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Special Notices for Acute Hospitals

Acute hospital notices, certain methodologies and rates of payment, and related documents

This page contains

  1. Annual notices of proposed and final agency action which describe acute hospital methodologies and rates of payment
  2. Charts of acute hospital MassHealth All-Patient Refined Diagnostic Related Groups (APR-DRG), including weights and mean lengths of stay
  3. Charts of acute hospital MassHealth enhanced ambulatory patient groups (EAPGs), including weights

To view the EOHHS Technical Specifications Manuals, please see MassHealth CQI Technical Specifications Manuals. 

To view current and recent MassHealth acute hospital Requests for Application (RFA) and contracts, see COMMBUYS. 

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Additional Required Documentation and Information for Acute Hospital Implementation of Emergency

Open PDF file, 98.43 KB,  Additional Required Documentation and Information for Acute Hospital Implementation of Emergency Department Behavioral Health Crisis Evaluations (English, PDF 98.43 KB)
Open DOCX file, 22.96 KB,  Additional Required Documentation and Information for Acute Hospital Implementation of Emergency Department Behavioral Health Crisis Evaluations (English, DOCX 22.96 KB)

Acute Hospital Special Notice Announcing Informational Meetings for Health Equity Incentive Program Years 2024-2027

Open PDF file, 151.72 KB,  Acute Hospital Special Notice Announcing Informational Meetings for Health Equity Incentive Program Years 2024-2027 (English, PDF 151.72 KB)
Open DOCX file, 29.99 KB,  Acute Hospital Special Notice Announcing Informational Meetings for Health Equity Incentive Program Years 2024-2027 (English, DOCX 29.99 KB)

Federal Fiscal Year 2025 Notices

Open PDF file, 142.25 KB,  Notice of Final Agency Action: Payment for In-State Acute Hospital Services, Effective May 28, 2025 (English, PDF 142.25 KB)
Open DOCX file, 18.34 KB,  Notice of Final Agency Action: Payment for In-State Acute Hospital Services, Effective May 28, 2025 (English, DOCX 18.34 KB)
Open PDF file, 142.57 KB,  Notice of Proposed Agency Action: Payment for In-State Acute Hospital Services, Effective May 28, 2025 (English, PDF 142.57 KB)
Open DOCX file, 18.33 KB,  Notice of Proposed Agency Action: Payment for In-State Acute Hospital Services, Effective May 28, 2025 (English, DOCX 18.33 KB)
Open PDF file, 118.34 KB,  Notice of Final Agency Action: MassHealth: Payment for In-State Acute Hospital Services, Effective March 28, 2025 (English, PDF 118.34 KB)
Open DOCX file, 17.79 KB,  Notice of Final Agency Action: MassHealth: Payment for In-State Acute Hospital Services, Effective March 28, 2025 (English, DOCX 17.79 KB)
Open PDF file, 118.61 KB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Hospital Services, Effective March 28, 2025 (English, PDF 118.61 KB)
Open DOCX file, 17.75 KB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Hospital Services, Effective March 28, 2025 (English, DOCX 17.75 KB)
Open PDF file, 75.29 KB,  Notice of Final Agency Action: MassHealth: Payment for In-State Acute Hospital Services, Effective January 1, 2025 (English, PDF 75.29 KB)
Open DOCX file, 18.17 KB,  Notice of Final Agency Action: MassHealth: Payment for In-State Acute Hospital Services, Effective January 1, 2025 (English, DOCX 18.17 KB)
Open PDF file, 75.26 KB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Hospital Services, Effective January 1, 2025 (English, PDF 75.26 KB)
Open DOCX file, 18.07 KB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Hospital Services, Effective January 1, 2025 (English, DOCX 18.07 KB)
Open PDF file, 116.48 KB,  Notice of Final Agency Action: MassHealth: Payment for In-State Acute Hospital Services, Effective October 8, 2024 (English, PDF 116.48 KB)
Open DOCX file, 17.48 KB,  Notice of Final Agency Action: MassHealth: Payment for In-State Acute Hospital Services, Effective October 8, 2024 (English, DOCX 17.48 KB)
Open PDF file, 116.82 KB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Hospital Services, Effective October 8, 2024 (English, PDF 116.82 KB)
Open DOCX file, 17.26 KB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Hospital Services, Effective October 8, 2024 (English, DOCX 17.26 KB)
Open PDF file, 802.2 KB,  Notice of Final Agency Action: MassHealth: Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective October 1, 2024 (English, PDF 802.2 KB)
Open DOCX file, 364.03 KB,  Notice of Final Agency Action: MassHealth: Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective October 1, 2024 (English, DOCX 364.03 KB)
Open PDF file, 1.9 MB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective October 1, 2024 (English, PDF 1.9 MB)
Open DOCX file, 364.64 KB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective October 1, 2024 (English, DOCX 364.64 KB)
Open PDF file, 635.47 KB,  Chart C - Acute Hospital RY25 MassHealth DRG (English, PDF 635.47 KB)
Open XLSX file, 68.23 KB,  Chart C - Acute Hospital RY25 MassHealth DRG (English, XLSX 68.23 KB)
Open PDF file, 212.79 KB,  Chart D - Acute Hospital RY25 MassHealth EAPG (English, PDF 212.79 KB)
Open XLSX file, 49.82 KB,  Chart D - Acute Hospital RY25 MassHealth EAPG (English, XLSX 49.82 KB)

