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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
11/21/2024 Pending Application - November 2024 Amendment (PDF, 2.18 MB) View/Submit Comments
10/16/2023 Pending Application - October 2023 Amendment (PDF, 1.71 MB) View/Submit Comments

Approved Application(s) and Related Documents

Date Title
01/15/2025 Demonstration Approval - Technical Corrections with Attachments E, N, J, and T (PDF, 13.06 MB)

Administrative Record

Date Title
01/16/2025 HRSN Rates Approval Letter (PDF, 256.67 KB)
12/31/2024 CommonHealth and MSP Letter (PDF, 243.81 KB)
12/13/2024 CMS Approval of Technical Corrections and Attachments U and P (PDF, 12.73 MB)
12/09/2024 CMS CAA Waiver Amendment Approval (PDF, 159.86 KB)
12/05/2024 CMS Completeness Letter (PDF, 251.1 KB)
10/10/2024 HRSN Payment Methodology Approval (PDF, 392.55 KB)
10/08/2024 HRSN Non-Risk Approach Letter (PDF, 185.47 KB)
07/31/2024 CMS Approval of Attachment AA (PDF, 12.05 MB)
07/25/2024 State Acceptance Letter - DSHP Amendment (PDF, 181.42 KB)
07/15/2024 Demonstration Approval - Attachment P (PDF, 12.02 MB)
06/25/2024 CMS Amendment Approval (PDF, 61.46 MB)
05/30/2024 CMS Approval of Attachment C, E, and J Updates (PDF, 11.88 MB)
05/17/2024 State Acceptance Letter (PDF, 161.48 KB)
05/06/2024 CMS Completeness Letter (PDF, 279.23 KB)
05/03/2024 Demonstration Amendment Application (PDF, 6.51 MB) View Comments
04/19/2024 CMS Amendment Approval (PDF, 11.7 MB)
01/25/2024 CMS Attachment J Update Approval (PDF, 11.8 MB)
01/18/2024 CMS Approved Evaluation Design (PDF, 3.1 MB)
01/18/2024 Demonstration Approval - Evaluation Design (PDF, 14.04 MB)
12/08/2023 SMI Transition Period Extension Letter (PDF, 268.13 KB)
11/29/2023 Quarterly Operational Report - July 1, 2023-September 30, 2023 (PDF, 416.76 KB)
11/22/2023 Demonstration Approval - Attachment V (PDF, 8.66 MB)
11/03/2023 CMS Approved SUD and SMI/SED Monitoring Protocol (Part A) (XLSX, 241.8 KB)
11/03/2023 Demonstration Approval - SUD and SMI/SED Monitoring Protocol (PDF, 8.55 MB)
10/30/2023 CMS Completeness Letter (PDF, 299.72 KB)
08/31/2023 Demonstration Approval - Attachment J Updates Appendix C (PDF, 5.01 MB)
08/31/2023 Quarterly Operational Report - April 1, 2023-June 30, 2023 (PDF, 419.63 KB)
07/12/2023 Demonstration Approval - Attachment J Updates (PDF, 4.85 MB)
06/21/2023 Demonstration Approval - Technical Corrections (PDF, 4.89 MB)
06/12/2023 Demonstration Approval - Attachment T (PDF, 4.95 MB)
05/31/2023 Quarterly Operational Report - January 1, 2023-March 31, 2023 (PDF, 425.19 KB)
05/19/2023 Demonstration Approval - Attachments E, J, O and Q (PDF, 5.04 MB)
05/17/2023 MA 1115 Demonstration Close-Out Report 2023 (PDF, 744.27 KB)
03/31/2023 Quarterly Operational Report - October 1, 2022-December 31, 2022 (PDF, 323.09 KB)
03/29/2023 Demonstration Approval - Attachment N (PDF, 4.17 MB)
03/01/2023 Demonstration Approval – SUD Health IT Plan & SMI/SED Implementation Plan (PDF, 4.16 MB)
