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1115 Waivers

Massachusetts Medicaid Seeks 1115 Waiver Extension Adding Hospital Incentives & Global Budgeting

OPEN MINDS·October 5, 2026
Massachusetts Medicaid Seeks 1115 Waiver Extension Adding Hospital Incentives & Global Budgeting

Massachusetts has released a proposal to extend its Medicaid Section 1115 demonstration for five years, covering the period from 2028 through 2032. The extension request aims to continue existing initiatives, including nutrition, tenancy, and behavioral health support services, while introducing new hospital incentives and a global budget payment model.

HNH Insight

This article highlights how states are increasingly embedding health-related social needs (HRSN), such as nutrition services, into long-term Medicaid waiver renewals to ensure continuity of care alongside broader systemic reforms like global budgeting.

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Medicaid
1115 Waiver
Nutrition Services
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