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MassHealth Section 1115 Demonstration Renewal Stakeholder Work Groups

Three selected Stakeholder Work Groups will offer input on MassHealth's 1115 Demonstration Renewal ​

To inform the development of MassHealth’s approach to enhancing its delivery system during the upcoming renewal of its Section 1115 demonstration (also known as the MassHealth 1115 waiver), the Executive Office of Health and Human Services (EOHHS) formed three stakeholder workgroups. Individuals interested in observing any of these work group meetings must email Alysa St. Charles (Alysa.StCharles@umassmed.edu) at least 24 hours prior to the work group’s scheduled meeting time to receive a link and/or phone number for the virtual meeting.

Workgroup Information

Work Group

Scope of Work

Upcoming Meeting Date/Time

Work Group Participants

Strategic Design

Discussing the overall approach to the delivery system and payment model for MassHealth members, with specific consideration for accountable and integrated care and payment models across the care continuum, including further moving the health care system out of fee-for-service reimbursement constructs. The workgroup may also consider topics such as increasing focus on children, youth and families in the ACO program, addressing health equity, and supporting sustainable financing for safety net providers. Each meeting will be focused one or more key strategic questions.

February 23 from 11AM-1PM

 

PDF | Word

Care Coordination

Discussing baseline expectations for providers, populations requiring extra support, as well as accountability, financing and future modifications to current care coordination programs. This workgroup’s focus will include but not be limited to the evolution of the Community Partners program for individuals with significant behavioral health and/or long-term services and supports needs. In addition, the workgroup may consider the role of MassHealth and its ACO program in coordinating support for health-related social needs.

February 25 from 1-3PM

PDF | Word

Primary Care Technical Advisory Group

Discussing care delivery and financing approaches for a capitation model for primary care designed to support innovation and practice transformation, including further integration of behavioral health care in the primary care setting.

TBA

PDF | Word

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