12/19/2022 Quarterly Operational Report - July 1, 2022-September 30, 2021 (PDF, 344.44 KB)
11/07/2022 Demonstration Approval - Technical Corrections (PDF, 3.94 MB)
10/27/2022 Demonstration Extension State Acceptance Letter with Technical Corrections (PDF, 2.26 MB)
09/29/2022 CMS Approved Interim Evaluation Report (PDF, 8.62 MB)
09/28/2022 Demonstration Extension Approval (PDF, 4.11 MB)
09/09/2022 State Acceptance Letter (PDF, 121.02 KB)
08/11/2022 CMS Amendment Approval (PDF, 37.19 MB)
06/22/2022 CMS Approved DSRIP Protocol (PDF, 2.05 MB)
06/09/2022 CMS Temporary Extension Approval (PDF, 9.13 MB)
05/31/2022 Quarterly Operational Report - June 1, 2022-August 31, 2022 (PDF, 649.8 KB)
02/28/2022 Quarterly Operational Report - March 1, 2022-June 30, 2022 (PDF, 379.16 KB)
02/28/2022 Quarterly Operational Report - March 1, 2022-May 31, 2022 (PDF, 853.01 KB)
01/20/2022 Postpartum Request Withdrawal Letter (PDF, 118.87 KB)
01/03/2022 Extension Completeness Letter (PDF, 271.67 KB)
12/22/2021 Demonstration Extension Application (ZIP, 54.91 MB) View Comments
11/01/2021 CMS Approved Attachment E (PDF, 223.33 KB)
10/07/2021 Annual Operational Report - July 1, 2020-June 30, 2021 (PDF, 541.75 KB)
09/02/2021 CMS Approved Flexible Services Protocol (PDF, 358.85 KB)
07/21/2021 CMS Approved DSRIP Protocol (PDF, 2.04 MB)
06/23/2021 CMS Completeness letter (, 187 B)
06/08/2021 Demonstration Amendment Application (PDF, 667.87 KB) View Comments
05/28/2021 Quarterly Operational Report - January 1, 2021-March 31, 2021 (PDF, 324.84 KB)
04/13/2021 DSRIP Mid-Point Assessment Report (PDF, 3.47 MB)
03/30/2021 CMS Approved Evaluation Design (Amended) (PDF, 5.46 MB)
03/24/2021 CMS Approved Attachment E Update (PDF, 344.66 KB)
02/26/2021 Quarterly Operational Report - October 1, 2020-December 31, 2020 (PDF, 322.84 KB)
02/12/2021 CMS Letter to State (PDF, 38.63 KB)
11/30/2020 State Quarterly Report - July 2020 - September 2020 (PDF, 389.66 KB)
11/25/2020 CMS Approved COVID-19 STC Update (PDF, 2.08 MB)
11/05/2020 CMS approved DSRIP Protocol (PDF, 1.73 MB)
09/30/2020 State 2019 Annual Report (PDF, 1.06 MB)
08/21/2020 State SMI-SED Amendment Application (ZIP, 314.05 KB) View Comments
08/06/2020 CMS STC Update Approval (PDF, 2.05 MB)
05/11/2020 CMS Approved Flexible Services Protocol (PDF, 351.56 KB)
03/04/2020 State Quarterly Report October–December 2019 (ZIP, 5.49 MB)
11/30/2019 State Quarterly Report July–September 2019 (PDF, 336.35 KB)
09/30/2019 State 2018 Annual Report (PDF, 452.23 KB)
09/25/2019 CMS Approved MassHealth 2014-2017 Demonstration Period Final Evaluation (PDF, 1.55 MB)
06/27/2019 CMS Approved DSRIP Protocol (PDF, 2.4 MB)
06/26/2019 CMS Approved Technical Corrections (PDF, 10.14 MB)
06/21/2019 State Amendment Acceptance Letter (PDF, 2.32 MB)
05/31/2019 State Quarterly Report April–June 2019 (PDF, 286.62 KB)
05/23/2019 CMS Approved Demonstration Amendment (PDF, 10.48 MB)
04/08/2019 CMS-approved DSRIP Protocol (PDF, 2.46 MB)
02/28/2019 State Quarterly Report January–March 2019 (PDF, 286.63 KB)