Federal Fiscal Year 2024 Notices

Open PDF file, 138.08 KB,  Notice of Final Agency Action: MassHealth: Payment for In-State Acute Hospital Services, Effective September 20, 2024 (English, PDF 138.08 KB)
Open DOCX file, 17.76 KB,  Notice of Final Agency Action: MassHealth: Payment for In-State Acute Hospital Services, Effective September 20, 2024 (English, DOCX 17.76 KB)
Open PDF file, 138.4 KB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Hospital Services, Effective September 24, 2024 (English, PDF 138.4 KB)
Open DOCX file, 17.74 KB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Hospital Services, Effective September 24, 2024 (English, DOCX 17.74 KB)
Open PDF file, 116.77 KB,  Notice of Final Agency Action: MassHealth: Payment for In-State Acute Hospital Services, Effective September 6, 2024 (English, PDF 116.77 KB)
Open DOCX file, 16.77 KB,  Notice of Final Agency Action: MassHealth: Payment for In-State Acute Hospital Services, Effective September 6, 2024 (English, DOCX 16.77 KB)
Open PDF file, 117.14 KB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Hospital Services, Effective August 1, 2024 (English, PDF 117.14 KB)
Open DOCX file, 16.84 KB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Hospital Services, Effective August 1, 2024 (English, DOCX 16.84 KB)
Open PDF file, 137.24 KB,  Notice of Final Agency Action: MassHealth: Payment for In-State Acute Hospital Services, Effective May 15, 2024 (English, PDF 137.24 KB)
Open DOCX file, 17.31 KB,  Notice of Final Agency Action: MassHealth: Payment for In-State Acute Hospital Services, Effective May 15, 2024 (English, DOCX 17.31 KB)
Open PDF file, 137.93 KB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Hospital Services, Effective May 15, 2024 (English, PDF 137.93 KB)
Open DOCX file, 17.25 KB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Hospital Services, Effective May 15, 2024 (English, DOCX 17.25 KB)
Open PDF file, 90.94 KB,  Notice of Final Agency Action: MassHealth: Payment for In-State Acute Hospital Services, Effective March 27, 2024 (English, PDF 90.94 KB)
Open DOCX file, 16.85 KB,  Notice of Final Agency Action: MassHealth: Payment for In-State Acute Hospital Services, Effective March 27, 2024 (English, DOCX 16.85 KB)
Open PDF file, 90.92 KB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Hospital Services, Effective March 27, 2024 (English, PDF 90.92 KB)
Open DOCX file, 16.76 KB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Hospital Services, Effective March 27, 2024 (English, DOCX 16.76 KB)
Open PDF file, 113.4 KB,  Notice of Final Agency Action: MassHealth: Payment for In-State Acute Hospital Services, Effective January 2, 2024 (English, PDF 113.4 KB)
Open DOCX file, 16.72 KB,  Notice of Final Agency Action: MassHealth: Payment for In-State Acute Hospital Services, Effective January 2, 2024 (English, DOCX 16.72 KB)
Open PDF file, 138.97 KB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Hospital Services, Effective January 2, 2024 (English, PDF 138.97 KB)
Open DOCX file, 16.55 KB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Hospital Services, Effective January 2, 2024 (English, DOCX 16.55 KB)
Open PDF file, 1.24 MB,  Notice of Final Agency Action: MassHealth: Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective October 1, 2023 (English, PDF 1.24 MB)
Open DOCX file, 322.32 KB,  Notice of Final Agency Action: MassHealth: Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective October 1, 2023 (English, DOCX 322.32 KB)
Open PDF file, 1.27 MB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective October 1, 2023 (English, PDF 1.27 MB)
Open DOCX file, 321.44 KB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective October 1, 2023 (English, DOCX 321.44 KB)
Open PDF file, 651.5 KB,  Chart C – Acute Hospital RY24 MassHealth DRG Weights and Mean All-Payer Lengths of Stay (English, PDF 651.5 KB)
Open XLSX file, 69.4 KB,  Chart C – Acute Hospital RY24 MassHealth DRG Weights and Mean All-Payer Lengths of Stay (English, XLSX 69.4 KB)
Open PDF file, 442.45 KB,  Chart D – Acute Hospital RY24 MassHealth EAPG Weights (English, PDF 442.45 KB)
Open XLSX file, 51.3 KB,  Chart D – Acute Hospital RY24 MassHealth EAPG Weights (English, XLSX 51.3 KB)

