March 1 Launch of new MassHealth insurance programs ‐‐automatic enrollment, know your choices

MassHealth’s reorganization of insurance is effective on March 1, affecting 1.2 Million members.  It is
time to learn about your choices NOW if you haven’t already!   MassHealth Innovations’ goals are to
provide integrated care and reduce unnecessary emergency room visits and hospital stays.
On March 1, a member meeting the criteria below will be placed in one of the four programs:  ACO
Partnership Plan, Primary Care ACO, MCO (Managed Care Organization), and Fee for Service.  Those
affected by the change would have received a letter with a green strip on the envelope.   They include
the following MassHealth members:

  • under age 65 years
  • NO other health insurance (private or Medicare)
  • live in the community
  • and in one of these MassHealth plans ‐‐ MassHealth CarePlus , MassHealth , CommonHealth,
    MassHealth Family Assistance, and MassHealth Standard

You are being automatically enrolled in one of the programs and your letter would identify you in one
of 5 categories:

  1. MassHealth A in letter header  ‐‐ move to an ACO Partnership Plan
  2. MassHealth B in letter header  ‐‐ move to a Primary Care ACO
  3. MassHealth C in letter header  ‐‐ move to MCO admin. ACO
  4. MassHealth AE in letter header  ‐‐ PCP didn’t move but current plan not available; if new one not
    chosen, then auto‐assigned
  5. MassHealth PSP in letter header ‐‐  don’t move unless member chooses to

Two key points to keep in mind:

  1. Please note that if your primary care doctor (PCP) moves to an ACO, you will be automatically
    assigned to that ACO.  A potential problem is if your specialist is more important to you than
    your PCP.  In that case, you need to find out if your specialist is in the PCP’s program or would
    join that network.  Otherwise you may choose to move to a network where your specialist can
    see you.   You need to contact MassHealth to opt out and choose another option as soon as
    possible and no later than May 31.
  2. Please realize that transition between insurance plans MAY mean getting NEW prior approvals
    for your services; this may take time and you want to act promptly to insure your medications
    (RX) and durable equipment continues to arrive on time.

We encourage agencies serving people with disabilities to make sure they know about this change.
There is only a two month window to change your plan if you don’t like your particular insurance
program.  To learn about the programs and details, download the MassHealth Guide posted on this page
MassHealth website and assistance to review or choose plans
Contact  Customer Service Center   800‐841‐2900 and general information at
You can get help from navigators at hospitals and some city offices (e.g., Boston Public Health
Commission) if you find that MassHealth customer service or the website is not adequate.  MassHealth
also is sponsoring  in‐person events for assistance.  These resources are listed below.
Call or visit local navigator or certified application counselor or assister by going to:‐center Many are located at community health centers and
hospitals (patient financial counselor offices); some are in city offices such as the Boston Public Health
MassHealth Events still pending include:

March 5, 2018: 1:00 p.m. – 9:00 p.m.
Snow Date: March 19, 2018
State Transportation Building
10 Park Plaza, Boston, MA 02116

March 20, 2018: 2:00 p.m. – 9:00 p.m.
Castle of Knights
1599 Memorial Drive, Chicopee, MA 01020

March 27, 2018: 2:00 p.m. – 9:00 p.m.
Crowne Plaza Hotel
1 West Street, Pittsfield, MA 01201

May 8, 2018: 10 a.m. – 7 p.m.
Fitchburg Senior Center
14 Wallace Ave, Fitchburg, MA 01420

May 12, 2018: 10 a.m. – 7 p.m.
Somerville Holiday Inn
30 Washington Street, Somerville, MA 02146

May 15, 2018: 1 p.m. – 8 p.m.
Brockton Public Library
304 Main Street, Brockton, MA 02301