# Coordinated Transportation Solutions in Massachusetts: Senior Care Options and One Care Plan Rides (2027)

Canonical URL: https://nemtguide.com/brokers/coordinated-transportation-solutions/massachusetts/ · Updated 2026-10-02

Coordinated Transportation Solutions (CTS) books rides in Massachusetts for dual eligible health plans, not for regular MassHealth rides. As of October 2026, it serves CCA Senior Care Options and One Care, Fallon Health NaviCare, Mass General Brigham SCO and One Care, and Tufts Health One Care. To get those trips, plate your vehicles as livery, then send CTS its provider request form.

- In Massachusetts, CTS books rides for six dual eligible plans: CCA's SCO and One Care, Fallon NaviCare, Mass General Brigham's SCO and One Care, and Tufts Health One Care.
- Regular MassHealth members ride through MART and GATRA, so a company that wants both groups of riders in its towns needs one of those brokers as well as CTS.
- CCA pays for a ride only when CTS arranges it, booked 72 hours ahead, not counting the day of booking.
- Since January 1, 2026, SCO members must have Medicare Parts A and B, and members without Medicare moved to MassHealth fee-for-service.
- Put Livery plates on every for-hire vehicle and ask your city or town clerk about a local license before you send the CTS form.

## CTS in Massachusetts at a glance

| Fact | Details |
| --- | --- |
| Who CTS books for here | Dual eligible SCO and One Care plans, not regular MassHealth rides. MassHealth sends One Care, SCO, and PACE members to their plans for rides, and its other members to MART or GATRA. |
| SCO plans with CTS | CCA Senior Care Options, Fallon Health NaviCare, and Mass General Brigham SCO, on the state's SCO plan list updated March 24, 2026 |
| One Care plans with CTS | CCA One Care, Mass General Brigham One Care, and Tufts Health One Care, on the state's One Care plan list updated January 14, 2026 |
| Tufts Health Plan SCO | The state's SCO list names CTS, but the plan's 2026 Member Handbook books its rides through Modivcare at 855-251-7092. Ask Tufts before you count on these trips. |
| Plans with other brokers | UnitedHealthcare SCO uses SafeRide Health. Senior Whole Health SCO, Molina One Care, and UnitedHealthcare Connected use Modivcare (state plan lists, 2026). |
| Where the riders are | Every county has at least one CTS plan. All six cover Bristol, Essex, Middlesex, Norfolk, Plymouth, and Suffolk. Only Mass General Brigham covers Dukes and Nantucket. |
| How far ahead riders book | CCA: 72 hours, not counting the day of booking. Fallon NaviCare: 2 business days. Tufts Health One Care: 48 hours, with some same-day rides. |
| Vehicle registration | RMV Livery plates on a for-hire vehicle built for 15 or fewer people, driver included (540 CMR 2.05), plus any license your city or town requires |
| CTS insurance | Commercial general liability, commercial auto, and workers' compensation to contract, and an umbrella policy when a contract calls for one |
| How to join | The request form on CTS's Transportation Providers page. It asks which brokers you already work with, and MART and GATRA are on its list. |

Coordinated Transportation Solutions (CTS), a nonprofit based in Trumbull, Connecticut, books rides in Massachusetts for health plans, not for regular MassHealth rides. Most MassHealth members get rides from the state's two Human Service Transportation brokers, [MART](https://nemtguide.com/brokers/mart/) and [GATRA](https://nemtguide.com/brokers/gatra/), after a medical provider sends a PT-1 request; the [Massachusetts guide](https://nemtguide.com/states/massachusetts/) covers that system and the state's licensing. MassHealth tells members of One Care, Senior Care Options (SCO), and PACE plans to call their plan for rides instead, and that plan work is where CTS comes in.

## Which Massachusetts plans send rides to CTS

SCO and One Care plans cover people who have both MassHealth and Medicare, known as [dual eligible](https://nemtguide.com/glossary/dual-eligible/) members, in one plan. Each is a kind of [dual special needs plan](https://nemtguide.com/glossary/dual-special-needs-plan/):

- **Senior Care Options.** For people 65 and older with MassHealth Standard and Medicare Parts A and B who live at home or in a long-term care facility, by MassHealth's eligibility page. Nursing home residents in SCO get their rides through the plan.
- **One Care.** For people 21 to 64 with a disability who have MassHealth Standard or CommonHealth and Medicare Parts A and B.

