Massachusetts Medicaid Waiver Approved

Key payers under the 1115 Waiver (click to enlarge)

Community Partners under the 1115 Waiver (click to enlarge)

Big news today for community-based providers of behavioral health, substance use disorder and I/DD services in Massachusetts: The Center for Medicare & Medicaid Services (CMS) has approved MA's long-awaited 1115 Medicaid waiver, which will transform the Commonwealth's "MassHealth" system through new Accountable Care Organizations, BH/LTSS Community Partner entities, and Delivery System Reform Incentive Payment (DSRIP) funds.

The specific reforms proposed are complex, but the implementation is scheduled to proceed rapidly: much of the new system is planned to be in place by the end of 2017.

Key dates under the waiver include:

  • September 2016: ACO RFR
  • November 2016: MCO RFR
  • December 2016: ACO Pilot Launch
  • February 2017: CP RFR
  • April 2017: ACO Selections
  • June 2017: MCO Selections
  • July 2017: CP Selections
  • Summer 2017: DSRP Phased Launch
  • July-December 2017: ACO/MCO Contracting

For more information on the 1115 Waiver process, contact eHana today.

Massachusetts State House image courtesy of Colin M.L. Burnett