Skip to main content

Log in links for this page

  • This page, MassHealth Managed Behavioral Health Vendor Contract, Effective January 1, 2023, is   offered by
  • MassHealth

MassHealth Managed Behavioral Health Vendor Contract, Effective January 1, 2023

This page contains EOHHS’s contract with its Managed Behavioral Health Vendor.
Skip table of contents

Table of Contents

You skipped the table of contents section.

Contract

Open PDF file, 374.21 KB,  MassHealth Managed Behavioral Health Vendor Standard Contract Form (fully executed) (English, PDF 374.21 KB)
Open PDF file, 1.85 MB,  MassHealth Managed Behavioral Health Vendor Contract (English, PDF 1.85 MB)

Appendices

Open PDF file, 368.14 KB,  Managed Behavioral Health Vendor Appendix A-1 - Covered Services (English, PDF 368.14 KB)
Open PDF file, 113.69 KB,  Managed Behavioral Health Vendor Appendix A-2 - CSA Provider List (English, PDF 113.69 KB)
Open PDF file, 95.53 KB,  Managed Behavioral Health Vendor Appendix A-3 - CBHC Provider List (English, PDF 95.53 KB)
Open PDF file, 396.7 KB,  Managed Behavioral Health Vendor Appendix A-4 - ESP Services (English, PDF 396.7 KB)
Open PDF file, 148.9 KB,  Managed Behavioral Health Vendor Appendix B-1 - Contract Implementation Readiness Review (English, PDF 148.9 KB)
Open PDF file, 176.63 KB,  Managed Behavioral Health Vendor Appendix B-2 - Material Subcontractor Checklist (English, PDF 176.63 KB)
Open PDF file, 283.51 KB,  Managed Behavioral Health Vendor Appendix B-3 (English, PDF 283.51 KB)
Open PDF file, 1.37 MB,  Managed Behavioral Health Vendor Appendix C - PCC Plan Contract (English, PDF 1.37 MB)
Open PDF file, 893.16 KB,  Managed Behavioral Health Vendor Appendix D-1 - Paid Claims (English, PDF 893.16 KB)
Open PDF file, 869.22 KB,  Managed Behavioral Health Vendor Appendix D-2 - Denied Claims (English, PDF 869.22 KB)
Open PDF file, 207.45 KB,  Managed Behavioral Health Vendor Appendix E-1 - Reporting Requirements (English, PDF 207.45 KB)
Open PDF file, 79.84 KB,  Managed Behavioral Health Vendor Appendix E-2 - Certification of Data Accuracy (English, PDF 79.84 KB)
Open PDF file, 79.65 KB,  Managed Behavioral Health Vendor Appendix E-3 - Annual Certification (English, PDF 79.65 KB)
Open PDF file, 195.92 KB,  Managed Behavioral Health Vendor Appendix E-4 - Financial Reports (English, PDF 195.92 KB)
Open PDF file, 221.62 KB,  Managed Behavioral Health Vendor Appendix F - Incident Report Form (English, PDF 221.62 KB)
Open PDF file, 219.59 KB,  Managed Behavioral Health Vendor Appendix G - Behavioral Health Performance Incentives (English, PDF 219.59 KB)
Open PDF file, 270.22 KB,  Managed Behavioral Health Vendor Appendix H-1 - Payment and Risk Sharing Provisions (English, PDF 270.22 KB)
Open PDF file, 118.79 KB,  Managed Behavioral Health Vendor Appendix H-2 - Performance Guarantee Requirements (English, PDF 118.79 KB)
Open PDF file, 115.44 KB,  Managed Behavioral Health Vendor Appendix J - Credentialing Websites (English, PDF 115.44 KB)
Open PDF file, 264.11 KB,  Managed Behavioral Health Vendor Appendix K - Data Management Confidentiality Agreement (English, PDF 264.11 KB)
Open PDF file, 1.38 MB,  Managed Behavioral Health Vendor Appendix K Exhibit B - Enterprise Information Security Standards (English, PDF 1.38 MB)
Open PDF file, 1.88 MB,  Managed Behavioral Health Vendor Appendix K Exhibit C Part 1 - Information Exchange Agreement (English, PDF 1.88 MB)
Open PDF file, 4.42 MB,  Managed Behavioral Health Vendor Appendix K Exhibit C Part 2 - Information Exchange Agreement (English, PDF 4.42 MB)
Open PDF file, 244.13 KB,  Managed Behavioral Health Vendor Appendix L - Minimum Fee Schedule (English, PDF 244.13 KB)

Amendments

Open PDF file, 1.09 MB,  Amendment 1 to the MassHealth Managed Behavioral Health Vendor Contract, Effective January 1, 2023 (English, PDF 1.09 MB)
Open PDF file, 1.6 MB,  Amendment 2 to the MassHealth Managed Behavioral Health Vendor Contract, Effective January 1, 2023 (English, PDF 1.6 MB)
Open PDF file, 3.21 MB,  Amendment 3 to the MassHealth Managed Behavioral Health Vendor Contract, Effective January 1, 2023 (English, PDF 3.21 MB)

Help Us Improve Mass.gov  with your feedback

Please do not include personal or contact information.
Feedback