Integrated Care Services
WestMass ElderCare partners with health care plan providers as part of our consumers’ primary care teams. This allows us to offer care and service coordination for seniors and people with disabilities, ensuring members of the western Mass. community are able to stay independent, empowered, and safe.
Whether you’re a member of a Senior Care Option Organization (SCO), One Care (OC) or Long-Term Services and Support Community Partner (Care Alliance of W MA), our staff work to make sure that you are supported with community, care-at-home, and care transition resources.
Who We Serve:
WMEC’s Integrated Health Plans provide case management support, coordinate home- and community-based care, and act as the main link to primary care teams for:
- Seniors 60 and older
- Individuals younger than 60 who need assistance to live independently
- Members of our Adult Family Care, Personal Care Assistance, and Home-Delivered Meals services
How We Help:
Senior Care Options (SCO) is a comprehensive health insurance plan that covers all of the services normally paid for through Medicare and MassHealth. SCO integrates health care with social support services by coordinating care and in-home support services through a collaborative Care Team which includes older adults, family and caregivers, Primary Care Providers, Specialists, Nurses (Care Partners), Geriatric Support Services Coordinators (GSSCs), and Behavioral Health providers.
As key members of your Care Team, the GSSC provides assessment and coordination of in-home and community services. Meet our SCO Care Teams:
- Fallon Navicare
- Senior Whole Health
- Tufts Health Plan
- United Health Care
- WellSense Health Plan (formerly BMC HealthNet Plan)
One Care is a comprehensive health insurance plan that covers health care services along with a wide range of in-home and community support services for adults under age 65 who have both MassHealth and Medicare. WMEC’s Long-Term Support Services Coordinators (LTSC) work with both of the One Care plans as members of the person-centered care teams. LTSCs provide service coordination for One Care members with in-home supports and help to navigate community resources and referrals.
We work with One Care Teams for:
Long-Term Services and Support (LTSS) Community Partners (CP)
Long-Term Services and Support (LTSS) Community Partners (CP) 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.
Care Alliance of Western Massachusetts LTSS Care Coordinators
Care Alliance of Western Massachusetts LTSS Care Coordinators assist members ages 3-64 in accessing health-related services and community resources, as well as working on their personal wellness goals. Care Coordinators support members as a link between their primary care provider and health-related resources in the community. WestMass ElderCare and BHN are partners in the Care Alliance of Western MA to provide these LTSS programs:
- BeHealthy Partnership
- Berkshire Fallon Health Collaborative
- Boston Accountable Care Organization in Partnership with WellSense Health Plan (formerly BMC HealthNet Plan)
- WellSense Health Plan Mercy Alliance
- WellSense Health Plan
- Community Care Cooperative (C3)
- Mass General Brigham Cooley Dickinson
- Steward Health Choice
- Tufts Together Plan MCO
- Tufts Health Together with Boston Children’s ACO
For more ACO and Community Partners basics, visit: