Only Delivery Date of Coverage Type System Type Coverage**** Mandatory Voluntary FFS in which case, behavioral health is provided through the MCO or Accountable Care Partnership Plan Provisionally eligible pregnant 10 days prior to date of women and children, for an up application if to 90-day period, before self- FFS x citizenship/immigration attested family income is status is verified verified Managed Care Individuals in the Breast and 10 days prior to date of Cervical Cancer Treatment X application Program CommonHealth* Managed 10 days to date of Individuals with no TPL X Care ** application Receive wrap 10 days prior to date of Adults with TPL benefits via x application FFS
Coverage Type Delivery System Type Mandatory Voluntary FFS Only Date of Coverage**** in which case, behavioral health is provided through the MCO or Accountable Care Partnership Plan Provisionally eligible pregnant women and children, for an up to 90-day period, before self- attested family income is verified FFS x 10 days prior to date of application if citizenship/immigration status is verified Individuals in the Breast and Cervical Cancer Treatment Program Managed Care X 10 days prior to date of application CommonHealth* Individuals with no TPL Managed Care ** X 10 days to date of application Adults with TPL Receive wrap benefits via FFS x 10 days prior to date of application
1115%20MassHealth%20Demonstration%20STC%206-27-18.docx