The MassHealth 2023 ACO program requires all participating PCP sites to attest to a “tier” designation ranging from 1 – 3. Tier designation reflects the level of comprehensive primary care services offered at the practice. In the fall of 2022, each participating PCP practice attested to meeting at least tier 1 by July 1, 2023. Participating primary care practices will be asked to re-attest to a Tier annually.
This page serves as a central repository of resources to help practices meet their tier requirements.
- Overview of MassHealth Primary Care Sub-Capitation Program
- ACO Tiering Office Hours Feedback Form
- Tiering FAQs
MassHealth Tiering Tracking Grid:
This updated version of the MH Tiering Tracking grid includes the requests from MassHealth from the 2023 Tiering Audit. We encourage practices to use this as a tool in preparation for the 2024 Tier Audit.
Moving up a Tier is a cumulative process. To achieve a Tier 2 designation practices must also meet all Tier 1 requirements.