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MassHealth

State: Massachusetts
Waiver Authority:
1115
Status: Pending

Waiver Dates

Approval: 04/24/1995
Effective: 07/01/1997
Expiration: 12/31/2027

Supporting Documents

Pending Application(s) and Related Documents

Date Title
Date   10/16/2023 Title   Pending Application - October 2023 Amendment (PDF, 1.71 MB) View/Submit Comments
Date   01/03/2022 Title   State Extension Request (ZIP, 54.91 MB) View/Submit Comments
Date   06/24/2021 Title   Pending Application - June 2021 Amendment (PDF, 667.87 KB) View/Submit Comments

Approved Application(s) and Related Documents

Date Title
Date   11/22/2023 Title   Demonstration Approval - Attachment V (PDF, 8.66 MB)
Date   02/21/2018 Title   Fact Sheet (PDF, 56.68 KB)

Administrative Record

Date Title
Date   11/03/2023 Title   CMS Approved SUD and SMI/SED Monitoring Protocol (Part A) (XLSX, 241.8 KB)
Date   11/03/2023 Title   Demonstration Approval - SUD and SMI/SED Monitoring Protocol (PDF, 8.55 MB)
Date   10/30/2023 Title   CMS Completeness Letter (PDF, 299.72 KB)
Date   08/31/2023 Title   Demonstration Approval - Attachment J Updates Appendix C (PDF, 5.01 MB)
Date   08/31/2023 Title   Quarterly Operational Report - April 1, 2023-June 30, 2023 (PDF, 416.44 KB)
Date   07/12/2023 Title   Demonstration Approval - Attachment J Updates (PDF, 4.85 MB)
Date   06/21/2023 Title   Demonstration Approval - Technical Corrections (PDF, 4.89 MB)
Date   06/12/2023 Title   Demonstration Approval - Attachment T (PDF, 4.95 MB)
Date   05/31/2023 Title   Quarterly Operational Report - January 1, 2023-March 31, 2023 (PDF, 425.19 KB)
Date   05/19/2023 Title   Demonstration Approval - Attachments E, J, O and Q (PDF, 5.04 MB)
Date   05/17/2023 Title   MA 1115 Demonstration Close-Out Report 2023 (PDF, 744.27 KB)
Date   03/31/2023 Title   Quarterly Operational Report - October 1, 2022-December 31, 2022 (PDF, 323.09 KB)
Date   03/29/2023 Title   Demonstration Approval - Attachment N (PDF, 4.17 MB)
Date   03/01/2023 Title   Demonstration Approval – SUD Health IT Plan & SMI/SED Implementation Plan (PDF, 4.16 MB)
Date   12/19/2022 Title   Quarterly Operational Report - July 1, 2022-September 30, 2021 (PDF, 344.44 KB)
Date   11/07/2022 Title   Demonstration Approval - Technical Corrections (PDF, 3.94 MB)
Date   10/27/2022 Title   Demonstration Extension State Acceptance Letter with Technical Corrections (PDF, 2.26 MB)
Date   09/30/2022 Title   Annual Operational Report - July 1, 2021-June 30, 2022 (PDF, 320.29 KB)
Date   09/29/2022 Title   CMS Approved Interim Evaluation Report (PDF, 8.62 MB)
Date   09/28/2022 Title   Demonstration Extension Approval (PDF, 4.11 MB)
Date   09/09/2022 Title   State Acceptance Letter (PDF, 121.02 KB)
Date   08/11/2022 Title   CMS Amendment Approval (PDF, 37.19 MB)
Date   06/22/2022 Title   CMS Approved DSRIP Protocol (PDF, 2.05 MB)
Date   06/09/2022 Title   CMS Temporary Extension Approval (PDF, 9.13 MB)
Date   05/31/2022 Title   Quarterly Operational Report - June 1, 2022-August 31, 2022 (PDF, 649.8 KB)
Date   02/28/2022 Title   Quarterly Operational Report - March 1, 2022-June 30, 2022 (PDF, 379.16 KB)
Date   02/28/2022 Title   Quarterly Operational Report - March 1, 2022-May 31, 2022 (PDF, 853.01 KB)
