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
June 17, 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 third quarter
of Fiscal Year 2024. The report covers January 1, 2024 – March 31, 2024.
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 third quarter of FY 2024 (March 31, 2023), there were 87,772 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
FY 2024– 3rd QUARTER
Reporting Period January 1, 2024 – March 31, 2024
The Children’s Medical Security Plan 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 third quarter of FY 2024 (March 31, 2024), there were 87,772 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
January 2024 87,970
February 2024 88,361
March 2024 87,772
The following is a breakdown of spending for CMSP for the third quarter of FY 2024.
Fiscal Year 2024 – Third Quarter – CMSP Spending by Type of Service
Month Medical Claims # Claims
Amt Paid Member Count
January 2024 $3,182,691.98 14127 41404
February 2024 $2,509,726.16 11702 32464
March 2024 $2,953,437.42 13083 38421
TOTAL $8,645,855.56 38,912 112,289
Month Dental Claims # Claims
Amt Paid Member Count
January 2024 $989,971.67 4854 20160
February 2024 $705,301.60 3522 14624
March 2024 $941,234.80 4702 19600
TOTAL $2,636,508.07 13,078 54,384
 Month Pharmacy Claims # Claims
Amt Paid Member Count
January 2024 $67,775.87 2380 3790
February 2024 $71,897.24 2556 4069
March 2024 $70,270.88 2596 4053
TOTAL $209,943.99 7,532 11,912
Total Expenditures
The number of claims filed for CMSP for the third quarter of FY2024 totaled
178,585. There were 112,289 medical claims, 54,384 dental claims, and 11,912 pharmacy claims
filed during the third quarter of the fiscal year. Total expenditures for the third quarter of the
Fiscal Year 2024 were $11,492,308. Based on year-to-date expenditures, annual spending for
CMSP is estimated at $30 million.