The Executive Office of Health and Human Services (EOHHS) intends to conduct a procurement for One Care plans and SCO plans through an aligned Request for Responses (RFR) process. The RFR will result in One Care and SCO contracts that would provide coverage beginning in CY2026 (January 1, 2026). Through the procurement, EOHHS will select organizations to operate a One Care plan, a SCO plan, or both.
EOHHS will be selecting One Care and SCO plans through a single, aligned RFR process to leverage certain process and timing efficiencies – both for MassHealth and for prospective bidders. Despite this aligned process, One Care and SCO serve very different populations, and they will remain separate and distinct programs with care models and other requirements appropriate to each.
As of January 1, 2026, One Care will consist of Medicare Fully Integrated Dual Eligible Special Needs Plans (FIDE SNPs) with companion Medicaid managed care plans. SCO currently consists of Medicare FIDE SNPs with companion Medicaid managed care plans. Organizations selected for both products would have separate Medicaid managed care contracts with EOHHS, as well as separate Medicare Advantage contracts with CMS for each of the plans’ One Care and SCO products. MassHealth expects to include a preference for contracting with organizations that will operate both One Care and SCO plans.