OneCare

Massachusetts

One Care is a demonstration project jointly funded by Massachusetts' Medicaid program and the federal Centers for Medicare and Medicaid Services that targets dual-eligibles under age 65 that have serious mental illness, substance abuse issues or disabilities. The program seeks to integrate medical, behavioral and social services for these patients using care coordinators to connect patients to care provided at the physician's office, at home and in community settings when possible. Care coordinators work with each patient's providers to create a Personal Care Plan to address physical health, mental health, substance abuse and long-term services and support needs. The program has operated at a loss in its first two years but anticipates savings in 2017.

Partner Organizations

• MassHealth
• Medicare
• Massachusetts health plans

Target Population

Dual-Eligibles under age 65 with Serious Mental Illness (SMI), disability, substance abuse issues and/or complex chronic conditions

Care Team

Care coordinator, primary care provider, mental health provider (optional), independent living long-term services and supports coordinator (optional), specialists, clinicians, nurses, social workers, community health workers, peer specialists, service coordinators from state agencies, community services providers

Timeframe

2013 - present

Results/ Studies

Annual report (September 2016)

Case study: Commonwealth Care Alliance (The Commonwealth Fund)

Funding

Federal and state grants

Resources

Program website