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Coronavirus Disease 2019 (COVID-19)—Provider Rate Information

Information on adjusted essential provider rates related to the COVID-19 emergency.

Table of Contents

EOHHS Administrative Bulletins

Administrative Bulletin 20-76: 101 CMR 613.00: Health Safety Net Eligible Services/101 CMR 614.00: Health Safety Net Payments and Funding: Health Safety Net Coverage and Reimbursement Policy for Services Related to Coronavirus Disease 2019 (COVID-19) (effective August 14, 2020) PDF | Word

Administrative Bulletin 20-75: 101 CMR 327.00: Rates of Payment for Ambulance and Wheelchair Van Services:  Ambulance and Wheelchair Van Services Code Update PDF | Word

Administrative Bulletin 20-74: 101 CMR 358.00: Rates of Payment for Applied Behavior Analysis: Applied Behavior Analysis Code Update PDF | Word

Administrative Bulletin 20-73: 101 CMR 204.00: Rates of Payment to Resident Care Facilities (effective July 10, 2020) PDF |Word

Administrative Bulletin 20-72: 101 CMR 310.00: Adult Day Health Services (effective July 1, 2020) PDF | Word

Administrative Bulletin 20-71: 101 CMR 348.00: Day Habilitation Program Services (effective July 1, 2020) PDF | Word

Administrative Bulletin 20-70: 101 CMR 359.00: Rates for Home and Community Based Services Waivers (effective July 10, 2020) PDF  | Word

Administrative Bulletin 20-69: 101 CMR 206.00: Standard Payments to Nursing Facilities (effective July 1, 2020) PDF  | Word

Administrative Bulletin 20-68: 101 CMR 206.00: Standard Payments to Nursing Facilities (effective July 10, 2020) PDF | Word

Administrative Bulletin 20-67: 101 CMR 309.00: Rate for Certain Services for the Personal Care Attendant Program (effective July 1, 2020) PDF | Word

Administrative Bulletin 20-64: 101 CMR 331.00:  Prescribed Drugs: Payment Adjustment to Professional Dispensing Fee (effective June 17, 2020) PDF | Word

Administrative Bulletin 20-63: 101 CMR 361.00: Rate for Continuous Skilled Nursing Services: Rate Add-On Applicable to Certain Continuous Skilled Nursing Services to Address Costs Associated with Coronavirus Disease 2019 (COVID-19) (effective June 17, 2020) PDF | Word

Administrative Bulletin 20-62: 101 CMR 316.00: Surgery and Anesthesia, 101 CMR 317.00: Medicine, 101 CMR 318.00: Radiology: Alternative Interim Payment Methodology Applicable to Physicians (effective June 16, 2020) - UPDATED (New due date for applications) PDF | Word

Administrative Bulletin 20-61:101 CMR 314.00: Dental Services: Alternative Interim Payment Methodology Applicable to Dentists (effective June 16, 2020) - UPDATED (New due date for applications) PDF | Word

Administrative Bulletin 20-60:  101 CMR 349.00:  Rates for Early Intervention Program Services:  Additional Rate Provision Applicable to Early Intervention Program Services Purchased by the MassHealth Program to Compensate for Costs Associated with Coronavirus Disease 2019 (COVID-19) (effective June 16, 2020) PDF | Word

Administrative Bulletin 20-59:  101 CMR 349.00:  Rates for Early Intervention Program Services:  Additional Rate Provision Applicable to Early Intervention Program Services Purchased by the Department of Public Health to Compensate for Costs Associated with Coronavirus Disease 2019 (COVID-19) (effective June 16, 2020) PDF | Word

Administrative Bulletin 20-56: 101 CMR 320.00: Clinical Laboratory Services: Procedure Code Modifier Relating to Testing for COVID-19 (effective May 29, 2020) PDF | Word

Administrative Bulletin 20-55: 101 CMR 206.00: Standard Payments to Nursing Facilities: Supplemental Payments for Certain Nursing Facilities to Complete COVID-19 Baseline Testing Requirements During the Coronavirus Disease 2019 (COVID-19) Public Health Emergency (effective May 29, 2020) PDF | Word

Administrative Bulletin 20-54: 101 CMR 359.00:  Rates for Home and Community Based Services Waivers: Additional Rate Provision Applicable to Providers of Day Services to Address Changes in Service Modalities Associated with Coronavirus Disease 2019 (COVID-19) (effective May 29, 2020) PDF | Word

Administrative Bulletin 20-53: 101 CMR 206.00  Standard Payments to Nursing Facilities: Accountability and Support Supplemental Payment Methodology Applicable to Nursing Facilities During the Coronavirus Disease 2019 (COVID-19) Public Health Emergency (effective May 15, 2020) PDF | Word

Appendix A: Accountability and Support Administrative Bulletin PDF | XLS

Payments per Section 3 of Administrative Bulletin 20-53: Accountability and Support Supplemental Payment Methodology Applicable to Nursing Facilities During the Coronavirus Disease 2019 (COVID-19) Public Health Emergency PDF l XLS