Federal Fiscal Year 2023 Notices

Open PDF file, 113.12 KB,  Notice of Final Agency Action: MassHealth: Payment for In-State Acute Hospital Services, effective July 21, 2023 (English, PDF 113.12 KB)
Open DOCX file, 18.38 KB,  Notice of Final Agency Action: MassHealth: Payment for In-State Acute Hospital Services, effective July 21, 2023 (English, DOCX 18.38 KB)
Open PDF file, 113.29 KB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Hospital Services, effective July 21, 2023 (English, PDF 113.29 KB)
Open DOCX file, 18.28 KB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Hospital Services, effective July 21, 2023 (English, DOCX 18.28 KB)
Open PDF file, 115.92 KB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Hospital Services, effective May 1, 2023 (English, PDF 115.92 KB)
Open DOCX file, 19.23 KB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Hospital Services, effective May 1, 2023 (English, DOCX 19.23 KB)
Open PDF file, 72.62 KB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Hospital Services, effective January 1, 2023 (English, PDF 72.62 KB)
Open DOCX file, 17.54 KB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Hospital Services, effective January 1, 2023 (English, DOCX 17.54 KB)
Open PDF file, 71.89 KB,  Notice of Final Agency Action: MassHealth: Payment for In-State Acute Hospital Services, effective January 1, 2023 (English, PDF 71.89 KB)
Open DOCX file, 17.63 KB,  Notice of Final Agency Action: MassHealth: Payment for In-State Acute Hospital Services, effective January 1, 2023 (English, DOCX 17.63 KB)
Open PDF file, 1.96 MB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective October 1, 2022 (English, PDF 1.96 MB)
Open DOCX file, 641.75 KB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective October 1, 2022 (English, DOCX 641.75 KB)
Open PDF file, 1.92 MB,  Notice of Final Agency Action: MassHealth: Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective October 1, 2022 (English, PDF 1.92 MB)
Open DOCX file, 643.66 KB,  Notice of Final Agency Action: MassHealth: Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective October 1, 2022 (English, DOCX 643.66 KB)
Open PDF file, 637.3 KB,  Chart C – Acute Hospital RY23 MassHealth DRG Weights and Mean All-Payer Lengths of Stay (English, PDF 637.3 KB)
Open XLSX file, 61.19 KB,  Chart C – Acute Hospital RY23 MassHealth DRG Weights and Mean All-Payer Lengths of Stay (English, XLSX 61.19 KB)
Open PDF file, 440.41 KB,  Chart D – Acute Hospital RY23 MassHealth EAPG Weights (English, PDF 440.41 KB)
Open XLSX file, 45.48 KB,  Chart D – Acute Hospital RY23 MassHealth EAPG Weights (English, XLSX 45.48 KB)

Federal Fiscal Year 2022 Notices

Open PDF file, 102.37 KB,  Notice of Final Agency Action: MassHealth: Payment for In-State Acute Hospital Services, effective May 7, 2022 (English, PDF 102.37 KB)
Open DOCX file, 29.67 KB,  Notice of Final Agency Action: MassHealth: Payment for In-State Acute Hospital Services, effective May 7, 2022 (English, DOCX 29.67 KB)
Open PDF file, 135.51 KB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Hospital Services, effective May 7, 2022 (English, PDF 135.51 KB)
Open DOCX file, 29.68 KB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Hospital Services, effective May 7, 2022 (English, DOCX 29.68 KB)
Open PDF file, 1.31 MB,  Notice of Final Agency Action: MassHealth: Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective November 1, 2021 (English, PDF 1.31 MB)
Open DOCX file, 545.33 KB,  Notice of Final Agency Action: MassHealth: Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective November 1, 2021 (English, DOCX 545.33 KB)
Open PDF file, 1.72 MB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective November 1, 2021 (English, PDF 1.72 MB)
Open DOCX file, 544.53 KB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective November 1, 2021 (English, DOCX 544.53 KB)
Open PDF file, 663.21 KB,  Chart C – Acute Hospital RY22 MassHealth DRG Weights and Mean All-Payer Lengths of Stay (English, PDF 663.21 KB)
Open XLSX file, 60.93 KB,  Chart C – Acute Hospital RY22 MassHealth DRG Weights and Mean All-Payer Lengths of Stay (English, XLSX 60.93 KB)
Open PDF file, 263.52 KB,  Chart D – Acute Hospital RY22 MassHealth EAPG Weights (English, PDF 263.52 KB)
Open XLSX file, 44.51 KB,  Chart D – Acute Hospital RY22 MassHealth EAPG Weights (English, XLSX 44.51 KB)

