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EOHHS Announces Selection of Integrated Care Organizations

EOHHS has completed the procurement process to select Integrated Care Organizations (ICOs) to proceed to the Readiness Review period for the Duals Demonstration.  They are excited to announce the following selected organizations:

  • Blue Cross and Blue Shield of Massachusetts HMO Blue Inc. (BCBSMA)
  • Boston Medical Center HealthNet Plan  (BMCHP)
  • Commonwealth Care Alliance  (CCA)
  • Fallon Total Care, LLC  (FTC)
  • Neighborhood Health Plan  (NHP)
  • Network Health, LLC

During the Readiness Review period, EOHHS and CMS will require these organizations to demonstrate full readiness and meet operational requirements.  An ICO will not be able to accept enrollments without successfully completing the joint Readiness Review, negotiating and executing a three-way contract, and receiving any necessary state and federal approvals.

These organizations were selected for full (F) or partial (P) Massachusetts counties as follows:

BCBSMA

BMCHP

CCA

FTC

NHP

Network Health

Barnstable

F

F

F

F

Berkshire

F

F

Bristol

F

F

F

F

Dukes

F

Essex

F

F

F

F

F

Franklin

F

F

F

F

Hampden

F

F

F

F

F

Hampshire

F

F

F

F

F

Middlesex

F

F

F

F

F

F

Nantucket

F

Norfolk

F

F

F

F

F

Plymouth

F

F

P

F

F

Suffolk

F

F

F

F

F

F

Worcester

F

F

F

F

EOHHS looks forward to working with the selected organizations and continuing engagement with all stakeholders in implementation activities.

The next open meeting for stakeholders will be on December 7, 10 AM – 12 PM, at 1 Ashburton Place, 21st Floor, Boston, MA.  Additional information on that and other upcoming activities will be sent via this email list, and will be posted on our website at www.mass.gov/masshealth/duals.