Accountable Care Organization |Overview
Tufts Health Public Plans and Boston Children’s Accountable Care Organization have partnered to participate in the MassHealth Accountable Care Organization Program.Tufts Health Together with Boston Children’s ACOis a new MassHealth plan offered by Tufts Health Public Plans that provides quality health care for pediatric members. The participation of Boston Children’s Hospital and its affiliated specialists and primary care physicians, both in the hospital and in the community, in the MassHealth ACO program is an important part of our shared commitment to providing the best care possible to all of the children in the Commonwealth who need our services.
Tufts Health Public Plans and Boston Children’s ACO share the belief that every child deserves the chance for a healthy future. We focus on the preventive care and treatments that have long-term health benefits for our pediatric members. Together, we are committed to doing more and going further to keep your child healthy.
What is an ACO?
An ACO is a group of doctors, hospitals and other providers, led by a primary care provider (PCP), all working together to provide seamless, high-quality care. The mission of our ACO is to make sure our pediatric members get the care they need when sick and the support they need to stay healthy.
Health care as it should be: Focused on your child’s health
We know your family’s health care needs change. Keep your child healthy by starting with your primary care provider (PCP), who will guide you to the right care at the right time. Your PCP is on your side, helping your child get support to stay healthy and care when they’re sick.
Your PCP works closely with other ACO doctors to give you:
- easy access to the right specialists at the right time
- tools to better control illnesses like asthma and diabetes
- programs and benefits that help you stay healthy
To learn more aboutTufts Health Together with Boston Children’s ACOor to check if your PCP is in the ACO, visitTuftsHealthTogether.com/BCACOor call 888-257-1985 (TTY: 888-391-5535), Monday through Friday, 8 a.m. to 5 p.m.
To learn more about MassHealth ACO enrollment options, visitmasshealthchoices.comor call 1-800-841-2900 (TTY: 1-800-497-4648).
Frequently asked questions
如果你现在有一个波士顿孩子dren’s affiliated primary care provider, whether at Boston Children’s Hospital or in the community, you should be automatically enrolled in the ACO for March 1, 2018.Please pay attention to your mail in November and December!MassHealth will be sending notices to patients about their health plan for March 2018. Make sure that your notice says you will be enrolled inTufts Health Together with Boston Children’s ACO。If your letter has a different health plan name, or if you cannot find your letter, call MassHealth at 1-800-841-2900 (TTY: 1-800-497-4648).
你不需要改变你的初级保健医生, and all Boston Children’s specialists are covered throughTufts Health Together with Boston Children’s ACO。However, if you see any specialists who do not practice at Boston Children’s, you will need to confirm if they are covered by Tufts Health Together. Your care will need to be provided by doctors and hospitals that accept Tufts Health Together coverage.
To check if your doctors are covered byTufts Health Together with Boston Children’s ACO,visit this webpageor call 1-888-257-1985 (TTY: 1-888-391-5535).
For MassHealth patients not enrolled inTufts Health Together with Boston Children’s ACO, Boston Children’s will still be a critical provider of pediatric services in the region. We are working with other ACOs to ensure that patients who need to see a Boston Children’s provider will be able to seek care here. Please contact the ACO listed on the letter you received from MassHealth to confirm if your specialist is covered by your new health plan.
For most patients, in order to continue to see your Boston Children’s PCP you must enroll inTufts Health Together with Boston Children’s ACO。如果你现在有一个波士顿孩子dren’s PCP but do not seeTufts Health Together with Boston Children’s ACOon the letter you received from MassHealth, contact MassHealth by calling 1-800-841-2900 (TTY: 1-800-497-4648) to confirm your enrollment.
If you do not want to joinTufts Health Together with Boston Children’s ACO, you will need to opt out with MassHealth and may need to change your primary care provider. To change your MassHealth ACO enrollment or to see your options, visitmasshealthchoices.comor call 1-800-841-2900 (TTY: 1-800-497-4648).
If you’re happy with your new health plan, you will be automatically enrolled and your new coverage through Tufts Health Together with Boston Children’s ACO will take effect on March 1, 2018. You’ll have until May 31, 2018, to try out your new plan or to change plans for any reason. After June 1, you will only be able to change plans for certain reasons.
If you do not want to move into Tufts Health Together with Boston Children’s ACO, contactMassHealth through its webpageor call 1-800-841-2900 (TTY: 1-800-497-4648) before March 1, 2018.
For detailed plan and benefits information, or to check if your PCP is part of Tufts Health Together with Boston Children’s ACO, visitthis webpageor call 888.257.1985 (TTY: 888.391.5535).
To learn more about MassHealth ACO enrollment options, visitthis webpageor call 1-800-841-2900 (TTY: 1-800-497-4648).