ADDITIONAL WEBINAR DATES: MassHealth Health Plan Updates: Relaunch of ACO Programs
About this webinar:
MassHealth managed care eligible members include members younger than 65, with no TPL (including Medicare), living in the community, and in the following MassHealth coverage types: Standard, CarePlus, CommonHealth, or Family Assistance can select to join an Accountable Care Organization (ACO) plan, Managed Care Plan (MCO), or the Primary Care Clinician (PCC) plan. MassHealth originally launched the Accountable Care Organization (ACO) program in March 2018. Through a re-procurement, MassHealth selected 17 healthcare organizations to participate in the MassHealth ACO program. The new health plans will launch on April 1, 2023. MassHealth ACOs are integrated networks of physicians, hospitals, and other community-based healthcare providers that are accountable for the quality, cost, and member experience of care for 1.2 million MassHealth members.
Starting February 8th, members were mailed notices providing updates about their enrollment in the MassHealth health plan. Member enrollment in ACOs will be based on their relationship with their current primary care provider to ensure continuity of care. Members generally follow their Primary Care Providers (PCP). If a member’s PCP assignment is not available in our systems, the member will move with their ACO partner.
Depending on whether a member is special assigned, or not being moved to a new plan, they will receive different messaging in 2023.
At the end of the webinar, you’ll be able to:
- Identify MassHealth’s health plan options available for selection starting April 1, 2023
- Describe the types of messages members may receive about their health plan enrollment
- Identify key dates, continuity of care period, and actions
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Explain how members can learn, find a MassHealth health plan or providers, and enroll in a plan