Senior Care Options

Senior Care Options (SCO) is a comprehensive health plan that covers all of the services normally paid for through Medicare and MassHealth. SCO combines health services with social support services by coordinating care and in-home support services through a collaborative Care Team model which includes elders, their family and caregivers, PCPs, Specialists, Nurses, Behavioral Health providers, and Services Coordinators. SCO offers an important advantage for eligible members over traditional fee-for-service care and there are no copays for enrolled members. Geriatric Support Services Coordinators (GSSCs) at Mystic Valley Elder Services work with all six SCO plans to provide assessment and coordination of in home services.

Senior Care Options Plans in the MVES area:

• Commonwealth Care Alliance
• Tufts Health Plan
• Senior Whole Health
• United Health Care
• Fallon Navicare
• BMC HealthNet Plan

SCO Eligibility:

• Masshealth Standard
• Age 65+

One Care

One Care is a comprehensive health insurance plan that covers all MassHealth and Medicare benefits along with a wide range of in-home and community support services for disabled adults. Long Term Support Services Coordinators (LTSC) at Mystic Valley Elder Services work with both of the One Care plans as members of the person-centered care teams. LTSCs provide service coordination for One Care members in need of in home supports and additionally assist with community resources and referrals.

One Care Plans in the MVES area:

• Commonwealth Care Alliance
• Tufts Health Unify

One Care Eligibility:

• Medicare and Masshealth Standard or Commonhealth
• Age 21-64

LTSS Community Partners Program

Long-term Services and Support (LTSS) Community Partners are community-based entities that work collaboratively with Accountable Care Organizations (ACOs) and Primary Care teams to provide care management and coordination for Masshealth ACO members with complex LTSS needs. Our LTSS Care Coordinators assist adults with physical, developmental, and brain injury related disabilities in accessing services and community resources.

ACO plans in the Mystic Valley Elder Services area:

• Atrius Health in Partnership with Tufts Health Public Plans
• Beth Isreal Deaconess Care Organization in partnership with Tufts Health Public Plans
• Boston Accountable Care Organization in Partnership with BMC HealthNet Plan
• Boston Medical Center HealthNet Plan MCO
• Cambridge Health Alliance in Partnership with Tufts Health Public Plans
• Community Care Cooperative (C3)
• Lahey Clinical Performance Network
• Partners Care Connect
• Steward Medicaid Care Network
• Tufts Health Public Plans MCO
• Wellforce in Partnership with Fallon Heath

LTSS CP Eligibility:

• Enrolled in a Masshealth ACO plan
• Age 18-64