Federal Fiscal Year 2021 Notices

Open PDF file, 68.02 KB,  Notice of Final Agency Action: MassHealth: Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective October 1, 2021 (English, PDF 68.02 KB)
Open DOCX file, 27.29 KB,  Notice of Final Agency Action: MassHealth: Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective October 1, 2021 (English, DOCX 27.29 KB)
Open PDF file, 67.74 KB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective October 1, 2021 (English, PDF 67.74 KB)
Open DOCX file, 33.45 KB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective October 1, 2021 (English, DOCX 33.45 KB)
Open PDF file, 97.16 KB,  Notice of Final Agency Action: MassHealth: Payment for Acute Inpatient Hospital Services, effective June 16, 2021 (English, PDF 97.16 KB)
Open DOCX file, 39.8 KB,  Notice of Final Agency Action: MassHealth: Payment for Acute Inpatient Hospital Services, effective June 16, 2021 (English, DOCX 39.8 KB)
Open PDF file, 100.15 KB,  Notice of Proposed Agency Action: MassHealth: Payment for Acute Inpatient Hospital Services, effective June 16, 2021 (English, PDF 100.15 KB)
Open DOCX file, 39.21 KB,  Notice of Proposed Agency Action: MassHealth: Payment for Acute Inpatient Hospital Services, effective June 16, 2021 (English, DOCX 39.21 KB)
Open PDF file, 142.74 KB,  Notice of Final Agency Action: MassHealth: Payment for In-State Acute Hospital Services, effective January 27, 2021 (English, PDF 142.74 KB)
Open DOCX file, 41.36 KB,  Notice of Final Agency Action: MassHealth: Payment for In-State Acute Hospital Services, effective January 27, 2021 (English, DOCX 41.36 KB)
Open PDF file, 141.87 KB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Hospital Services, effective January 27, 2021 (English, PDF 141.87 KB)
Open DOCX file, 32.43 KB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Hospital Services, effective January 27, 2021 (English, DOCX 32.43 KB)
Open PDF file, 46.84 KB,  Notice of Final Agency Action: MassHealth: Payment for In-State Acute Hospital Services, effective January 22, 2021 (English, PDF 46.84 KB)
Open DOCX file, 29.24 KB,  Notice of Final Agency Action: MassHealth: Payment for In-State Acute Hospital Services, effective January 22, 2021 (English, DOCX 29.24 KB)
Open PDF file, 117.78 KB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Hospital Services, effective January 22, 2021 (English, PDF 117.78 KB)
Open DOCX file, 36.64 KB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Hospital Services, effective January 22, 2021 (English, DOCX 36.64 KB)
Open PDF file, 1.61 MB,  Notice of Final Agency Action: MassHealth: Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective November 1, 2020 (English, PDF 1.61 MB)
Open DOCX file, 375.76 KB,  Notice of Final Agency Action: MassHealth: Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective November 1, 2020 (English, DOCX 375.76 KB)
Open PDF file, 1.76 MB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective November 1, 2020 (English, PDF 1.76 MB)
Open DOCX file, 377.77 KB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective November 1, 2020 (English, DOCX 377.77 KB)
Open PDF file, 812.06 KB,  Chart C - Acute Hospital RY21 MassHealth DRG Weights and Mean All-Payer Lengths of Stay (English, PDF 812.06 KB)
Open XLSX file, 127.14 KB,  Chart C - Acute Hospital RY21 MassHealth DRG Weights and Mean All-Payer Lengths of Stay (English, XLSX 127.14 KB)
Open PDF file, 298.03 KB,  Chart D - Acute Hospital RY21 MassHealth EAPG Weights (English, PDF 298.03 KB)
Open XLSX file, 68.78 KB,  Chart D - Acute Hospital RY21 MassHealth EAPG Weights (English, XLSX 68.78 KB)

