Base Families 813,381 Base Disabled 234,747 1902(r)(2) Children 15,712 1902(r)(2) Disabled 17,476 Base Childless Adults (19- 20) 27,051 Base Childless Adults (ABP1) 31,890 Base Childless Adults (CarePlus) 285,651 BCCTP 1,241 Eligibility Group Current Enrollees (to date) CommonHealth 28,755 e-Family Assistance 8,221 e-HIV/FA 683 SBE 21 Basic N/A DSHP- Health Connector Subsidies N/A Base Fam XXI RO 0 1902(r)(2) XXI RO 0 CommonHealth XXI 0 Fam Assist XXI 0 Asthma N/A TANF/EAEDC* N/A End of Month Coverage N/A Total Demonstration 1,464,829 *TANF/EAEDC is a subcategory of Base Families Annual Summary The enrollment activity below reflects enrollment counts for SFY 2018 Quarter 4 and the entirety of SFYs 2017 and 2018. The full SFY information was included to meet the requirement of the annual report. Current Enrollees (to date) represents the average monthly enrollment for the quarter ending June 30, 2018 SFY 2017 and SFY 2018 represent the average monthly enrollment for the entirety of the SFYs. Eligibility Group Current Enrollees (to date) SFY 2017 SFY 2018 Base Families 813,381 829,039 808,695 Base Disabled 234,747 227,605 226,720
Insurance Standard 1,998 10,131 12,129 CommonHealth 3,509 0 3,509 Family Assistance 22 8,131 8,153 CarePlus 0 519 519 Small Business Employee Premium Assistance (SBEPA) 0 13 13 Total for Q4 5,529 18,794 24,323 Annual Summary for SFY18 SHIP Premium Assistance Program (SHIP PA) Disabled Members Members Total MassHealth Enrolled Members Standard 1,174 19,971 21,145 CommonHealth 55 0 55 Family Assistance 2 2,307 2,309 CarePlus 0 8,373 8,373 for DY 7/1/17-6/31/18 1,231 30,651 31,882 `
DSRIP PBP funds were disbursed to CPs in January. Following MassHealth review of budget requests, BH CPs were provided additional funding to implement standardized assessments an InterRAI assessment tool. February- Account Managers visited each CP to discuss progress on and status of the deliverables noted above and to review internal processes and workflows. Account Managers made additional status calls to identify challenges, successes and barriers in development of Documented Processes and to check-in on deliverable progress. Due to challenges with MMIS functionality, MassHealth made changes to the assignment process and will make assignments directly to CPs for July 1 and October 1, 2018. ACOs and MCOs will be accepting referrals to the program starting in January 2019. DSRIP Statewide Investments Annual Summary Statewide Investments (SWI) is a portfolio of eight investment streams designed to build and strengthen healthcare workforce capacity and delivery system infrastructure across Massachusetts, with the goal of helping ACOs, CPs, and CSAs succeed in MassHealth payment reform. During Q1, EOHHS: Released a Request for Quotes (RFQ) to procure an external partner to assist with standing up and managing the Technical Assistance (TA) investment, which comprises the largest proportion of SWI funding (~$43M over five years) Executed an Internal Service Agreement (ISA) with the University of Massachusetts Medical School (UMMS) to design a provider directory for MassHealth members that will detail the accessibility accommodations at MassHealth providers. During Q2, EOHHS: Released a Request for Responses (RFR) to procure an external partner to assist with standing up and managing the Student Loan Repayment Program, the Primary Care Integration and Retention Grant Program, and the Investment in Residency Training in Community Settings, as well as a portion of the Technical Assistance funding dedicated to community health centers (CHCs), which together comprise ~$30 million of SWI’s five year funding
In sum, the total projected budget neutrality cushion is $6.1 billion for the period SFY 2018 through SFY 2022 and $28.2 billion for the period SFY 2013 through SFY 2022. We will continue to update CMS through quarterly reports as updated information is available. Member Month Reporting Q4 Update Enter the member months for each of the EGs for the quarter. For Use in Budget Neutrality Calculations Expenditure and Eligibility Group (EG) Reporting April 2018 May 2018 June 2018 Total for Quarter Ending 06/18 Total for SFY 2017 Total for SFY 2018 Base Families 761,380 759,372 748,998 2,269,750 9,956,717 9,760,161 Base Disabled 240,301 238,512 236,226 715,039 2,926,976 2,886,414 1902(r)(2) Children 16,251 15,405 15,080 46,736 371,994 208,730 1902(r)(2) Disabled 17,983 18,176 17,584 53,743 252,841 225,801 New Adult Group 351,940 347,698 338,873 1,038,511 4,355,295 4,096,590 BCCDP 1,279 1,266 1,213 3,758 14,074 14,845 CommonHealth 28,517 28,717 28,898 86,132 293,638 333,357 TANF/EAEDC* 63,691 63,623 62,211 189,525 759,761 763,321 is a subcategory of Base Families For Informational Purposes Only Expenditure and Eligibility Group (EG) Reporting April 2018 May 2018 June 2018 for Quarter Ending 06/18 for SFY 2017 Total for SFY 2018 e-HIV/FA 681 674 687 2,042 7,638 7,904 Small Business Employee Premium Assistance 22 22 21 65 763 282 DSHP- Health Connector Subsidies N/A N/A N/A N/A N/A N/A Base Fam XXI RO 0 0 0 0 0 0 1902(r)(2) RO 0 0 0 0 0 0 CommonHealth XXI 0 0 0 0 0 0 Fam Assist XXI 0 0 0 0 0 0