As of October 2026, these six plans send their members' rides to CTS, by the state's SCO list (updated March 24, 2026), its One Care list (updated January 14, 2026), and each plan's own 2026 or 2027 documents:

| Plan | Program | Member ride line at CTS |
|---|---|---|
| CCA Senior Care Options | SCO | 855-204-1410 |
| CCA One Care | One Care | 855-204-1410 |
| Fallon Health NaviCare | SCO | 833-824-9440, weekdays 8 a.m. to 6 p.m. |
| Mass General Brigham SCO | SCO | 844-247-2100 |
| Mass General Brigham One Care | One Care | 844-247-2100 |
| Tufts Health One Care | One Care | 833-242-3331, or the plan at 855-393-3154 |

CTS's 2025 annual report says its partnership with Mass General Brigham began in December 2025, and both Mass General Brigham plans' 2027 notices of change name CTS again. Fallon's NaviCare page, updated October 1, 2026, names CTS for 2027 as well.

### Tufts Health Plan SCO: check before you count on it

The state's SCO list names CTS as the transportation benefit manager for Tufts Health Plan Senior Care Options. The plan's own 2026 Member Handbook tells members to book both medical and non-medical rides with Modivcare at 855-251-7092, the Tufts line on Modivcare's Massachusetts page. In 2026, Tufts raised that plan's non-medical rides from two round trips a month to four, with a limit of 20 miles each way, by its 2026 notice of change. Ask Tufts and CTS which broker carries these trips before you plan vans around them.

### SCO and One Care plans that use other brokers

The same state lists send the other plans elsewhere. UnitedHealthcare's SCO plan uses [SafeRide Health](https://nemtguide.com/brokers/saferide-health/). Senior Whole Health's SCO plan, Molina One Care, and UnitedHealthcare Connected, a One Care plan, use [Modivcare](https://nemtguide.com/brokers/modivcare/). PACE programs arrange their own participants' rides; see [PACE transportation contracts](https://nemtguide.com/guides/pace-transportation-contracts/).

## Where CTS has plan riders, county by county

By the six plans' 2026 service areas on the state's lists, every Massachusetts county has at least one CTS plan, and the six counties from the North Shore through Greater Boston to the South Coast have all six:

| Counties | CTS plans with members there |
|---|---|
| Bristol, Essex, Middlesex, Norfolk, Plymouth, Suffolk | All six plans |
| Hampden, Hampshire, Worcester | CCA SCO and One Care, Fallon NaviCare, Tufts Health One Care |
| Barnstable | CCA One Care, Fallon NaviCare, Tufts Health One Care |
| Franklin | CCA SCO and One Care, Fallon NaviCare |
| Berkshire | CCA One Care, Fallon NaviCare |
| Dukes, Nantucket | Mass General Brigham SCO and One Care |

On Martha's Vineyard and Nantucket, Mass General Brigham's plans are the only ones that use CTS, and their 2026 SCO handbook lists ferry rides among its covered ride types. Fallon's 2027 handbook keeps NaviCare in the same 12 counties for 2027.

## What each plan covers and how far ahead riders book

Each plan sets its own booking notice and trip limits, and those rules decide when trips reach your schedule:

- **CCA (SCO and One Care).** CCA's transportation guideline, MNG 101, effective January 1, 2026, covers a ride only when CTS arranges it, booked 72 hours ahead, not counting the day of booking. CCA's 2026 and 2027 benefits pages list unlimited medical rides within 50 miles, and medical rides over 50 miles from the pickup need prior authorization. Non-medical rides stop at 50 miles and 10 trips a month, and CCA's SCO benefits page makes them part of its chronic illness benefit, for members who qualify. Members going to the same area at the same time must share a ride when CCA, the broker, the transportation company, or the medical provider arranges one. Rides are generally [curb to curb](https://nemtguide.com/glossary/curb-to-curb/), except ambulance, and CCA does not pay for a ride to care within 0.75 mile of home for a member who walks freely. The [CCA health plan page](https://nemtguide.com/health-plans/commonwealth-care-alliance/) covers the rest of its benefit.
- **Fallon Health NaviCare.** Unlimited rides to medical appointments, 48 one-way rides a year to pharmacies (no more than four a month), and, for members who qualify under its chronic illness program, 100 one-way rides a year for errands and visits. Members book through CTS at least 2 business days ahead, during business hours. Rides stay within 30 miles of the pickup, by its 2027 handbook, and the NaviCare page lists the same ride benefits for 2026 and 2027.
- **Mass General Brigham SCO and One Care.** The 2026 SCO handbook lists nonemergency ambulance, taxi and livery, rideshare, wheelchair accessible vehicles, stretcher vans, and ferry. Non-medical rides are two round trips or four one-way trips a month, up to 50 miles each way. For 2027, the SCO plan offers non-medical rides to members approved for its chronic illness benefit, though others may qualify through their care plan. One Care allows two round trips a month in 2027, and only when the rides are written into the member's care plan.
- **Tufts Health One Care.** Members book 48 hours ahead, and CTS calls the night before to remind them. Same-day rides can be booked for follow-up visits, hospital admissions and discharges, outpatient surgery, new conditions, and urgent care. Members are asked to be at the pickup 10 to 15 minutes early, and drivers call when they arrive, by its 2026 handbook.