Date   01/20/2022 Title   Postpartum Request Withdrawal Letter (PDF, 118.87 KB)
Date   01/03/2022 Title   Extension Completeness Letter (PDF, 271.67 KB)
Date   11/01/2021 Title   CMS Approved Attachment E (PDF, 223.33 KB)
Date   09/02/2021 Title   CMS Approved Flexible Services Protocol (PDF, 358.85 KB)
Date   07/21/2021 Title   CMS Approved DSRIP Protocol (PDF, 2.04 MB)
Date   06/23/2021 Title   CMS Completeness letter (, 187 B)
Date   05/28/2021 Title   MassHealth- Quarterly Operational Report DY24Q3 (January 1, 2021-March 31, 2021) (PDF, 616.06 KB)
Date   04/13/2021 Title   DSRIP Mid-Point Assessment Report (PDF, 3.47 MB)
Date   03/30/2021 Title   CMS Approved Evaluation Design (Amended) (PDF, 5.46 MB)
Date   03/24/2021 Title   CMS Approved Attachment E Update (PDF, 344.66 KB)
Date   02/26/2021 Title   MassHealth- Quarterly Operational Report DY24Q2 (October 1, 2020-December 31, 2020) (PDF, 823.13 KB)
Date   02/12/2021 Title   CMS Letter to State (PDF, 38.63 KB)
Date   11/30/2020 Title   State Quarterly Report - July 2020 - September 2020 (PDF, 389.66 KB)
Date   11/25/2020 Title   CMS Approved COVID-19 STC Update (PDF, 2.08 MB)
Date   11/05/2020 Title   CMS approved DSRIP Protocol (PDF, 1.73 MB)
Date   09/30/2020 Title   State 2019 Annual Report (PDF, 1.06 MB)
Date   08/21/2020 Title   State SMI-SED Amendment Application (ZIP, 314.05 KB) View Comments
Date   08/06/2020 Title   CMS STC Update Approval (PDF, 2.05 MB)
Date   05/11/2020 Title   CMS Approved Flexible Services Protocol (PDF, 351.56 KB)
Date   03/04/2020 Title   State Quarterly Report October–December 2019 (ZIP, 5.49 MB)
Date   11/30/2019 Title   State Quarterly Report July–September 2019 (PDF, 336.35 KB)
Date   09/30/2019 Title   State 2018 Annual Report (PDF, 452.23 KB)
Date   09/25/2019 Title   CMS Approved MassHealth 2014-2017 Demonstration Period Final Evaluation (PDF, 1.55 MB)
Date   06/27/2019 Title   CMS Approved DSRIP Protocol (PDF, 2.4 MB)
Date   06/26/2019 Title   CMS Approved Technical Corrections (PDF, 10.14 MB)
Date   06/21/2019 Title   State Amendment Acceptance Letter (PDF, 2.32 MB)
Date   05/31/2019 Title   State Quarterly Report April–June 2019 (PDF, 286.62 KB)
Date   05/23/2019 Title   CMS Approved Demonstration Amendment (PDF, 10.48 MB)
Date   04/08/2019 Title   CMS-approved DSRIP Protocol (PDF, 2.46 MB)
Date   02/28/2019 Title   State Quarterly Report January–March 2019 (PDF, 286.63 KB)
Date   01/31/2019 Title   CMS Approved MassHealth 1115 Demonstration Evaluation Design (PDF, 6.65 MB)
Date   11/30/2018 Title   State Quarterly Report July–September 2018 (PDF, 308.14 KB)
Date   10/31/2018 Title   CMS Approved MassHealth 1115 Demonstration DSRIP Protocol (PDF, 2.43 MB)
Date   10/23/2018 Title   CMS Approved Technical Corrections (PDF, 2.21 MB)
Date   10/04/2018 Title   Flexible Services Protocol Approval (PDF, 908.31 KB)
Date   09/28/2018 Title   State 2018 Annual Report (PDF, 405.42 KB)
Date   07/27/2018 Title   Massachusetts Amendment Award Acknowledgement Letter (PDF, 733.77 KB)
Date   06/27/2018 Title   CMS Demonstration Amendment Approval – June 2018 (PDF, 4.52 MB)
Date   06/26/2018 Title   CMS Approved Technical Corrections (PDF, 1.29 MB)
Date   05/31/2018 Title   State Quarterly Report January–March 2018 (PDF, 32.86 MB)
