Persons with disabilities, who do not make a selection, are assigned to the PCCM program. State allows 12 months before auto-assignment. At enrollment, Medicaid recipients select a health care provider. The delivery systems vary across the seven MassHealth components. Federally Qualified Health Centers and community health centers participate in MassHealth.
Benefits See benefits section.
Behavioral health care is carved-out of both the PCCM and MCO plans. Plans are required to offer provider HIV education and information regarding new technologies. Rate Setting Rates are adjusted according to six rating categories, age, sex and geographic area. There is an AIDS rate paid to the AIDS specialty plan Community Medical Alliance that is part of the Neighborhood Health Plan. The case mix rates are adjusted every year.