Federal Fiscal Year 2020 Notices

Open PDF file, 121.51 KB,  Notice of Final Agency Action: MassHealth: Pay-for-Performance for In-State Acute Inpatient Hospital Services, effective June 30, 2020 (English, PDF 121.51 KB)
Open DOCX file, 34.75 KB,  Notice of Final Agency Action: MassHealth: Pay-for-Performance for In-State Acute Inpatient Hospital Services, effective June 30, 2020 (English, DOCX 34.75 KB)
Open PDF file, 80.92 KB,  Notice of Proposed Agency Action: MassHealth: Pay-for-Performance for In-State Acute Inpatient Hospital Services, effective June 30, 2020 (English, PDF 80.92 KB)
Open DOCX file, 34.76 KB,  Notice of Proposed Agency Action: MassHealth: Pay-for-Performance for In-State Acute Inpatient Hospital Services, effective June 30, 2020 (English, DOCX 34.76 KB)
Open PDF file, 11 KB,  Notice of Final Agency Action: MassHealth: Payment for In-State Acute Outpatient Hospital Services, effective April 1, 2020 (English, PDF 11 KB)
Open DOCX file, 33.19 KB,  Notice of Final Agency Action: MassHealth: Payment for In-State Acute Outpatient Hospital Services, effective April 1, 2020 (English, DOCX 33.19 KB)
Open PDF file, 21.65 KB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Outpatient Hospital Services, effective April 1, 2020 (English, PDF 21.65 KB)
Open DOCX file, 32.47 KB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Outpatient Hospital Services, effective April 1, 2020 (English, DOCX 32.47 KB)
Open PDF file, 2.72 MB,  Notice of Final Agency Action: MassHealth: Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective November 1, 2019 (English, PDF 2.72 MB)
Open DOCX file, 1.24 MB,  Notice of Final Agency Action: MassHealth: Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective November 1, 2019 (English, DOCX 1.24 MB)
Open PDF file, 2.72 MB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective November 1, 2019 (English, PDF 2.72 MB)
Open DOCX file, 1.24 MB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective November 1, 2019 (English, DOCX 1.24 MB)
Open PDF file, 119.11 KB,  Notice of Final Agency Action: MassHealth: Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective October 1, 2019 (English, PDF 119.11 KB)
Open DOCX file, 26.25 KB,  Notice of Final Agency Action: MassHealth: Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective October 1, 2019 (English, DOCX 26.25 KB)
Open PDF file, 289.24 KB,  Chart C – Acute Hospital RY20 MassHealth DRG Weights and Mean All-Payer Lengths of Stay (English, PDF 289.24 KB)
Open XLSX file, 916.72 KB,  Chart C – Acute Hospital RY20 MassHealth DRG Weights and Mean All-Payer Lengths of Stay (English, XLSX 916.72 KB)
Open PDF file, 189.21 KB,  Chart D – Acute Hospital RY20 MassHealth EAPG Weights (English, PDF 189.21 KB)
Open XLSX file, 78.93 KB,  Chart D – Acute Hospital RY20 MassHealth EAPG Weights (English, XLSX 78.93 KB)

Federal Fiscal Year 2019 Notices

Open PDF file, 117.95 KB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective October 1, 2019 (English, PDF 117.95 KB)
Open DOCX file, 33.02 KB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective October 1, 2019 (English, DOCX 33.02 KB)
Open PDF file, 1.82 MB,  Notice of Final Agency Action: MassHealth Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective November 1, 2018 (English, PDF 1.82 MB)
Open DOCX file, 419.14 KB,  Notice of Final Agency Action: MassHealth Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective November 1, 2018 (English, DOCX 419.14 KB)
Open PDF file, 707.95 KB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective November 1, 2018 (English, PDF 707.95 KB)
Open DOCX file, 418.35 KB,  Notice of Proposed Agency Action: MassHealth: Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective November 1, 2018 (English, DOCX 418.35 KB)
Open PDF file, 707.47 KB,  Chart C-Acute Hospital RY19 MassHealth DRG Weights and Mean All-Payer Lengths of Stay (English, PDF 707.47 KB)
Open XLSX file, 2.18 MB,  Chart C-Acute Hospital RY19 MassHealth DRG Weights and Mean All-Payer Lengths of Stay (English, XLSX 2.18 MB)
Open PDF file, 285.6 KB,  Chart D-Acute Hospital RY19 MassHealth EAPG Weights (English, PDF 285.6 KB)
Open XLSX file, 219.44 KB,  Chart D-Acute Hospital RY19 MassHealth EAPG Weights (English, XLSX 219.44 KB)
Open PDF file, 79.67 KB,  Notice of Final Agency Action: MassHealth Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective October 1, 2018 (English, PDF 79.67 KB)
Open DOCX file, 33.56 KB,  Notice of Final Agency Action: MassHealth Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective October 1, 2018 (English, DOCX 33.56 KB)
Open PDF file, 79.97 KB,  Notice of Proposed Agency Action: MassHealth Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective October 1, 2018 (English, PDF 79.97 KB)
Open DOCX file, 33.56 KB,  Notice of Proposed Agency Action: MassHealth Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective October 1, 2018 (English, DOCX 33.56 KB)

Federal Fiscal Year 2018 Notices

Open PDF file, 230.74 KB,  Notice of Final Agency Action – Additional Changes to RY18 Payment Methods, effective March 1, 2018 (English, PDF 230.74 KB)
Open DOCX file, 27.38 KB,  Notice of Final Agency Action – Additional Changes to RY18 Payment Methods, effective March 1, 2018 (English, DOCX 27.38 KB)
Open PDF file, 50.39 KB,  Notice of Proposed Agency Action – Additional Changes to RY18 Payment Methods, effective March 1, 2018 (English, PDF 50.39 KB)
Open DOCX file, 27.33 KB,  Notice of Proposed Agency Action – Additional Changes to RY18 Payment Methods, effective March 1, 2018 (English, DOCX 27.33 KB)
Open PDF file, 1.65 MB,  Notice of Final Agency Action: MassHealth Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective October 1, 2017 (English, PDF 1.65 MB)
Open DOCX file, 446.54 KB,  Notice of Final Agency Action: MassHealth Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective October 1, 2017 (English, DOCX 446.54 KB)
Open PDF file, 1.77 MB,  Notice of Proposed Agency Action: MassHealth Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective October 1, 2017 (English, PDF 1.77 MB)
Open DOCX file, 448.69 KB,  Notice of Proposed Agency Action: MassHealth Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective October 1, 2017 (English, DOCX 448.69 KB)
Open PDF file, 283.63 KB,  Chart C-1: 1st RY 18 Period Acute Hospital MassHealth DRG Weights and Mean All-Payer Lengths of Stay (English, PDF 283.63 KB)
Open XLSX file, 882.24 KB,  Chart C-1: 1st RY 18 Period Acute Hospital MassHealth DRG Weights and Mean All-Payer Lengths of Stay (English, XLSX 882.24 KB)
Open PDF file, 456.11 KB,  Chart C-2: 2nd RY 18 Period Acute Hospital MassHealth DRG Weights and Mean All-Payer Lengths of Stay (English, PDF 456.11 KB)
Open XLSX file, 66.83 KB,  Chart C-2: 2nd RY 18 Period Acute Hospital MassHealth DRG Weights and Mean All-Payer Lengths of Stay (English, XLSX 66.83 KB)
Open PDF file, 285.33 KB,  Chart D: Acute Hospital RY 18 MassHealth EAPG Weights (English, PDF 285.33 KB)
Open XLSX file, 42.66 KB,  Chart D: Acute Hospital RY 18 MassHealth EAPG Weights (English, XLSX 42.66 KB)

Federal Fiscal Year 2017 Notices

Open PDF file, 172.77 KB,  Amended Notice of Final Agency Action – MassHealth: Payment for Acute Hospital Services (English, PDF 172.77 KB)
Open DOC file, 32 KB,  Amended Notice of Final Agency Action – MassHealth: Payment for Acute Hospital Services (English, DOC 32 KB)
Open PDF file, 1.41 MB,  Notice of Final Agency Action: MassHealth Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective October 1, 2016 (English, PDF 1.41 MB)
Open DOC file, 747.5 KB,  Notice of Final Agency Action: MassHealth Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective October 1, 2016 (English, DOC 747.5 KB)
Open PDF file, 1.3 MB,  Notice of Proposed Agency Action: MassHealth Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective October 1, 2016 (English, PDF 1.3 MB)
Open DOC file, 729 KB,  Notice of Proposed Agency Action: MassHealth Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective October 1, 2016 (English, DOC 729 KB)
Open XLSX file, 764.13 KB,  Chart 1-Acute Hospital RY2017 MassHealth DRG Weights and Mean All-Payer Lengths of Stay (English, XLSX 764.13 KB)
Open PDF file, 269.92 KB,  Chart 1-Acute Hospital RY2017 MassHealth DRG Weights and Mean All-Payer Lengths of Stay (English, PDF 269.92 KB)
Open PDF file, 287.26 KB,  Chart 2-Acute Hospital RY2017 MassHealth EAPG Weights (English, PDF 287.26 KB)
Open XLSX file, 36.97 KB,  Chart 2-Acute Hospital RY2017 MassHealth EAPG Weights (English, XLSX 36.97 KB)