Administrative Bulletin 20-52: 101 CMR 424.00:  Rates for Certain Developmental and Support Services: Additional Rate Provisions Applicable to Certain Day Habilitation Program Providers to Compensate for Costs Associated with Coronavirus Disease 2019 (COVID-19) (effective May 14, 2020) PDF | Word

Administrative Bulletin 20-51: 101 CMR 204.00:  Rates of Payment to Resident Care Facilities: COVID-19 Signing Bonuses for Resident Care Facility Staff (effective May 14, 2020) PDF | Word

Administrative Bulletin 20-48: 101 CMR 206.00: Standard Payments to Nursing Facilities: Supplemental Payment Methodology Applicable to Certain Nursing Facilities During the Coronavirus Disease 2019 (COVID-19) Public Health Emergency (effective May 12, 2020) PDF | Word

Administrative Bulletin 20-46: 101 CMR 358.00: Rates of Payment for Applied Behavior Analysis: Rate Update Applicable to Certain Applied Behavior Analysis Services During the Coronavirus Disease 2019 (COVID-19) Public Health Emergency (effective May 11, 2020) PDF | Word

Administrative Bulletin 20-45: 101 CMR 322.00: Durable Medical Equipment, Oxygen, and Respiratory Therapy Equipment: Procedure Code Update Applicable to Distribution Services by Durable Medical Equipment (DME) Providers Related to Coronavirus Disease 2019 (COVID-19) Public Health Emergency (effective May 11, 2020) PDF | Word

Administrative Bulletin 20-44: 101 CMR 320.00: Clinical Laboratory Services: Procedure Code and Rate Update Relating to Testing for COVID-19 (effective May 11, 2020) PDF | Word

Administrative Bulletin 20-43: Add-On Rate Applicable to Certain Social Service Programs to Compensate for Costs Associated with Coronavirus (COVID-19) in Provider Operated Residential Congregate Care Settings (effective May 11, 2020) PDF | Word

Administrative Bulletin 20-42: 101 CMR 204.00: Rates of Payment to Resident Care Facilities: 101 CMR 206.00: Standard Payments to Nursing Facilities: Additional Rate Provision Applicable to Resident Care Facilities and Nursing Facility Residential Care Units to Compensate for Costs Associated with Coronavirus Disease 2019 (COVID-19) in Provider Operated Congregate Care Settings (effective May 11, 2020) PDF | Word

Administrative Bulletin 20-41: 101 CMR 424.00: Rates for Certain Developmental and Support Services: Add-On Rate Applicable to Certain Social Service Programs to Compensate for Costs Associated with Coronavirus (COVID-19) (effective May 11, 2020) PDF | Word

Administrative Bulletin 20-40:  Establishment of Bundled Rate for Remote Patient Monitoring Services During the Coronavirus Disease 2019 (COVID-19) Public Health Emergency (effective May 9, 2020) PDF | Word

Administrative Bulletin 20-39:  101 CMR 345.00:  Rates for Temporary Nursing Services:  Additional Rate Provision Applicable to Temporary Nursing Services Purchased by Governmental Units to Compensate for Costs Associated with Coronavirus Disease 2019 (COVID-19) Public Health Emergency (effective May 8, 2020) PDF | Word

Administrative Bulletin 20-37: 101 CMR 206.00: Standard Payments to Nursing Facilities: Supplemental Payment Methodology Applicable to Certain Nursing Facilities During the Coronavirus Disease 2019 (COVID-19) Public Health Emergency (effective April 24, 2020) PDF | Word

Administrative Bulletin 20-36: 101 CMR 327.00:  Rates of Payment for Ambulance and Wheelchair Van Services: Procedure Code Update During the Coronavirus Disease 2019 (COVID-19) Public Health Emergency (effective April 23, 2020) PDF | Word

Administrative Bulletin 20-35: 101 CMR 359.00: Rates for Home and Community Based Services Waivers: Rate Adjustment Applicable to Certain Acquired Brain Injury (ABI) and Moving Forward Plan (MFP) Waiver Services to Address Costs Associated with Coronavirus Disease (COVID-19) (effective April 23, 2020) PDF | Word

Administrative Bulletin 20-34: 101 CMR 348.00: Day Habilitation Program Services: Additional Rate Provisions Applicable to Certain Day Habilitation Program Providers to Compensate for Costs Associated with Coronavirus Disease 2019 (COVID-19) (effective April 23, 2020) PDF | Word

Administrative Bulletin 20-33: 101 CMR 310.00: Adult Day Health Services: Additional Rate Provisions Applicable to Certain Adult Day Health Providers to Compensate for Costs Associated with Coronavirus Disease 2019 (COVID-19) (effective April 23, 2020) PDF | Word

Administrative Bulletin 20-32: 101 CMR 329.00: Psychological Testing, Treatment, and Related Services: Rate Update Applicable to Certain Psychological Services During the Coronavirus Disease 2019 (COVID-19) Public Health Emergency (effective April 23, 2020) PDF | Word

