)

1115 Demonstration Waiver Amendment (Health Care Reform) Publications

(A) Chapter 58 of the Acts of 2006

Cover Letter (05/01/06) (English, PDF 12.05 KB)

Cover Letter (05/01/06) (English, DOC 24 KB)

Waiver Amendment (English, PDF 193.96 KB)

Waiver Amendment (English, DOC 142 KB)

(B) Title XXI SCHIP State Plan Amendment (English, PDF 276.2 KB)

(B) Title XXI SCHIP State Plan Amendment (English, DOC 526.5 KB)

Exhibit - MassHealth Eligibility Standards (English, PDF 12.17 KB)

Exhibit - MassHealth Eligibility Standards (English, XLS 23 KB)

Exhibit - MassHealth Coverage by Federal Reimbursement Matrix (English, PDF 32.36 KB)

Exhibit - MassHealth Coverage by Federal Reimbursement Matrix (English, XLS 49 KB)

(C) Safety Net Care Pool Sources and Uses (English, PDF 36.21 KB)

(C) Safety Net Care Pool Sources and Uses (English, XLS 73.5 KB)

(D) Safety Net Care Pool Payment Methodologies (English, PDF 100.99 KB)

(D) Safety Net Care Pool Payment Methodologies (English, DOC 126 KB)

(E) Budget Neutrality Projection (English, PDF 19.27 KB)

(E) Budget Neutrality Projection (English, XLS 106 KB)

Approval Letter (07/26/06) (English, PDF 180.07 KB)

Approval Letter (07/26/06) (English, RTF 64.99 MB)

Expenditure Authority (English, PDF 45.18 KB)

Expenditure Authority (English, RTF 28.22 KB)

Special Terms and Conditions (English, PDF 1009.11 KB)

Special Terms and Conditions (English, RTF 884.85 KB)

Waiver List (English, PDF 28.11 KB)

Waiver List (English, RTF 10.27 KB)