Federal Fiscal Year 2016 Notices

Open PDF file, 46.91 KB,  Corrected Notice of Agency Action – MassHealth: Payment for Acute Hospital Service (English, PDF 46.91 KB)
Open DOC file, 29.5 KB,  Corrected Notice of Agency Action – MassHealth: Payment for Acute Hospital Services (English, DOC 29.5 KB)
Open PDF file, 1.36 MB,  Notice of Final Agency Action: MassHealth Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective October 1, 2015 (English, PDF 1.36 MB)
Open DOC file, 6.42 MB,  Notice of Final Agency Action: MassHealth Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective October 1, 2015 (English, DOC 6.42 MB)
Open PDF file, 1.36 MB,  Notice of Proposed Agency Action: MassHealth Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective October 1, 2015 (English, PDF 1.36 MB)
Open DOC file, 5.74 MB,  Notice of Proposed Agency Action: MassHealth Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services, effective October 1, 2015 (English, DOC 5.74 MB)
Open PDF file, 511.92 KB,  Chart 1-Acute Hospital RY2016 MassHealth DRG Weights and Mean All-Payer Lengths of Stay (English, PDF 511.92 KB)
Open XLS file, 985 KB,  Chart 1-Acute Hospital RY2016 MassHealth DRG Weights and Mean All-Payer Lengths of Stay (English, XLS 985 KB)

Federal Fiscal Year 2015 Notices

Open PDF file, 222.19 KB,  Amended Notice of Agency Action – Final Notice: MassHealth: Payment for Acute Hospital Services (English, PDF 222.19 KB)
Open DOC file, 26.5 KB,  Amended Notice of Agency Action – Final Notice: MassHealth: Payment for Acute Hospital Services (English, DOC 26.5 KB)
Open PDF file, 47.65 KB,  Amended Notice of Agency Action – MassHealth: Payment for Acute Hospital Services (English, PDF 47.65 KB)
Open DOC file, 32.5 KB,  Amended Notice of Agency Action – MassHealth: Payment for Acute Hospital Services (English, DOC 32.5 KB)
Open PDF file, 1.23 MB,  Notice of Final Agency Action-MassHealth Payment for Out-of-State Acute Hospital Services and In-State Acute Hospital Services, effective October 1, 2014 (English, PDF 1.23 MB)
Open DOC file, 642 KB,  Notice of Final Agency Action-MassHealth Payment for Out-of-State Acute Hospital Services and In-State Acute Hospital Services, effective October 1, 2014 (English, DOC 642 KB)
Open PDF file, 477.64 KB,  Notice of Proposed Agency Action-MassHealth Payment for Out-of-State Acute Hospital Services and In-State Acute Hospital Services, effective October 1, 2014 (English, PDF 477.64 KB)
Open DOC file, 647 KB,  Notice of Proposed Agency Action-MassHealth Payment for Out-of-State Acute Hospital Services and In-State Acute Hospital Services, effective October 1, 2014 (English, DOC 647 KB)
Open PDF file, 513.22 KB,  Chart 1-Acute Hospital RY2015 MassHealth DRG Weights and Mean All-Payer Lengths of Stay (English, PDF 513.22 KB)
Open XLS file, 987 KB,  Chart 1-Acute Hospital RY2015 MassHealth DRG Weights and Mean All-Payer Lengths of Stay (English, XLS 987 KB)

Federal Fiscal Year 2014 Notices

Open PDF file, 16.92 KB,  Rates for Out-of-State Acute Hospital Services Effective October 1, 2013 (English, PDF 16.92 KB)
Open DOC file, 47 KB,  Rates for Out-of-State Acute Hospital Services Effective October 1, 2013 (English, DOC 47 KB)
Open PDF file, 295.96 KB,  Notice of Final Agency Action: Payment for Acute Hospital Services effective October 1, 2013 (English, PDF 295.96 KB)
Open DOCX file, 138.45 KB,  Notice of Final Agency Action: Payment for Acute Hospital Services effective October 1, 2013 (English, DOCX 138.45 KB)
Open PDF file, 296.83 KB,  Notice of Proposed Agency Action: Payment for Acute Hospital Services effective October 1, 2013 (English, PDF 296.83 KB)
Open DOCX file, 138.84 KB,  Notice of Proposed Agency Action: Payment for Acute Hospital Services effective October 1, 2013 (English, DOCX 138.84 KB)

