Long-Term Services Contract with For years 1 and 2, contract with MassHealth as an and Supports (LTSS) MassHealth as an LTSS provider at the MassHealth fee schedule; Provider LTSS provider at LTSS is coverage directly by “wrapped” the MassHealth fee MassHealth for all members, regardless of model schedule; LTSS is “wrapped” coverage directly by MassHealth Starting on or Starting on or about year 3, year 3, contract with each Partnership contract with Plan whose enrollees I want to each MCO see (negotiated rate) whose enrollees I want to see (negotiated rate) Pharmacy Contract with Contract with Contract with each Partnership MassHealth as an each MCO (or Plan (or that Plan’s pharmacy in-network that MCO’s benefit manager as applicable) pharmacy provider pharmacy whose enrollees I want to see benefit manager as applicable) whose enrollees I want to see
Long-Term Services and Supports (LTSS) Provider Contract with MassHealth as an LTSS provider at the MassHealth fee schedule; LTSS is “wrapped” coverage directly by MassHealth For years 1 and 2, contract with MassHealth as an LTSS provider at the MassHealth fee schedule; LTSS is “wrapped” coverage directly by MassHealth for all members, regardless of model Starting on or year 3, contract with each MCO whose enrollees I want to see (negotiated rate) Starting on or about year 3, contract with each Partnership Plan whose enrollees I want to see (negotiated rate) Pharmacy Contract with MassHealth as an in-network pharmacy provider Contract with each MCO (or that MCO’s pharmacy benefit manager as applicable) whose enrollees I want to see Contract with each Partnership Plan (or that Plan’s pharmacy benefit manager as applicable) whose enrollees I want to see
restructuring-open-public-meeting-march-2017.docx