Fallon and Mass General Brigham both list rideshare among their ride types, so lead with what a car cannot do, such as wheelchair and stretcher trips. See [NEMT vs rideshare](https://nemtguide.com/guides/nemt-vs-rideshare/) and [starting a wheelchair transportation business](https://nemtguide.com/guides/start-a-wheelchair-transportation-business/).

## How CTS fits next to MART and GATRA

A Massachusetts company can carry MassHealth riders through MART or GATRA and plan riders through CTS at the same time. CTS's provider request form asks which brokers you already work with, and MART and GATRA are two of its choices, next to MTM and Modivcare.

The line between them moved on January 1, 2026. A change to state law (M.G.L. chapter 118E, section 9D) now requires every SCO member to have Medicare Parts A and B as well as MassHealth Standard, and members with MassHealth Standard alone moved to MassHealth fee-for-service. As MassHealth Standard members outside a plan, they get rides through MART or GATRA when they qualify and a medical provider sends a PT-1. If you drove SCO members without Medicare in 2025, those trips now come from the HST broker for their town.

For how Medicare Advantage and dual eligible plans run rides in general, see [Medicare Advantage transportation](https://nemtguide.com/guides/medicare-advantage-transportation/).

## How to join CTS for Massachusetts trips

1. **Register your company.** CTS asks for a certificate of good standing from the state where you work, or proof you are registered to do business there. In Massachusetts that comes from the Secretary of the Commonwealth; the Massachusetts guide has the fees.
2. **Plate every for-hire vehicle as livery.** Under 540 CMR 2.05, a vehicle built for 15 or fewer people, driver included, that carries riders for hire or on booked trips displays an RMV Livery plate. A vehicle that must hold a city or town taxi license is a taxi instead. See [livery vehicle](https://nemtguide.com/glossary/livery-vehicle/).
3. **Ask your city or town about a local license.** M.G.L. chapter 40, section 22 lets a city or town regulate vehicles used there and charge a yearly fee for each license. CTS requires every vehicle to meet local rules, so ask the clerk in each city or town where your vehicles are used.
4. **Insure and screen.** CTS requires commercial general liability, commercial auto, and workers' compensation, OIG and SAM checks on your employees, and driving record and criminal background checks on your drivers. Limits follow each contract, so ask CTS for the Massachusetts numbers; the [CTS provider page](https://nemtguide.com/brokers/coordinated-transportation-solutions/) lists its full company, driver, and vehicle rules.
5. **Send the request form.** Mark MART or GATRA if you already drive for either, and read the Pupil plate rule below before you say yes to student trips. CTS says someone contacts you promptly after it arrives.
6. **Finish CTS training** with the password CTS staff give you.

CTS pays clean claims within 30 days, billed twice a month in its Provider Web Portal. Confirm your Massachusetts rates in the agreement before your first trip, and see [how to bill NEMT brokers](https://nemtguide.com/guides/how-to-bill-nemt-brokers/).

## Other CTS work in Massachusetts

CTS's 2025 annual report lists Massachusetts partners beyond the health plans: Lowell Public Schools, the Executive Office of the Trial Court, the Executive Office of Housing and Livable Communities, and Eliot Community Human Services. Student trips follow their own vehicle rules: under 540 CMR 2.05, a vehicle that carries school pupils under M.G.L. chapter 90, section 7D displays a Pupil plate instead of a Livery plate. Ask CTS what the Lowell trips require before you tick the students box on the form, and which of these programs run trips near you.

