Massachusetts Medicaid To Launch New ACO Program Pilot By December 2016

By the end of December 2016, the Massachusetts Medicaid program, MassHealth, plans to launch a pilot accountable care organization (ACO) program. By October 2017, MassHealth plans to fully rollout the ACO program. The goal is to move the state from its existing fee-for-service model to an integrated accountable care model.

At minimum, an ACO must include primary care providers (PCPs), and the ACOs must have formal partnerships with certified community-based behavioral health and LTSS provider organizations. MassHealth plans to provide explicit requirements for the behavioral health and the LTSS partnerships, as well as provide incentives to the . . .