1115 Demonstration ("Waiver") Amendment Approval (December 14, 2017)
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Open PDF file, 11.62 MB, for
1115 Demonstration Amendment Approval
(English, PDF 11.62 MB)
Open DOCX file, 551.11 KB, for
1115 Demonstration Amendment Approval
(English, DOCX 551.11 KB)
1115 Demonstration ("Waiver") Amendment Request (Filed September 8, 2017)
Additional Resources for
Open PDF file, 156.25 KB, for
MassHealth Section 1115 Demonstration Amendment Request
(English, PDF 156.25 KB)
Open DOC file, 134 KB, for
MassHealth Section 1115 Demonstration Amendment Request
(English, DOC 134 KB)
Open PDF file, 70.03 KB, for
Budget Neutrality Worksheet
(English, PDF 70.03 KB)
Open DOCX file, 25.49 KB, for
Budget Neutrality Worksheet
(English, DOCX 25.49 KB)
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.
Additional Resources for
Open PDF file, 184.14 KB, for
Public Notice for 1115 Demonstration Amendment Request
(English, PDF 184.14 KB)
Open DOC file, 79 KB, for
Public Notice for 1115 Demonstration Amendment Request
(English, DOC 79 KB)
Open PDF file, 264.37 KB, for
Summary of 1115 Demonstration Amendment Request
(English, PDF 264.37 KB)
Open DOC file, 41 KB, for
Summary of 1115 Demonstration Amendment Request
(English, DOC 41 KB)
Open PDF file, 307.9 KB, for
1115 Demonstration Amendment Request Draft
(English, PDF 307.9 KB)
Open DOC file, 111.5 KB, for
1115 Demonstration Amendment Request Draft
(English, DOC 111.5 KB)
1115 Demonstration ("Waiver") Amendment Request (Filed June 26, 2017)
Additional Resources for
Open PDF file, 73.54 KB, for
Section 1115 Demonstration Amendment Request Submitted to CMS
(English, PDF 73.54 KB)
Open DOCX file, 30.08 KB, for
Section 1115 Demonstration Amendment Request Submitted to CMS
(English, DOCX 30.08 KB)
Open PDF file, 16.43 KB, for
Budget Neutrality Worksheets
(English, PDF 16.43 KB)
Open DOCX file, 19.68 KB, for
Budget Neutrality Worksheets
(English, DOCX 19.68 KB)
Open PDF file, 12.23 MB, for
Comments Received for Section 1115 Demonstration Amendment Request
(English, PDF 12.23 MB)
Open DOCX file, 643.04 KB, for
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.
Additional Resources for
Open DOC file, 199 KB, for
Public Notice for 1115 Demonstration Amendment Request
(English, DOC 199 KB)
Open PDF file, 161.36 KB, for
Public Notice for 1115 Demonstration Amendment Request
(English, PDF 161.36 KB)
Open PDF file, 182.39 KB, for
Summary of 1115 Demonstration Amendment Request
(English, PDF 182.39 KB)
Open DOC file, 42.5 KB, for
Summary of 1115 Demonstration Amendment Request
(English, DOC 42.5 KB)
Open PDF file, 182.39 KB, for
Draft 1115 Demonstration Amendment Request
(English, PDF 182.39 KB)
Open DOC file, 42.5 KB, for
Draft 1115 Demonstration Amendment Request
(English, DOC 42.5 KB)
1115 Demonstration ("Waiver") Amendment and Extension Approval (November 4, 2016)
Additional Resources for
Open DOC file, 52 KB, for
1115 Waiver Approval Letter (November 4, 2016)
(English, DOC 52 KB)
Open PDF file, 622.67 KB, for
1115 Waiver Approval Letter (November 4, 2016)
(English, PDF 622.67 KB)
Open PDF file, 2.89 MB, for
1115 Waiver Amendment Approved
(English, PDF 2.89 MB)
Open DOC file, 3.47 MB, for
1115 Waiver Amendment Approved
(English, DOC 3.47 MB)
Open DOC file, 1.15 MB, for
1115 Waiver Extension Approval
(English, DOC 1.15 MB)
Open PDF file, 1.15 MB, for
1115 Waiver Extension Approval
(English, PDF 1.15 MB)
1115 Demonstration ("Waiver") Extension Request (Filed July 22, 2016)
Additional Resources for
Open PDF file, 55.91 KB, for
1115 Waiver Summary
(English, PDF 55.91 KB)
Open DOC file, 165 KB, for
1115 Waiver Summary
(English, DOC 165 KB)
Open PDF file, 1.64 MB, for
Section 1115 Demonstration Extension Request Submitted to CMS
(English, PDF 1.64 MB)
Open DOC file, 1.42 MB, for
Section 1115 Demonstration Extension Request Submitted to CMS
(English, DOC 1.42 MB)
Open DOC file, 7.08 MB, for
