Massachusetts Medicaid Proposes Changes To One Care Duals Demo Program

On June 14, 2018, the Massachusetts Medicaid program, MassHealth released a concept paper that proposed changes to its integrated managed care programs for people dually eligible for Medicare and Medicaid. The changes affect One Care, a Medicare-Medicaid demonstration program for dual eligibles ages 21 to 64, and the Senior Care Options (SCO), a fully-integrated Medicare Advantage Special Needs Program for dual eligibles age 65 and older. A key goal is to increase beneficiary participation in the programs, because currently 76.9% of dual eligibles still receive Medicaid services through the fee-for-service system.

The state seeks to . . .