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On July 15, 2021, the Massachusetts Medicaid program, MassHealth, released details on its proposed MassHealth 1115 Demonstration waiver extension request with changes to the state's ambulatory behavioral health system, based on outcomes from its delivery system restructuring for 2019. The state intends to release the proposal for a 30-day public comment period in September 2021, submit the waiver to the Centers for Medicare & Medicaid Services (CMS) in November 2021, and anticipates that the waiver extension would go into effect on July 1, 2022. New accountable care organization (ACO) contracts under the extended 1115 demonstration waiver will likely . . .

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