Appendix A. Public Notices
(English, DOC 7.08 MB)
Open PDF file, 3.93 MB, for
Appendix A. Public Notices
(English, PDF 3.93 MB)
Open PDF file, 798.95 KB, for
Appendix B. Tribal Consultation Documents
(English, PDF 798.95 KB)
Open DOC file, 133.59 KB, for
Appendix B. Tribal Consultation Documents
(English, DOC 133.59 KB)
Open PDF file, 7.44 MB, for
Appendix C. Public Comments
(English, PDF 7.44 MB)
Open DOC file, 10.57 MB, for
Appendix C. Public Comments
(English, DOC 10.57 MB)
Open PDF file, 7.44 MB, for
Appendix C. Public Comments
(English, PDF 7.44 MB)
Open DOC file, 10.57 MB, for
Appendix C. Public Comments
(English, DOC 10.57 MB)
Open DOC file, 1.71 MB, for
Appendix D. Budget Neutrality Worksheets
(English, DOC 1.71 MB)
Open PDF file, 96.41 KB, for
Appendix D. Budget Neutrality Worksheets
(English, PDF 96.41 KB)
Open DOC file, 318.63 KB, for
Appendix E. Interim Evaluation
(English, DOC 318.63 KB)
Open PDF file, 409.24 KB, for
Appendix E. Interim Evaluation
(English, PDF 409.24 KB)
Draft 1115 Demonstration ("Waiver") Extension Request (as posted for public comment June 15, 2016)
Additional Resources for
Open DOC file, 26.5 KB, for
Public Notice for 1115 Demonstration Extension Request
(English, DOC 26.5 KB)
Open PDF file, 76.53 KB, for
Public Notice for 1115 Demonstration Extension Request
(English, PDF 76.53 KB)
Open PDF file, 1.31 MB, for
Section 1115 Demonstration Extension Request
(English, PDF 1.31 MB)
Open DOCX file, 408.19 KB, for
Section 1115 Demonstration Extension Request
(English, DOCX 408.19 KB)
Open PDF file, 182.39 KB, for
Appendix B: Budget Neutrality Worksheets
(English, PDF 182.39 KB)
Open DOC file, 42.5 KB, for
Appendix B: Budget Neutrality Worksheets
(English, DOC 42.5 KB)
1115 Demonstration ("Waiver") Extension Technical Corections Approval (January 20, 2015)
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Open PDF file, 1.71 MB, for
1115 Demonstration Extension Technical Corrections Approval
(English, PDF 1.71 MB)
Open DOC file, 1.65 MB, for
1115 Demonstration Extension Technical Corrections Approval
(English, DOC 1.65 MB)
1115 Demonstration ("Waiver") Extension Approval (October 30, 2014)
Additional Resources for
Open DOC file, 1.67 MB, for
1115 Demonstration Extension Approval
(English, DOC 1.67 MB)
Open PDF file, 1.84 MB, for
1115 Demonstration Extension Approval
(English, PDF 1.84 MB)
1115 Demonstration ("Waiver") Extension Request (September 30, 2013)
Additional Resources for
Open PDF file, 108.18 KB, for
Cover Letter
(English, PDF 108.18 KB)
Open DOC file, 375.5 KB, for
Cover Letter
(English, DOC 375.5 KB)
Open DOC file, 681.5 KB, for
Section 1115 Demonstration Extension Request Submitted to CMS
(English, DOC 681.5 KB)
Open PDF file, 564.5 KB, for
Section 1115 Demonstration Extension Request Submitted to CMS
(English, PDF 564.5 KB)
Open DOC file, 23 KB, for
Appendix A. List of Frequently Used Abbreviations
(English, DOC 23 KB)
Open PDF file, 194.66 KB, for
Appendix A. List of Frequently Used Abbreviations
(English, PDF 194.66 KB)
Open DOC file, 7.9 MB, for
Appendix B. Interim Evaluation of the Demonstration
(English, DOC 7.9 MB)
Open PDF file, 14.81 MB, for
Appendix B. Interim Evaluation of the Demonstration
(English, PDF 14.81 MB)
Open DOC file, 41 KB, for
Appendix C. Safety Net Care Pool Funding
(English, DOC 41 KB)
Open PDF file, 53.74 KB, for
Appendix C. Safety Net Care Pool Funding
(English, PDF 53.74 KB)
Open XLS file, 296.5 KB, for
Appendix D. Budget Neutrality Worksheets
(English, XLS 296.5 KB)
Open DOC file, 1.26 MB, for
Appendix E. Public Notice Materials
(English, DOC 1.26 MB)
Open PDF file, 2.54 MB, for
Appendix E. Public Notice Materials
(English, PDF 2.54 MB)
1115 Demonstration ("Waiver") Amendment Approved (October 1, 2013)
Additional Resources for
Open DOC file, 5.88 MB, for
1115 Demonstration Amendment Approval Documents
(English, DOC 5.88 MB)
Open PDF file, 2.86 MB, for
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.
