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Massachusetts Medicaid Expansion

 

Medicaid Expansion:
Massachusetts is fully participating in the Medicaid Expansion under provisions of the Affordable Care Act (ACA).
 
For additional background on the State’s policy decisions regarding the Medicaid Expansion option, see: Background.
 
Medicaid in Massachusetts:
The MA Department of Health and Human Services administers the state’s Medicaid program, called MassHealth.
Information about MassHealth, including beneficiary enrollment information, can be found at: http://massresources.org/masshealth.html.
Provider Participation:
Providers must enroll in the Medicaid fee-for-service program to receive payments for covered services. Information about enrolling in the Medicaid fee-for-service program can be found at: http://massresources.org/masshealth.html.
The Medicaid website provides information about services covered by fee-for-service payments and payment amounts: http://massresources.org/masshealth.html.
In order to retain access to all Medicaid patients in the state, providers must also connect to the managed care plans individually.
 
Medicaid Managed Care:
Some MassHealth beneficiaries are enrolled in managed care plans. Basic information about the programs, called MassHealth, can be found at: http://www.massresources.org/masshealth-managed-care.html.
Some managed care plans cover individual Massachusetts counties and independent cities. The Medicaid website has jurisdictional information: http://massresources.org/masshealth.html.
MassHealth Beneficiaries Participating in Managed Care:
Managed care plans participating in MassHealth offer detailed information about covered benefits for individuals enrolling in their plans. This information is available on the managed care websites shown below.
Managed Care Plans Participating in MassHealth:
Boston Medical Center HealthNet Plan
 
Fallon Community Health Plan
 
Health New England
 
Neighborhood Health Plan
 
Network Health

 
 
 
 
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