Administrative Bulletin 20-31: 101 CMR 204.00:  Rates of Payment to Resident Care Facilities and 101 CMR 206.00:  Standard Payments to Nursing Facilities:  Added Rate Provision for Residential Care Units for COVID-19 Costs (effective April 22, 2020)​ PDF | Word

Administrative Bulletin 20-30:  101 CMR 304:00: Rates for Community Health Centers: Alternative Payment Methodology Applicable to Community Health Centers Providing Services at Coronavirus Disease 2019 (COVID-19) Isolation and Recovery Sites (effective April 22, 2020) PDF | Word

Administrative Bulletin 20-29: 101 CMR 327.00:  Rates of Payment for Ambulance and Wheelchair Van Services: Rate Update Applicable to Certain Ambulance Services During the COVID-19 Public Health Emergency (effective April 16, 2020) PDF | Word

Administrative Bulletin 20-28: 101 CMR 358.00: Rates of Payment for Applied Behavior Analysis: Rate Update Applicable to Certain Applied Behavior Analysis Services During the COVID-19 Public Health Emergency (effective April 16, 2020) PDF | Word

Administrative Bulletin 20-27: 101 CMR 316.00:  Surgery and Anesthesia, 101 CMR 317.00:  Medicine, 101 CMR 318.00:  Radiology: Rate Update Applicable to Certain Physician Services During the COVID-19 Public Health Emergency (effective April 16, 2020) PDF | Word

Administrative Bulletin 20-26: 101 CMR 304.00: Rates for Community Health Centers: Supplemental Payment Methodology Applicable to Community Health Centers During the COVID-19 Public Health Emergency (effective April 16, 2020) PDF | Word

Administrative Bulletin 20-25: 101 CMR 309.00: Rate for Certain Services for the Personal Care Attendant Program: Rate Adjustment Applicable to Certain Personal Care Attendant Services to Address Costs Associated with COVID-19 Public Health Emergency (effective April 16, 2020) PDF | Word

Administrative Bulletin 20-24: 101 CMR 350.00: Home Health Services: Rate Adjustment Applicable to Certain Home Health Services to Address Costs Associated with COVID-19 Public Health Emergency (effective April 16, 2020) PDF | Word

Administrative Bulletin 20-23: 101 CMR 361.00: Rate for Continuous Skilled Nursing Services: Rate Adjustment Applicable to Certain Continuous Skilled Nursing Services to Address Costs Associated with COVID-19 Public Health Emergency (effective April 16, 2020) PDF | Word

Administrative Bulletin 20-22: 101 CMR 349.00: Rates for Early Intervention Program Services: Rate Update Applicable to Certain Early Intervention Program Services During the COVID-19 Public Health Emergency (effective April 16, 2020) PDF | Word

Administrative Bulletin 20-21: 101 CMR 346.00: Rates for Certain Substance-Related and Addictive Disorders Programs: Rate Update Applicable to Certain Acute Treatment Services and Clinical Stabilization Services During the COVID-19 Public Health Emergency (effective April 16, 2020) PDF | Word

Administrative Bulletin 20-20: 101 CMR 206.00: Standard Payments to Nursing Facilities: Supplemental Payment Methodology Applicable to Nursing Facilities During the COVID-19 Public Health Emergency (effective April 16, 2020) PDF | Word

Administrative Bulletin 20-19: 101 CMR 206.00: Standard Payments to Nursing Facilities: Payments for COVID-19 Nursing Facilities (effective April 16, 2020) PDF | Word

Administrative Bulletin 20-18: 101 CMR 327.00:  Rates of Payment for Ambulance and Wheelchair Van Services: Updated Rate for Certain Ambulance Services During the COVID-19 Public Health Emergency (effective April 10, 2020) PDF | Word

Administrative Bulletin 20-17: 101 CMR 346.000: Rates for Certain Substance-Related and Addictive Disorders Programs: Rate Update Applicable to Certain Substance Use Disorder Outpatient Services During the Coronavirus Disease 2019 (COVID-19) Public Health Emergency (effective April 16, 2020) PDF | Word

Administrative Bulletin 20-16:  101 CMR 346.00: Rates for Certain Substance-Related and Addictive Disorders Programs: Rate Update Applicable to Certain Opioid Treatment Program Services During the COVID-19 Public Health Emergency (effective April 16, 2020) PDF | Word

Administrative Bulletin 20-15: 101 CMR 352.00: Rates of Payment for Certain Children’s Behavioral Health Services: Rate Update Applicable to Certain Children’s Behavioral Health Initiative Services During the Coronavirus Disease 2019 (COVID-19) Public Health Emergency (effective April 16, 2020) PDF | Word

Administrative Bulletin 20-14: 101 CMR 430.00: Rates for Program of Assertive Community Treatment Services: Rate Update Applicable to Certain Program for Assertive Community Treatment Services During the Coronavirus Disease 2019 (COVID-19) Public Health Emergency (effective April 16, 2020) PDF | Word

Administrative Bulletin 20-11: Add-On Rate Applicable to Certain Social Service Programs to Compensate for Costs Associated with Coronavirus (COVID-19) (effective April 2, 2020)  PDF | Word

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