Included in this report are final Medicare county base rates, information supporting the estimation of risk-adjusted Medicare components of the rate, details related to the development of the Mass Health portion of the rate, and some information supplemental to the July 2012 Mass Health Data Book to support comparisons of projected spending on the target population to the rates.
The Mass Health component of the rate remains subject to final review and approval by CMS.
These adjustments were available to One Care plans through execution of contract amendments and are conditional upon continued participation in the demonstration through December 31, 2016.
In accordance with the Three-Way Contract as amended and restated in December 2015, these updates to the rates replace the Demonstration rates included in the CY 2015 rate report dated March 5, 2015.
Mass Health, in conjunction with the Centers for Medicare and Medicaid Services (CMS), is releasing the final Medicaid and Medicare components of the CY 2015 rates for the Massachusetts Demonstration to Integrate Care for Dual Eligible Individuals (One Care).
Effective January 1, 2015, these rates will replace the Demonstration rates included in the CY 2014 rate report.