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MA DSRIP TA - OTS Application

You have elected to submit a TA application for an Off the Shelf TA Project. Please complete this form to initiate a MassHealth Technical Assistance (TA) project. 

TA projects must be completed within the relevant TA card year(s).
  • Year One: September 21, 2018 – December 31, 2019 (ACO projects); September 21, 2018 – September 30, 2020 (CP projects)
  • Year Two: January 1, 2019 – September 30, 2020 (this overlaps with Year One and Year Three)
  • Year Three: January 1, 2020 – December 31, 2020
  • Year Four: January 1, 2021 – December 31, 2021
  • Year Five: January 1, 2022 – June 30, 2022
MassHealth and Abt Associates (the TA Program Managing Vendor) will review your TA application to ensure that your preferred TA Vendor has the capacity to work with you at this time.

We will reach out to you if we have questions about your TA application and send an email to you and the listed TA Vendor once your TA application is approved.

Following approval of your TA application, you will be free to work with the TA Vendor to create a detailed Scope of Work (SOW) and budget for your TA project following the guidance provided to TA Vendors by Abt Associates. The SOW should address any customization to the project needed by your organization. Abt Associates and MassHealth must review and approve all SOWs and budgets prior to the start of any TA project work.

More information about accessing TA is available at How to Use Your TA Card.

* questions require a response
 
1. Please identify the Off the Shelf TA Project for which your ACO/CP would like to submit this TA Application. First select the Domain, then select the TA Vendor with Off the Shelf projects in the Domain, and finally select from the available projects offered by the selected TA Vendor. *This question is required.
2. Is your organization an ACO or a CP? *This question is required.
3. Which TA Card is supporting this TA project? (please select all that apply) *This question is required.
4. Please identify the person in your ACO or CP who is directly accountable for the progress and successful completion of the requested TA: *This question is required.
5. Please identify the Competency Area(s) the requested TA is intended to strengthen: *This question is required.
9. Please enter the anticipated start and end date for the proposed OTS project.