1115 Waiver Demonstration - MassHealth-October 2023 Amendment


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On October 16, 2023, Massachusetts submitted a request to amend its section 1115 demonstration, entitled "MassHealth Medicaid and Children’s Health Insurance Plan (CHIP) Section 1115 Demonstration," to 1) provide pre-release MassHealth services to individuals in certain public institutions; 2) provide 12 months continuous eligibility for adults and 24 months continuous eligibility for members experiencing homelessness who are 65 and over; 3) remove waiver authority of retroactive eligibility; 4) expand Marketplace subsidies; 5) expand health-related social needs (HRSN) services to include short-term post hospitalization housing and temporary housing for pregnant members and families; 6) increase HRSN integration funding; 7) extend Medicare Savings Program to the Commonwealth's statutory limit; and 8) preserve CommonHealth members' ability to enroll in One Care Plans. In this amendment, the Commonwealth aims to advance health equity by expanding coverage and further addressing members’ health-related social needs. The federal public comment period will be open from October 30, 2023 through November 29, 2023.

Pending Application

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