On Feb. 21, Change Healthcare disclosed a cybersecurity incident affecting several of its systems and services. BILHPN has engaged payer partners to explore ways to support providers during this period of disruption. Find updates here.

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.

General Resources: 

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.

10.27.23_MH Tiering Grid

ACO Tiering Office Hours: 4th Thursday of each month

Recordings and Slides: 

MH Tiering Office Hours 2.22.24

MH Tiering Office Hours 11.30.23

MH Tiering Office Hours 10.26.23