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Acute Inpatient Hospital Manual for MassHealth Providers

The Acute Inpatient Hospital Manual guides providers to the regulations and the administrative and billing instructions they need.

Administrative regulations and billing regulations apply to all providers and are contained in 130 CMR 450.000. These regulations are reproduced as Subchapters 1, 2, and 3 in this and all other manuals.

Program regulations cover matters that apply specifically to the type of provider for which the manual was prepared. For acute inpatient hospital providers, those matters are covered in 130 CMR 415.000, reproduced as Subchapter 4 in the Acute Inpatient Hospital Manual. 

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.

Table of Contents

Subchapters 1 through 3: Administrative and Billing Regulations for all MassHealth Providers

Subchapter 4: Acute Inpatient Hospital Providers Regulations

Subchapter 5: Administrative and Billing Instructions for all MassHealth Providers

Appendices for All MassHealth Providers (includes appendices A, C, T, U, V, W, X, Y, and Z)

Appendices for Acute Inpatient Hospital Providers (includes appendices D, E, F, and G)



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