Budget Amendment ID: FY2013-S4-576

EHS 576

Equitable Enrollment for MassHealth

Ms. Chandler and Messrs. Michael O. Moore and DiDomenico and Ms. Jehlen and Ms. Candaras and Mr. Hart moved that the proposed new text be amended by inserting after section___, the following new section:-

"SECTION___. Chapter 118E of the General Laws, as appearing in the 2010 Official Edition, is hereby amended by inserting after section 62 the following new section:-

Section 63. Auto-Assignment for Medicaid Beneficiaries.

Beginning October 1, 2012,  the division shall make provisions to enroll those MassHealth beneficiaries who did not affirmatively select a managed care option into a Medicaid managed care organization that has contracted with the Commonwealth to deliver managed care services to eligible MassHealth beneficiaries, provided that the division shall give the Primary Care Clinician plan no greater preference than any single MCO in such assignment process and shall divide said assigned members equally among the Primary Care Clinician Plan and individual Medicaid managed care organizations on a rotating basis. The aforementioned assignment process shall not be suspended or terminated until and unless the Managed Care Advisory Committee, established pursuant to Section 178 of Chapter 131 of the Acts of 2010 has filed its report with the legislature and provided further that any termination, suspension or modifications to the aforementioned assignment process shall be made only if consistent and in full consideration of the Managed Care Advisory Committee’s recommendations."