Additional Resources for
Open PPTX file, 6.37 MB, for
Section 1115 Demonstration Slides from Public Stakeholder Meetings
(English, PPTX 6.37 MB)
Open DOCX file, 21.4 KB, for
Section 1115 Demonstration Slides from Public Stakeholder Meetings
(English, DOCX 21.4 KB)
Open PDF file, 336.02 KB, for
Summary of 1115 Demonstration and Public Comment Process
(English, PDF 336.02 KB)
Open RTF file, 9.52 KB, for
Summary of 1115 Demonstration and Public Comment Process
(English, RTF 9.52 KB)
Open PDF file, 1.05 MB, for
MassHealth 1115 Waiver Renewal Draft for Public Comment
(English, PDF 1.05 MB)
Open RTF file, 9.34 MB, for
MassHealth 1115 Waiver Renewal Draft for Public Comment
(English, RTF 9.34 MB)
Open PDF file, 199.47 KB, for
Appendix A. List of Frequently Used Abbreviations
(English, PDF 199.47 KB)
Open RTF file, 2.26 KB, for
Appendix A. List of Frequently Used Abbreviations
(English, RTF 2.26 KB)
Open PDF file, 305.8 KB, for
Appendix B. Requested Safety Net Care Pool Funding
(English, PDF 305.8 KB)
Open RTF file, 21.16 KB, for
Appendix B. Requested Safety Net Care Pool Funding
(English, RTF 21.16 KB)
Open XLS file, 286 KB, for
Appendix C. Budget Neutrality Worksheets
(English, XLS 286 KB)
1115 Demonstration ("Waiver") Amendment Request (Filed June 4, 2013)
Additional Resources for
Open TXT file, 2.29 KB, for
Cover Letter
(English, TXT 2.29 KB)
Open PDF file, 58.4 KB, for
Cover Letter
(English, PDF 58.4 KB)
Open PDF file, 338.37 KB, for
Amendment Request Proposal Submitted to CMS
(English, PDF 338.37 KB)
Open DOC file, 127 KB, for
Amendment Request Proposal Submitted to CMS
(English, DOC 127 KB)
Open DOCX file, 95.47 KB, for
ACA Transition Plan
(English, DOCX 95.47 KB)
Open DOCX file, 95.47 KB, for
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.
