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BAY COVE NAMED A COMMUNITY PARTNER IN MASSHEALTH REVAMP

Bay Cove Named a Community Partner in MassHealth Revamp

This spring, MassHealth (health insurer for the vast majority of the individuals served by Bay Cove) will be implementing a long-planned conversion to a Managed Care system for the approximately one million Medicaid recipients in the Commonwealth of Massachusetts. On March 1, eligible participants will have the responsibility for their total healthcare moved to one of 17 new Accountable Care Organizations (ACOs) that have been awarded contracts across the state. For about 65,000 of those individuals with the most complex needs, an additional level of service will be offered by a Behavioral Health Community Partner (BH-CP) or Long Term Support Services Community Partner (LTSS-CP), who will work in conjunction with the ACOs to provide care coordination and care management services.

Bay Cove has been selected by the Commonwealth as one of the organizations to take on the vital role of Community Partner. To that end, the agency is partnering with fellow human services provider Vinfen to form two brand-new entities: Community Care Partners LLC (CCP) and LTSS Care Partners LLC (LTSSCP), both of which will serve clients throughout most of Eastern Massachusetts. Bay Cove and Vinfen are organizations with similar missions, and this partnership combines the breadth and scope of the two agencies. These two new LLCs have also engaged other agencies to take on complimentary roles, serving specialty populations and/or specific geographical regions.

CCP will serve as the Management Company for both LLCs, and has begun hiring staff in anticipation of a June 1 service start, beginning with new CCP Executive Director Jill Lack, formerly of Neighborhood Health Plan. Additionally, over the next 12 months, Bay Cove will be forming a number of new Care Management teams (and hiring approximately 70 new staff to fill new positions). The new staff will be needed as Bay Cove adds to its existing client base, providing care management to a large number of people who are currently receiving services from other agencies and health care providers. 

The development of these new entities will see Bay Cove continuing to solidify its place at the cutting-edge of human services and behavioral healthcare. This system-wide conversion for MassHealth represents a sea change in the management and delivery of Medicaid services in Massachusetts, and Bay Cove is proud to have been recognized for its longstanding dedication to innovation while providing the highest quality services, and to have been chosen as one of the agencies to lead this major new initiative.

This new system of managed care is extraordinarily complex—even for those with many years of experience working in this field. As these changes take effect, Bay Cove will be sharing many more specific details about systemic changes, and information about new services that arise from those changes. For now, however, the agency is looking forward to working with the ACOs in Eastern Massachusetts, and helping to shape the delivery of services to some of the most vulnerable members of the Commonwealth in the years to come.