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Health Care Reform Implementation January 22, 2010. Robin Callahan Director of Member Policy & Program Development, Office of Medicaid. Health Care Reform Implementation. Countless moving parts Strong centralized coordination needed to track progress and share information

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Health Care Reform Implementation

January 22, 2010

Robin Callahan

Director of Member Policy & Program Development,

Office of Medicaid


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Health Care Reform Implementation

  • Countless moving parts

  • Strong centralized coordination needed to track progress and share information

  • Secretary of Health and Human Services convened weekly cross agency meetings

  • HCR project leaders from each agency reported progress and challenges


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Leveraging Existing Medicaid Infrastructure

  • One front door for subsidized health programs (MassHealth, Commonwealth Care, and the Health Safety Net)

  • Medicaid program has the staffing and systems required to determine income eligibility

  • Adding Commonwealth Care rules to the existing eligibility system ensures maximum benefits for applicants and notice of eligibility for all family members


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Virtual Gateway – The programs

These programs can be applied for online using the Virtual Gateway:

  • MassHealth,including:

    • Children's Medical Security Plan

    • Healthy Start

    • Health Safety Net

    • Commonwealth Care

  • Child Care

  • Food Stamps

  • Women Infants Children (WIC)

  • Women’s Health Network

  • Department of Mental Retardation services

  • Mass. Rehabilitation Commission services

  • Elder services

  • Mass. Commission for the Blind Services

  • Mass. Commission for the Deaf / Hard of Hearing services

  • Veterans’ Services – Holyoke / Chelsea Soldiers’ Homes



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Massachusetts Health Care Training Forum

Massachusetts Health Care Training Forum (MTF) - Program Goal

MTF communicates accurate, timely information about operations and policies of Massachusetts State Health Care Programs to community health and human service partners.


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Massachusetts Health Care Training Forum

  • North (Tewksbury)

  • Central (Shrewsbury)

  • Boston

  • West (Holyoke)

  • Southeast

    (Taunton)

20 Meetings Annually in 5 locations

Total Attendance annually ~ 2,000

- Email Updates

- Website

- Outreach (Formal and Informal)


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Massachusetts Health Care Training Forum

  • Formal presentations about issues related to:

    • Eligibility/Enrollment

    • Case Management

    • Billing/Claims

    • Advocacy

  • Information directly enhances attendees’ ability to assist current and potentially eligible individuals

  • Roundtable sessions with state experts, trainers and advocates

  • Network opportunity for state and community organizations to build collaborative relationship


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EOHHS Enrollment, Outreach & Access to Care GrantsGrant Recipients51 Community Based Organizations