Additional Resources for
Open PDF file, 66.12 KB, for
Summary of 1115 Demonstration Amendment and Public Comment Process
(English, PDF 66.12 KB)
Open PDF file, 268.56 KB, for
1115 Demonstration Amendment Request Draft
(English, PDF 268.56 KB)
Open DOC file, 115.5 KB, for
1115 Demonstration Amendment Request Draft
(English, DOC 115.5 KB)
Open PDF file, 470.75 KB, for
ACA Transition Plan Draft
(English, PDF 470.75 KB)
Open DOC file, 289.5 KB, for
ACA Transition Plan Draft
(English, DOC 289.5 KB)
Open PDF file, 136.38 KB, for
1115 Demonstration Amendment Budget Neutrality Draft
(English, PDF 136.38 KB)
Open XLS file, 236 KB, for
1115 Demonstration Amendment Budget Neutrality Draft
(English, XLS 236 KB)
1115 Demonstration ("Waiver") Extension Approved (December 20, 2011)
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Open TXT file, 384.52 KB, for
Demonstration Extension Approval Documents
(English, TXT 384.52 KB)
Open PDF file, 656.59 KB, for
Demonstration Extension Approval Documents
(English, PDF 656.59 KB)
1115 Demonstration Extension Request (June 2010)
Additional Resources for
Open PDF file, 225.51 KB, for
Demonstration Extension Request
(English, PDF 225.51 KB)
Open RTF file, 1.4 MB, for
Demonstration Extension Request
(English, RTF 1.4 MB)
1115 Demonstration ("Waiver") Amendment Request (Filed March 1, 2010)
Additional Resources for
Open PDF file, 422.8 KB, for
Cover Letter
(English, PDF 422.8 KB)
Open RTF file, 78.05 KB, for
Cover Letter
(English, RTF 78.05 KB)
Open PDF file, 80.42 KB, for
Amendment Request Proposal Submitted to CMS
(English, PDF 80.42 KB)
Open TXT file, 41.71 KB, for
Amendment Request Proposal Submitted to CMS
(English, TXT 41.71 KB)
Open PDF file, 283.68 KB, for
Redlined Special Terms and Conditions (March 1, 2010)
(English, PDF 283.68 KB)
Open RTF file, 1.96 MB, for
Redlined Special Terms and Conditions (March 1, 2010)
(English, RTF 1.96 MB)
Open XLS file, 245 KB, for
Federal Budget Neutrality Summary (March 1, 2010)
(English, XLS 245 KB)
Open PDF file, 4.34 KB, for
Federal Budget Neutrality Summary (March 1, 2010)
(English, PDF 4.34 KB)
Open RTF file, 90.92 KB, for
Payment Methodology -Transitional Relief to Private Hospitals
(English, RTF 90.92 KB)
Open PDF file, 341.98 KB, for
Waiver Amendment as Approved September 30, 2010
(English, PDF 341.98 KB)
Open RTF file, 1.15 MB, for
Waiver Amendment as Approved September 30, 2010
(English, RTF 1.15 MB)
Open PDF file, 1.5 MB, for
Waiver Amendment as Approved January 19, 2011
(English, PDF 1.5 MB)
Open RTF file, 1.22 MB, for
Waiver Amendment as Approved January 19, 2011
(English, RTF 1.22 MB)
1115 Demonstration ('Waiver") Extension Approved (December 22, 2008)
Additional Resources for
Open PDF file, 3.16 MB, for
Demonstration Extension Approval Documents
(English, PDF 3.16 MB)
Open RTF file, 1.75 MB, for
Demonstration Extension Approval Documents
(English, RTF 1.75 MB)
1115 Demonstration Extension Request (December 2007)
Additional Resources for
Open PDF file, 92.38 KB, for
Cover Letter
(English, PDF 92.38 KB)
Open RTF file, 15.17 KB, for
Cover Letter
(English, RTF 15.17 KB)
Open PDF file, 126 KB, for
Demonstration Extension Proposal Submitted to CMS (12/21/07)
(English, PDF 126 KB)
Open TXT file, 66.04 KB, for
Demonstration Extension Proposal Submitted to CMS (12/21/07)
(English, TXT 66.04 KB)
Open PDF file, 207.52 KB, for
MA Budget Neutrality Calculation for SFY (2009 – 2011)
(English, PDF 207.52 KB)
Open RTF file, 308.16 KB, for
MA Budget Neutrality Calculation for SFY (2009 – 2011)
(English, RTF 308.16 KB)
Open PDF file, 153.92 KB, for
Healthy Massachusetts Compact
(English, PDF 153.92 KB)
