The Acute Inpatient Hospital Manual contains the regulations and administrative and billing instructions for acute inpatient hospitals. In-state acute inpatient hospitals should also refer to the RFA (Request for Application) signed by the hospital for the current rate year for additional requirements. Acute outpatient hospitals should refer to the Acute Outpatient Hospital Manual .

MassHealth issues transmittal letters to update any part of the provider manual. MassHealth issues provider bulletins to communicate information that is not contained in the provider manual.

Each part of the Acute Inpatient Hospital Manual is listed below from beginning to end. You can print each part separately (or any individual pages) or print all parts for a complete manual.

Table of Contents

Preface

Subchapters 1 through 3: Administrative and Billing Regulations

Subchapter 4: Acute Inpatient Hospital Regulations

Subchapter 5: Administrative and Billing Instructions

For instructions for electronic billing, refer to the MassHealth Companion Guides. For instructions for billing MassHealth using paper claim forms refer to MassHealth Billing Guides for Paper Claim Submitters.

The Administrative and Billing Instructions are divided into seven parts.

Appendix A

Appendix C

Appendix D

Appendix E

Appendix F

Appendix U

Appendix V

Appendix W

Appendix X

Appendix Y

Appendix Z


This information is provided by MassHealth.