01/31/2019 CMS Approved MassHealth 1115 Demonstration Evaluation Design (PDF, 6.65 MB)
11/30/2018 State Quarterly Report July–September 2018 (PDF, 308.14 KB)
10/31/2018 CMS Approved MassHealth 1115 Demonstration DSRIP Protocol (PDF, 2.43 MB)
10/23/2018 CMS Approved Technical Corrections (PDF, 2.21 MB)
10/04/2018 Flexible Services Protocol Approval (PDF, 908.31 KB)
09/28/2018 State 2018 Annual Report (PDF, 405.42 KB)
07/27/2018 Massachusetts Amendment Award Acknowledgement Letter (PDF, 733.77 KB)
06/27/2018 CMS Demonstration Amendment Approval – June 2018 (PDF, 4.52 MB)
06/26/2018 CMS Approved Technical Corrections (PDF, 1.29 MB)
05/31/2018 State Quarterly Report January–March 2018 (PDF, 32.86 MB)
02/28/2018 State Quarterly Report October–December 2017 (PDF, 282.76 KB)
02/21/2018 Fact Sheet (PDF, 56.68 KB)
02/14/2018 CMS Approved Technical Corrections (PDF, 4.68 MB)
12/14/2017 CMS Demonstration Amendment Approval – December 2017 (PDF, 1.26 MB)
11/30/2017 State Quarterly Report July–September 2017 (PDF, 313.71 KB)
10/01/2017 State 2017 Annual Report (PDF, 323.5 KB)
09/20/2017 Pending Application - September 2017 Amendment (PDF, 1.29 MB) View Comments
09/19/2017 CMS Complete Letter – September 2017 Amendment (PDF, 1.01 MB)
07/17/2017 CMS Incomplete Letter – July 2017 amendment (PDF, 111.04 KB)
06/26/2017 Amendment Application MassHealth (06/26/17) (PDF, 795.15 KB) View Comments
05/10/2017 TMSIS MMIS Modernization Quarterly Update (PDF, 860.36 KB)
03/03/2017 MassHealth Draft Evaluation Design Plan (2017-2022) (3/3/2017) (PDF, 267.68 KB)
03/02/2017 CMS Approved ICB FFP March 2017 (PDF, 82.15 KB)
03/01/2017 State Quarterly Report – October – December 2016 (PDF, 257.5 KB)
02/16/2017 MassHealth 1115 Demonstration Attachment K (02/16/17) (PDF, 928.57 KB)
12/31/2016 Actual SNCP Expenditures 2016 (PDF, 197.73 KB)
11/29/2016 State Quarterly Report – July - September 2016 (PDF, 241.97 KB)
11/04/2016 Special Terms and Conditions (11/04/16) (PDF, 3.05 MB)
10/01/2016 State 2016 Annual Report (PDF, 272.63 KB)
08/29/2016 State Quarterly Report – April – June 2016 (PDF, 228.09 KB)
08/03/2016 Massachusetts Demonstration Amendment and Extension Application (08/03/2016) (PDF, 13.87 MB) View Comments
02/01/2016 Safety Net Care Pool Financing Report (02/01/16) (PDF, 2.81 MB)
01/30/2016 MassHealth Evaluation Design (2014-2017) (1/30/2016) (PDF, 373.26 KB)
11/20/2015 CMS Uncompensated Care Pool Letter (11/20/15) (PDF, 56.62 KB)
01/25/2015 CMS Technical Corrections (01/25/2015) (PDF, 1.45 MB)
11/14/2014 State Acceptance Letter (11/14/2014) (PDF, 53.95 KB)
10/30/2014 CMS 2014 Demonstration Extension Approval (10/30/2014) (PDF, 1.86 MB)
10/30/2014 Extension Approval Letter (10/30/2014) (PDF, 77.94 KB)
10/24/2014 Temporary Extension Approval Letter (10/24/14) (PDF, 94.29 KB)
10/17/2014 Temporary Extension Approval Letter (10/17/14) (PDF, 92.09 KB)
10/09/2014 Temporary Extension Approval Letter (10/09/14) (PDF, 92.09 KB)
09/24/2014 Temporary Extension Approval Letter (09/24/14) (PDF, 91.84 KB)