Open RTF file, 15.17 KB, for
Healthy Massachusetts Compact
(English, RTF 15.17 KB)
1115 Demonstration Extension Request (June 2007)
Additional Resources for
Open PDF file, 926.8 KB, for
Cover Letter
(English, PDF 926.8 KB)
Open TXT file, 3.95 KB, for
Cover Letter
(English, TXT 3.95 KB)
Open PDF file, 158.25 KB, for
Demonstration Extension Proposal Submitted to CMS (06/29/07)
(English, PDF 158.25 KB)
Open RTF file, 526.99 KB, for
Demonstration Extension Proposal Submitted to CMS (06/29/07)
(English, RTF 526.99 KB)
Open PDF file, 78.43 KB, for
(A) Public Education Plan
(English, PDF 78.43 KB)
Open TXT file, 6.88 KB, for
(A) Public Education Plan
(English, TXT 6.88 KB)
Open PDF file, 66.59 KB, for
(B) Health Care Quality and Cost Council SFY 2008 Statewide Goals
(English, PDF 66.59 KB)
Open PDF file, 163.15 KB, for
(C) Proposed Changes to Section 2 of the Program Specifications
(English, PDF 163.15 KB)
Open RTF file, 172.74 KB, for
(C) Proposed Changes to Section 2 of the Program Specifications
(English, RTF 172.74 KB)
Open PDF file, 57.8 KB, for
(D) Proposed Changes to Section 11 of the Program Specifications
(English, PDF 57.8 KB)
Open RTF file, 22.4 KB, for
(D) Proposed Changes to Section 11 of the Program Specifications
(English, RTF 22.4 KB)
1115 Demonstration Waiver Special Terms and Conditions (June 2007)
Additional Resources for
Open PDF file, 918.87 KB, for
Approval Letter and Special Terms and Conditions (6/19/07)
(English, PDF 918.87 KB)
Open TXT file, 342.92 KB, for
Approval Letter and Special Terms and Conditions (6/19/07)
(English, TXT 342.92 KB)
1115 Demonstration Waiver Amendment (Health Care Reform) Publications
Additional Resources for
Open PDF file, 12.05 KB, for
Cover Letter (05/01/06)
(English, PDF 12.05 KB)
Open DOC file, 24 KB, for
Cover Letter (05/01/06)
(English, DOC 24 KB)
Open PDF file, 193.96 KB, for
Waiver Amendment
(English, PDF 193.96 KB)
Open DOC file, 142 KB, for
Waiver Amendment
(English, DOC 142 KB)
Open PDF file, 276.2 KB, for
(B) Title XXI SCHIP State Plan Amendment
(English, PDF 276.2 KB)
Open DOC file, 526.5 KB, for
(B) Title XXI SCHIP State Plan Amendment
(English, DOC 526.5 KB)
Open PDF file, 12.17 KB, for
Exhibit - MassHealth Eligibility Standards
(English, PDF 12.17 KB)
Open XLS file, 23 KB, for
Exhibit - MassHealth Eligibility Standards
(English, XLS 23 KB)
Open PDF file, 32.36 KB, for
Exhibit - MassHealth Coverage by Federal Reimbursement Matrix
(English, PDF 32.36 KB)
Open PDF file, 36.21 KB, for
(C) Safety Net Care Pool Sources and Uses
(English, PDF 36.21 KB)
Open XLS file, 73.5 KB, for
(C) Safety Net Care Pool Sources and Uses
(English, XLS 73.5 KB)
Open PDF file, 100.99 KB, for
(D) Safety Net Care Pool Payment Methodologies
(English, PDF 100.99 KB)
Open DOC file, 126 KB, for
(D) Safety Net Care Pool Payment Methodologies
(English, DOC 126 KB)
Open PDF file, 19.27 KB, for
(E) Budget Neutrality Projection
(English, PDF 19.27 KB)
Open XLS file, 106 KB, for
(E) Budget Neutrality Projection
(English, XLS 106 KB)
Open PDF file, 180.07 KB, for
Approval Letter (07/26/06)
(English, PDF 180.07 KB)
Open RTF file, 64.99 MB, for
Approval Letter (07/26/06)
(English, RTF 64.99 MB)
Open PDF file, 45.18 KB, for
Expenditure Authority
(English, PDF 45.18 KB)
Open RTF file, 28.22 KB, for
Expenditure Authority
(English, RTF 28.22 KB)
Open PDF file, 1009.11 KB, for
Special Terms and Conditions
(English, PDF 1009.11 KB)
Open RTF file, 884.85 KB, for
Special Terms and Conditions
(English, RTF 884.85 KB)
Open PDF file, 28.11 KB, for
Waiver List
(English, PDF 28.11 KB)
Open RTF file, 10.27 KB, for
Waiver List
(English, RTF 10.27 KB)