Date   02/28/2018 Title   State Quarterly Report October–December 2017 (PDF, 282.76 KB)
Date   02/14/2018 Title   CMS Approved Technical Corrections (PDF, 4.68 MB)
Date   12/14/2017 Title   CMS Demonstration Amendment Approval – December 2017 (PDF, 1.26 MB)
Date   11/30/2017 Title   State Quarterly Report July–September 2017 (PDF, 313.71 KB)
Date   10/01/2017 Title   State 2017 Annual Report (PDF, 323.5 KB)
Date   09/20/2017 Title   Pending Application - September 2017 Amendment (PDF, 1.29 MB) View Comments
Date   09/19/2017 Title   CMS Complete Letter – September 2017 Amendment (PDF, 1.01 MB)
Date   07/17/2017 Title   CMS Incomplete Letter – July 2017 amendment (PDF, 111.04 KB)
Date   06/26/2017 Title   Amendment Application MassHealth (06/26/17) (PDF, 795.15 KB) View Comments
Date   05/10/2017 Title   TMSIS MMIS Modernization Quarterly Update (PDF, 860.36 KB)
Date   03/03/2017 Title   MassHealth Draft Evaluation Design Plan (2017-2022) (3/3/2017) (PDF, 267.68 KB)
Date   03/02/2017 Title   CMS Approved ICB FFP March 2017 (PDF, 82.15 KB)
Date   03/01/2017 Title   State Quarterly Report – October – December 2016 (PDF, 257.5 KB)
Date   02/16/2017 Title   MassHealth 1115 Demonstration Attachment K (02/16/17) (PDF, 928.57 KB)
Date   12/31/2016 Title   Actual SNCP Expenditures 2016 (PDF, 197.73 KB)
Date   11/29/2016 Title   State Quarterly Report – July - September 2016 (PDF, 241.97 KB)
Date   11/04/2016 Title   Special Terms and Conditions (11/04/16) (PDF, 3.05 MB)
Date   10/01/2016 Title   State 2016 Annual Report (PDF, 272.63 KB)
Date   08/29/2016 Title   State Quarterly Report – April – June 2016 (PDF, 228.09 KB)
Date   08/03/2016 Title   Massachusetts Demonstration Amendment and Extension Application (08/03/2016) (PDF, 13.87 MB) View Comments
Date   02/01/2016 Title   Safety Net Care Pool Financing Report (02/01/16) (PDF, 2.81 MB)
Date   01/30/2016 Title   MassHealth Evaluation Design (2014-2017) (1/30/2016) (PDF, 373.26 KB)
Date   11/20/2015 Title   CMS Uncompensated Care Pool Letter (11/20/15) (PDF, 56.62 KB)
Date   01/25/2015 Title   CMS Technical Corrections (01/25/2015) (PDF, 1.45 MB)
Date   11/14/2014 Title   State Acceptance Letter (11/14/2014) (PDF, 53.95 KB)
Date   10/30/2014 Title   CMS 2014 Demonstration Extension Approval (10/30/2014) (PDF, 1.86 MB)
Date   10/30/2014 Title   Extension Approval Letter (10/30/2014) (PDF, 77.94 KB)
Date   10/24/2014 Title   Temporary Extension Approval Letter (10/24/14) (PDF, 94.29 KB)
Date   10/17/2014 Title   Temporary Extension Approval Letter (10/17/14) (PDF, 92.09 KB)
Date   10/09/2014 Title   Temporary Extension Approval Letter (10/09/14) (PDF, 92.09 KB)
Date   09/24/2014 Title   Temporary Extension Approval Letter (09/24/14) (PDF, 91.84 KB)
Date   09/11/2014 Title   Temporary Extension Approval Letter (09/24/14) (PDF, 91.18 KB)
Date   07/30/2014 Title   Temporary Extension Approval (07/30/2014) (PDF, 90.87 KB)
Date   07/28/2014 Title   Asthma Protocol Approval Letter (PDF, 96.02 KB)
Date   04/18/2014 Title   Acceptance Letter for Extension Approval (04/18/14) (PDF, 1.24 MB)
Date   04/16/2014 Title   Acceptance of Approval Letter (04/16/14) (PDF, 94.92 KB)
Date   03/31/2014 Title   Extension Approval Letter (03/31/14) (PDF, 971.64 KB)
