On July 18, 2013, Massachusetts became the first state to sign a three-way contract for its dual eligible demonstration project. The Medicare-Medicaid Coordination Office in the Centers for Medicare and Medicaid Services published the three-way contract signed with the Commonwealth of Massachusetts, and the three managed care plans participating in that state’s dual eligible demonstration.
NSCLC has prepared a summary link of consumer protections in the Massachusetts contract, including information on:
- Enrollment
- Care Team and Care Coordinator
- Assessments
- LTSS and Supplemental Services
- Care Continuity
- Appeals
The Massachusetts three-way contract is useful as a starting point for understanding the general structure three-way contracts and for thinking about how to address consumer protections in three-way contracts that are being negotiated in other demonstration states.
The summary of the three-way contract and all state MOUs are available on NSCLC’s dual eligible demonstration website, at http://dualsdemoadvocacy.org/state-profiles.