## Who to call

| For | Contact |
|---|---|
| Joining the CTS network | The request form on CTS's Transportation Providers page |
| CTS headquarters | 203-736-8810, 35 Nutmeg Drive, Suite 120, Trumbull, CT 06611 |
| CCA member ride portal help | ccamemberportal@ctstransit.com |
| CCA Member Services | 866-610-2273 |
| Fallon NaviCare Member Services | 877-700-6996 |
| Mass General Brigham SCO and One Care Member Services | 888-816-6000 |
| Tufts Health Plan SCO Member Services | 855-670-5934 |
| MassHealth rides through MART or GATRA | HST Office, 617-847-3427 or HSTinfo@state.ma.us |

## What to do first

1. **Find your counties** in the table above and note which CTS plans have members there.
2. **Plate and license your vehicles**: Livery plates from the RMV and any license your city or town requires.
3. **Send CTS's form** with your insurance certificates, vehicle list by type, and driver roster ready.
4. **Ask CTS** which plans and ride types are short of vehicles in your towns, and whether it books Tufts Health Plan SCO trips.
5. **Cover regular MassHealth riders** by applying to MART or GATRA for your towns, using the [Massachusetts guide](https://nemtguide.com/states/massachusetts/).

## Frequently asked questions

### Which Massachusetts health plans use Coordinated Transportation Solutions?

Six plans, by the state's 2026 plan lists and the plans' own documents: CCA Senior Care Options, CCA One Care, Fallon Health NaviCare, Mass General Brigham SCO, Mass General Brigham One Care, and Tufts Health One Care. The state's SCO list also names CTS for Tufts Health Plan SCO, but that plan's 2026 Member Handbook sends its rides to Modivcare.

### Does CTS book MassHealth rides in Massachusetts?

Not for regular MassHealth members. The state's Human Service Transportation brokers, MART and GATRA, book rides for MassHealth members who qualify, after a medical provider sends a PT-1 request. MassHealth tells One Care, SCO, and PACE members to call their plans for rides instead, and six of those plans send them to CTS.

### What is the CTS phone number for CCA members?

855-204-1410 (TTY 711), as of October 2026. CTS answers Monday to Friday from 7 a.m. to 8 p.m., and from 8 a.m. to noon on weekends and federal holidays. CCA members can also request and cancel rides in the CCA Transportation Portal and app, and CTS reviews every portal request before it books the ride with a transportation company.

### Does Tufts Health Plan SCO use CTS?

Not clearly. The state's SCO plan list, updated March 24, 2026, names CTS as the plan's transportation benefit manager. The plan's own 2026 Member Handbook tells members to book medical and non-medical rides with Modivcare at 855-251-7092, the Tufts line on Modivcare's Massachusetts page. Ask Tufts and CTS which broker books its SCO rides. Tufts Health One Care, a different plan, does use CTS.

### What does my vehicle need before I drive CTS trips in Massachusetts?

CTS requires each vehicle to be licensed, inspected, and insured to local, state, and federal rules. In Massachusetts, a vehicle built for 15 or fewer people, driver included, that carries riders for hire or on booked trips displays RMV Livery plates under 540 CMR 2.05. Your city or town may also license vehicles used there and charge a yearly fee under M.G.L. chapter 40, section 22.

### Which Massachusetts dual eligible plans do not use CTS?

On the state's 2026 plan lists, UnitedHealthcare's SCO plan uses SafeRide Health. Senior Whole Health's SCO plan, Molina One Care, and UnitedHealthcare Connected, a One Care plan, use Modivcare. To reach those members, join those brokers' networks as well as CTS.

## Official resources

- [CTS: Become a transportation provider (request form)](https://www.ctstransit.com/transportation-providers/)
- [CTS: Company Requirements](https://www.ctstransit.com/company-requirements/)
- [MassHealth: Senior Care Options Plans](https://www.mass.gov/info-details/senior-care-options-plans)
- [MassHealth: One Care Plans](https://www.mass.gov/info-details/one-care-plans)
- [Commonwealth Care Alliance: Non-Emergent Transportation guideline (MNG 101)](https://www.commonwealthcarealliance.org/ma/wp-content/uploads/2026/01/Non_Emergent_Transportation_Supplemental_Flexible-Benefit-MNG-101.pdf)
- [Fallon Health: NaviCare benefits and member handbook](https://www.fallonhealth.org/find-insurance/navicare/benefits.aspx)
- [Massachusetts RMV: 540 CMR 2.00, Motor Vehicle Regulations](https://www.mass.gov/doc/540-cmr-2-motor-vehicle-regulations/download)
- [Mass.gov: Transportation for MassHealth members](https://www.mass.gov/transportation-for-masshealth-members)