EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES
COMMONWEALTH OF MASSACHUSETTS
OFFICE OF MEDICAID
ONE ASHBURTON PLACE, BOSTON, MA 02108
MAURA T. HEALEY KATHLEEN E. WALSH
GOVERNOR SECRETARY
KIMBERLEY DRISCOLL MIKE LEVINE
LIEUTENANT GOVERNOR ASSISTANT SECRETARY
FOR MASSHEALTH
May 6, 2024
Chair Michael Rodrigues Chair Aaron Michlewitz
Senate Committee on Ways and Means House Committee on Ways and Means
State House, Room 212 State House, Room 243
Boston, MA 02133 Boston, MA 02133
Chair Cindy Friedman Chair John Lawn Jr.
Joint Committee on Health Care Financing Joint Committee on Health Care Financing
State House, Room 313 State House, Room 236
Boston, MA 02133 Boston, MA 02133
Dear Chairs Rodrigues, Michlewitz, Friedman, and Lawn,
Enclosed is the Legislative Report for the Children’s Medical Security Plan (CMSP) for the first quarter
of Fiscal Year 2024. The report covers July 1, 2023 – September 30, 2023
The information provided in the report includes the same data provided in the past (such as eligibility and
program expenditures).
At the end of the first quarter of FY 2024 (September 30, 2023), there were 77,693 children eligible for
CMSP. CMSP eligibility does not indicate that an eligible member is using CMSP services. Additional
information on CMSP utilization can be found in the attached report.
Please feel free to contact Sarah Nordberg at Sarah.Nordberg@mass.gov should you have any questions.
Sincerely,
Mike Levine
cc: Kathleen E. Walsh
 Massachusetts Executive Office of Health and Human Services
The Children’s Medical Security Plan Legislative Report
Fiscal Year 2024– 1st QUARTER
Reporting Period July 1, 2023 – September 30, 2023
The Children’s Medical Security Plan (CMSP) provides access to primary and preventive health
care services to certain children and adolescents. Children from birth to age 18 are eligible for
CMSP provided they are not eligible for other MassHealth benefits (except MassHealth Limited)
and provided that they are not otherwise insured. Effective November 1, 2005, enrollee
premiums were set at zero for those enrollees whose income is less than 200% of the Federal
Poverty Level (FPL), and premiums are set via a sliding scale for enrollees with incomes of
200% of the FPL and above.
Enrollment Demographics
At the end of the first quarter of FY 2024 (September 30, 2023), there were 77,693 children
eligible for CMSP. CMSP eligibility does not indicate that an eligible member is using CMSP
services. Additional information on CMSP utilization can be found below.
Month Month-End Eligibility
July 75,734
August 77,230
September 77,693
The following is a breakdown of spending for CMSP for the first quarter of FY 2024.
Fiscal Year 2024 – First Quarter – CMSP Spending by Type of Service
Medical Claims # Claims
Amt Paid Member
Count
July $2,116,630 10,055 28,641
August $2,463,995 12,148 35,302
September $2,692,172 12,154 37,151
TOTAL $7,272,798 34,357 101,094
Dental Claims # Claims
Amt Paid Member
Count
July $1,073,814 4,050 17,855
August $1,142,659 4,457 19,637
September $946,138 4,027 17,117
TOTAL $3,162,611 12,534 54,609
 Pharmacy Claims # Claims
Amt Paid Member
Count
July $60,798 1,969 2,993
August $57,505 2,023 3,107
September $54,945 1,911 2,922
TOTAL $173,248 5,903 9,022
Total Expenditures
The number of claims filed for CMSP for the first quarter of Fiscal Year FY 2024 totaled
164,725. There were 101,094 medical claims, 54,609 dental claims, and 9,022 pharmacy claims
filed during the first quarter of the fiscal year. Total expenditures for the first quarter of the
Fiscal Year 2024 were $10,608,656. Based on year-to-date expenditures, annual spending for
CMSP is estimated at $30 million.