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Massachusetts

Massachusetts Financial Alignment Demonstration (One Care)

 

SPOTLIGHT & RELEASES

On August 23, 2012, the Centers for Medicare & Medicaid Services (CMS) announced that the Commonwealth of Massachusetts will partner with CMS in the Financial Alignment Initiative to test a new model for providing Medicare-Medicaid enrollees with a more coordinated, person-centered care experience.

Under the demonstration, also called "One Care: MassHealth plus Medicare," CMS and Massachusetts will contract with "One Care" plans that will coordinate the delivery of and be accountable for all covered Medicare, Medicaid, and expanded services for participating Medicare-Medicaid enrollees in the Commonwealth. 

Key Dates

August 22, 2012 - CMS and Massachusetts sign MOU

July 16, 2013 - CMS, Massachusetts, and participating plans execute three-way contract

October 1, 2013 - Start of opt-in enrollment

January 1, 2014 - Start of passive enrollment

December 31, 2015 - CMS, Massachusetts, and participating plans execute updated three-way contract

July 5, 2016 - CMS, Massachusetts, and participating plans execute updated three-way contract

June 11, 2018 - CMS, Massachusetts, and participating plans execute updated three-way contract

More information from CMS:

Information for Plans:

Information for Beneficiaries and Providers:

Information from the Commonwealth of Massachusetts:

Funding Support:

Massachusetts "Duals Demonstration 2.0" Proposal for Public Comment:

The Massachusetts Executive Office of Health and Human Services has submitted for CMS review a proposal for a new demonstration that would include both the One Care demonstration (for dually eligible individuals under age 65) and the Senior Care Options Dual Eligible Specials Needs Plan program (for dually eligible individuals ages 65 and older).

CMS welcomes public input on this proposal, which is available on the Integrated Care Resource Center website.

Please submit comments by 5 p.m. Pacific Time on October 17, 2018 to MMCOcomments@cms.hhs.gov.