Section 29 (Part 2): MassHealth Wellness Program
Creates a Wellness Program for MassHealth recipients to encourage healthy outcomes by authorizing incentives, including reduction of MassHealth premiums or copayments, as wellness goals are met.
Creates a Wellness Program for MassHealth recipients to encourage healthy outcomes by authorizing incentives, including reduction of MassHealth premiums or copayments, as wellness goals are met.
Restores all MassHealth adult benefits cut in 2002, including dental, vision, chiropractic, and prosthetics, effective July 1, 2006. (Note: This section was partially superseded by a provision in the FY 2011 budget authorizing reduction of dental benefits to adults in MassHealth.)
Changes references from “Uncompensated Care Pool” to “Health Safety Net Trust Fund” and permits sharing of information about Health Safety Net enrollees.
Places in statute eligibility criteria for elderly and/or disabled special status immigrant for the MassHealth Essential program.
Expands MassHealth CHIP eligibility for children from 200% of the Federal Poverty Level to 300% of the Federal Poverty Level.
Allows for higher Medicaid reimbursement rates to hospitals that meet certain quality standards and performance benchmarks.
States that MassHealth must provide public hearing and notice before restricting eligibility or benefits.
Expands employee eligibility for participation in the Insurance Partnership Program to 300% of the Federal Poverty Level. • Ensures that Insurance Partnership subsidies are consistent with those provided under the Commonwealth Care program. • Specifies that self-employed individuals enrolled in the Insurance Partnership Program are eligible for employee subsidies only.
Contains supplemental spending of $15.45 million related to health reform implementation, including public health, and $3 million for outreach and enrollment grants.
Expands MassHealth eligibility for children up to 300% of the Federal Poverty Level, increased from the previous 200% of the Federal Poverty Level. • Prevents MassHealth from establishing disability criteria for determining eligibility that is more restrictive than the federal Social Security standards. • Establishes MassHealth eligibility standards for people with HIV at 200% of the Federal Poverty Level. • Requires the Office of Medicaid to provide statements of coverage to enrollees and verify coverage to the commissioner of revenue.