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MassHealth Medicaid Section 1115 Demonstration

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Nội dung chi tiết: MassHealth Medicaid Section 1115 Demonstration

MassHealth Medicaid Section 1115 Demonstration

CENTERS FOR MEDICARE & MEDICAID SERVICES SPECIAL TERMS AND CONDITIONSNUMBER:ll-W-00030/1TITLE:AWARDEE:MassHealth Medicaid Section 1115 DemonstrationMa

MassHealth Medicaid Section 1115 Demonstrationassachusetts Executive Office of Health and HumanServices(EOHHS)I.PREFACEThe following are the Special Terms and Conditions (STCs) for the Massachuset

ts MassHealth section 1115(a) Medicaid demonstration (hereinafter “Demonstration’*). The parties to this agreement are the Massachusetts Executive Off MassHealth Medicaid Section 1115 Demonstration

ice of Health and Human Services (which is the single state agency dial oversees the MassHealth program), (State/Commonwealth) and the Centers for Med

MassHealth Medicaid Section 1115 Demonstration

icare & Medicaid Services (CMS). The STCs set forth in detail the nature, character, and extent of Federal involvement in the Demonstration and the Co

CENTERS FOR MEDICARE & MEDICAID SERVICES SPECIAL TERMS AND CONDITIONSNUMBER:ll-W-00030/1TITLE:AWARDEE:MassHealth Medicaid Section 1115 DemonstrationMa

MassHealth Medicaid Section 1115 Demonstrationpecified. All previously approved STCs are superseded by the STCs set forth below for the State’s expenditures relating to dates of service during thi

s demonstration extension, unless otherwise specified. The demonstration is set to expire on June 30, 2019.The STCs have been arranged into the follow MassHealth Medicaid Section 1115 Demonstration

ing subject areas:I.PrefaceII.Program Description and ObjectivesIII.General Program RequirementsIV.Eligibility and EnrollmentV.Demonstration Programs

MassHealth Medicaid Section 1115 Demonstration

and BenefitsVI.Delivery SystemVII.Cost SharingVIII.The Safety Net Care PoolIX.General Reporting RequirementsX.General Financial Requirements Under Tit

CENTERS FOR MEDICARE & MEDICAID SERVICES SPECIAL TERMS AND CONDITIONSNUMBER:ll-W-00030/1TITLE:AWARDEE:MassHealth Medicaid Section 1115 DemonstrationMa

MassHealth Medicaid Section 1115 Demonstration2014 through June 30, 2019Amended: November 4. 2016https://khothuvien.cori!XIII.Schedule of Deliverables for the Demonstration Extension PeriodPage 2

of 155Demonstration Approval Period: October 30, 2014 through June 30, 2019Amended: November 4. 2016Attachment A. Attachment B.Overview of children’s MassHealth Medicaid Section 1115 Demonstration

Eligibility in MassHealth Cost SharingAttachment c. Quarterly Operational Report Content and Format Attachment D. Massllealth Historical Per Mcmbcr/Pc

MassHealth Medicaid Section 1115 Demonstration

r MonthLimitsAttachment E. Attachment F. Protocols Attachment 11. Cost Protocol Attachment I. Attachment I. Attachment K.Safety Net Care Pool Payments

CENTERS FOR MEDICARE & MEDICAID SERVICES SPECIAL TERMS AND CONDITIONSNUMBER:ll-W-00030/1TITLE:AWARDEE:MassHealth Medicaid Section 1115 DemonstrationMa

MassHealth Medicaid Section 1115 Demonstration Cambridge Health Alliance Public Hospital Transformation and Incentive Initiatives ProtocolAttachment Ỉ.. Attachment pPilot Accountable Care Organiza

tion (ACO) Payment Methodology Additional Historical Background MassHealth Medicaid Section 1115 Demonstration

CENTERS FOR MEDICARE & MEDICAID SERVICES SPECIAL TERMS AND CONDITIONSNUMBER:ll-W-00030/1TITLE:AWARDEE:MassHealth Medicaid Section 1115 DemonstrationMa

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