09/11/2014 Temporary Extension Approval Letter (09/24/14) (PDF, 91.18 KB)
07/30/2014 Temporary Extension Approval (07/30/2014) (PDF, 90.87 KB)
07/28/2014 Asthma Protocol Approval Letter (PDF, 96.02 KB)
04/18/2014 Acceptance Letter for Extension Approval (04/18/14) (PDF, 1.24 MB)
04/16/2014 Acceptance of Approval Letter (04/16/14) (PDF, 94.92 KB)
03/31/2014 Extension Approval Letter (03/31/14) (PDF, 971.64 KB)
03/31/2014 Extension Approval Letter (03/31/14) (PDF, 247.69 KB)
03/20/2014 Technical Corrections Letter (03/20/14) (PDF, 192.39 KB)
02/06/2014 Approval for Extension Letter (02/06/14) (PDF, 113.13 KB)
01/28/2014 Approval to Amend Letter (01/28/14) (PDF, 89.14 KB)
01/27/2014 2014 Extension Application (01/27/14) (PDF, 9.42 MB)
12/30/2013 Approval to Amend Letter (12/30/13) (PDF, 235.52 KB)
12/17/2013 Approval to Cost Limit Protocol Letter (12/17/13) (PDF, 181.77 KB)
12/11/2013 1115 Demo Safety Net Care Pool Protocol (12/11/13) (PDF, 9.01 MB)
10/11/2013 CMS Incomplete Letter (10/11/2013) (PDF, 199.64 KB)
10/01/2013 Approval to Amend Letter (10/01/13) (PDF, 60.17 KB)
11/13/2012 Approval to Amend Letter (11/13/12) (PDF, 84.52 KB)
11/13/2012 November 13 2012 - Amendment Application (Submitted 11/13/12) (PDF, 3.08 MB)
08/27/2012 MassHealth Evaluation Design (2011-2014) (8/27/2012) (PDF, 2.2 MB)
06/20/2012 DSTI Approval Letter (06/20/12) (PDF, 225.03 KB)
06/20/2012 DSTI Approval Letter (06/20/12) (PDF, 225.62 KB)
06/20/2012 DSTI Approval Letter (06/20/12) (PDF, 225.95 KB)
06/20/2012 Steward Carney Hospital DSTI Proposal (06/20/12) (PDF, 628.86 KB)
06/19/2012 Approval to Amend Letter (06/19/12) (PDF, 225.03 KB)
06/19/2012 Cambridge Health Alliance DSTI Proposal (06/19/12) (PDF, 808.23 KB)
06/19/2012 DSTI Approval Letter (06/19/12) (PDF, 225.59 KB)
06/19/2012 DSTI Approval Letter (06/19/12) (PDF, 224.95 KB)
06/19/2012 Holyoke Medical Center DSTI Proposal (06/19/12) (PDF, 866.27 KB)
06/18/2012 Lawrence General Hospital DSTI Proposal (06/18/12) (PDF, 592.98 KB)
06/18/2012 Mercy Medical Center DSTI Proposal (06/18/12) (PDF, 707.89 KB)
06/18/2012 Signature Healthcare DSTI Proposal (06/18/12) (PDF, 531.93 KB)
06/14/2012 Boston Medical Center DSTI Proposal (06/14/12) (PDF, 545.27 KB)
05/18/2012 DSTI Approval Letter (05/18/12) (PDF, 224.13 KB)
12/20/2011 Expenditure Authority (12/20/11-06/30/14 Amended 10/1/13) (PDF, 112.33 KB)
12/20/2011 Expenditure Authority (12/20/11-06/30/14) (PDF, 339.25 KB)
12/20/2011 Expenditure Authority (12/20/11-06/30/14) (PDF, 863.32 KB)
12/20/2011 Extension Approval Letter (12/20/11) (PDF, 185.08 KB)
12/20/2011 Extension Approval Letter (12/20/11) (PDF, 112.97 KB)
12/20/2011 Special Terms and Conditions (12/20/11-06/30/14 Amended 10/1/13) (PDF, 1.86 MB)
12/20/2011 Special Terms and Conditions (12/20/11-06/30/14) (PDF, 3.6 MB)
12/20/2011 Waiver List (12/20/11-06/30/14 Amended 10/1/13) (PDF, 60.55 KB)
12/20/2011 Waiver List (12/20/11-06/30/14) (PDF, 71.88 KB)
Attachment J Master DSTI Plan (PDF, 370.21 KB)
DSTI Plan (PDF, 1.06 MB)
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