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Risk-Bearing Provider Organizations

Risk-Bearing Provider

Find links here to updated information regarding Risk-Bearing Provider Organizations, including regulations, guidelines, application forms and a list of entities which have received waivers. From time to time new documents may be added or certain documents may be amended to reflect changes in law, regulation or practice.

2019-2020 RBPO Term Initial and Renewal Application Materials and Certification Information

RBPO - Informational Presentation 

PowerPoint presentation to assist risk-bearing provider organizations with application process.
Last Updated: October 2017.

Frequently Asked Questions

Key questions and answers provider organizations may have about the application process - Revised August, 2015

Renewal Risk Certificate Application PDF  WORD 
Application for those organizations seeking Risk Certificate Waivers for the Term March 1, 2019 through February 29, 2020
 

Initial Risk Certificate Application PDF  WORD 
Application for those organizations seeking Risk Certificate Waivers for the Term March 1, 2019 through February 29, 2020

List of Actuaries Who Have Indicated Interest to Do Risk Certification Actuarial Reviews for RBPOs as of September 25, 2017 

Risk Certificate Waiver Application PDF  WORD 
Application for those organizations seeking Risk Certificate Waivers for the Term March 1, 2019 through February 29, 2020

Organizations Granted Risk Certificate Waivers for the Annual Period: March 1, 2019 - February 29, 2020

Lists of Organizations Previously Granted RBPO Risk Certificate and Risk Certificate Waivers

 

Organizations Granted Risk Certificate Waivers for the Annual Period: March 1, 2018 – February 28, 2019

Organizations Granted Risk Certificates for the Annual Period:  March 1, 2018 - February 28, 2019
 

Organizations Granted Risk Certificate Waivers For The Annual Period: March 1, 2017 - February 28, 2018 
Current list of organizations that have been granted risk waivers for the annual term March 1, 2017 - February 28, 2018. As of December 2016

Organizations Granted Risk Certificates For The Annual Period: March 1, 2017 - February 28, 2018 
As of January, 2017

Organizations Granted Risk Certificates For The Annual Period: March 1, 2016 - Febuary 28, 2017 
As of July 1, 2016

Organizations Granted Risk Certificate Waivers For The Annual Period: March 1, 2016 - February 28, 2017 
Current list of organizations that have been granted risk waivers for the annual term March 1, 2016 - February 28, 2017. Updated October 21, 2015

RBPO Filing Guidance and Legal Information

Regulation: 211 CMR 155.00 

The Division’s regulation drafted to implement Massachusetts General Law Chapter 176T concerning Risk-Bearing Provider Organizations

Bulletin 2014-05

The Division’s bulletin drafted to provide additional guidance with respect to the requirements of provider organizations when applying for initial Risk Certificates or Risk Certificate Waivers

Final RBPO Filing Guidance Notice 

Current information and RBPO guidance, including applications and details regarding the process for becoming certified or obtaining a waiver

 

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