Date   03/31/2014 Title   Extension Approval Letter (03/31/14) (PDF, 247.69 KB)
Date   03/20/2014 Title   Technical Corrections Letter (03/20/14) (PDF, 192.39 KB)
Date   02/06/2014 Title   Approval for Extension Letter (02/06/14) (PDF, 113.13 KB)
Date   01/28/2014 Title   Approval to Amend Letter (01/28/14) (PDF, 89.14 KB)
Date   01/27/2014 Title   2014 Extension Application (01/27/14) (PDF, 9.42 MB)
Date   12/30/2013 Title   Approval to Amend Letter (12/30/13) (PDF, 235.52 KB)
Date   12/17/2013 Title   Approval to Cost Limit Protocol Letter (12/17/13) (PDF, 181.77 KB)
Date   12/11/2013 Title   1115 Demo Safety Net Care Pool Protocol (12/11/13) (PDF, 9.01 MB)
Date   10/11/2013 Title   CMS Incomplete Letter (10/11/2013) (PDF, 199.64 KB)
Date   10/01/2013 Title   Approval to Amend Letter (10/01/13) (PDF, 60.17 KB)
Date   11/13/2012 Title   Approval to Amend Letter (11/13/12) (PDF, 84.52 KB)
Date   11/13/2012 Title   November 13 2012 - Amendment Application (Submitted 11/13/12) (PDF, 3.08 MB)
Date   08/27/2012 Title   MassHealth Evaluation Design (2011-2014) (8/27/2012) (PDF, 2.2 MB)
Date   06/20/2012 Title   DSTI Approval Letter (06/20/12) (PDF, 225.03 KB)
Date   06/20/2012 Title   DSTI Approval Letter (06/20/12) (PDF, 225.62 KB)
Date   06/20/2012 Title   DSTI Approval Letter (06/20/12) (PDF, 225.95 KB)
Date   06/20/2012 Title   Steward Carney Hospital DSTI Proposal (06/20/12) (PDF, 628.86 KB)
Date   06/19/2012 Title   Approval to Amend Letter (06/19/12) (PDF, 225.03 KB)
Date   06/19/2012 Title   Cambridge Health Alliance DSTI Proposal (06/19/12) (PDF, 808.23 KB)
Date   06/19/2012 Title   DSTI Approval Letter (06/19/12) (PDF, 225.59 KB)
Date   06/19/2012 Title   DSTI Approval Letter (06/19/12) (PDF, 224.95 KB)
Date   06/19/2012 Title   Holyoke Medical Center DSTI Proposal (06/19/12) (PDF, 866.27 KB)
Date   06/18/2012 Title   Lawrence General Hospital DSTI Proposal (06/18/12) (PDF, 592.98 KB)
Date   06/18/2012 Title   Mercy Medical Center DSTI Proposal (06/18/12) (PDF, 707.89 KB)
Date   06/18/2012 Title   Signature Healthcare DSTI Proposal (06/18/12) (PDF, 531.93 KB)
Date   06/14/2012 Title   Boston Medical Center DSTI Proposal (06/14/12) (PDF, 545.27 KB)
Date   05/18/2012 Title   DSTI Approval Letter (05/18/12) (PDF, 224.13 KB)
Date   12/20/2011 Title   Expenditure Authority (12/20/11-06/30/14 Amended 10/1/13) (PDF, 112.33 KB)
Date   12/20/2011 Title   Expenditure Authority (12/20/11-06/30/14) (PDF, 339.25 KB)
Date   12/20/2011 Title   Expenditure Authority (12/20/11-06/30/14) (PDF, 863.32 KB)
Date   12/20/2011 Title   Extension Approval Letter (12/20/11) (PDF, 185.08 KB)
Date   12/20/2011 Title   Extension Approval Letter (12/20/11) (PDF, 112.97 KB)
Date   12/20/2011 Title   Special Terms and Conditions (12/20/11-06/30/14 Amended 10/1/13) (PDF, 1.86 MB)
Date   12/20/2011 Title   Special Terms and Conditions (12/20/11-06/30/14) (PDF, 3.6 MB)
Date   12/20/2011 Title   Waiver List (12/20/11-06/30/14 Amended 10/1/13) (PDF, 60.55 KB)
Date   12/20/2011 Title   Waiver List (12/20/11-06/30/14) (PDF, 71.88 KB)
Date   Title   Attachment J Master DSTI Plan (PDF, 370.21 KB)
Date   Title   DSTI Plan (PDF, 1.06 MB)
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