Federal Fiscal Year 2013 Notices

Open PDF file, 124.45 KB,  Notice of Final Agency Action: MassHealth Payment for Out-of-State Acute Hospital Services (English, PDF 124.45 KB)
Open DOCX file, 13 KB,  Notice of Final Agency Action: MassHealth Payment for Out-of-State Acute Hospital Services (English, DOCX 13 KB)
Open PDF file, 228.61 KB,  Notice of Proposed Agency Action: MassHealth Payment for Out-of-State Acute Hospital Services (English, PDF 228.61 KB)
Open RTF file, 1.25 MB,  Notice of Proposed Agency Action: MassHealth Payment for Out-of-State Acute Hospital Services (English, RTF 1.25 MB)
Open PDF file, 241.84 KB,  Notice of Final Agency Action: MassHealth Payment for Acute Hospital Services effective January 1, 2013 (English, PDF 241.84 KB)
Open RTF file, 1.58 MB,  Notice of Final Agency Action: MassHealth Payment for Acute Hospital Services effective January 1, 2013 (English, RTF 1.58 MB)
Open PDF file, 228.61 KB,  Notice of Proposed Agency Action: MassHealth Payment for Acute Hospital Services effective November 1, 2012 (English, PDF 228.61 KB)
Open RTF file, 1.25 MB,  Notice of Proposed Agency Action: MassHealth Payment for Acute Hospital Services effective November 1, 2012 (English, RTF 1.25 MB)
Open PDF file, 72.56 KB,  RY2013 Hospital Quality Contacts Form (English, PDF 72.56 KB)
Open XLS file, 25 KB,  RY2013 Hospital Quality Contacts Form (English, XLS 25 KB)

Federal Fiscal Year 2012 Notices

Open PDF file, 27.47 KB,  Final Notice of Agency Action (Rate Year 2012) (English, PDF 27.47 KB)
Open RTF file, 98.01 KB,  Final Notice of Agency Action (Rate Year 2012) (English, RTF 98.01 KB)
Open PDF file, 53.89 KB,  Updated Notice of Agency Action III: MassHealth: Payment for Acute Hospital Services effective December 1, 2012 (English, PDF 53.89 KB)
Open RTF file, 1.63 MB,  Updated Notice of Agency Action III: MassHealth: Payment for Acute Hospital Services effective December 1, 2012 (English, RTF 1.63 MB)
Open PDF file, 63.63 KB,  Updated Notice of Agency Action II: MassHealth: Payment for Acute Hospital Services effective November 1, 2012 (English, PDF 63.63 KB)
Open RTF file, 1.66 MB,  Updated Notice of Agency Action II: MassHealth: Payment for Acute Hospital Services effective November 1, 2012 (English, RTF 1.66 MB)
Open PDF file, 52.37 KB,  Notice of Agency Action - Updates to Provider Preventable Conditions and Serious Reportable Events (10/1/12) (English, PDF 52.37 KB)
Open TXT file, 2.02 KB,  Notice of Agency Action - Updates to Provider Preventable Conditions and Serious Reportable Events (10/1/12) (English, TXT 2.02 KB)
Open PDF file, 5.37 KB,  Updated Notice of Agency Action: MassHealth: Payment for Acute Hospital Services effective October 1, 2012 (English, PDF 5.37 KB)
Open TXT file, 2.19 KB,  Updated Notice of Agency Action: MassHealth: Payment for Acute Hospital Services effective October 1, 2012 (English, TXT 2.19 KB)
Open PDF file, 10.02 KB,  Notice of Agency Action: MassHealth: Payment for Acute Hospital Services Effective October 1, 2012 (English, PDF 10.02 KB)
Open TXT file, 1.76 KB,  Notice of Agency Action: MassHealth: Payment for Acute Hospital Services Effective October 1, 2012 (English, TXT 1.76 KB)
Open PDF file, 20.03 KB,  Notice of Final Agency Action: MassHealth: Payment Adjustment for Provider Preventable Conditions (English, PDF 20.03 KB)
Open TXT file, 12.32 KB,  Notice of Final Agency Action: MassHealth: Payment Adjustment for Provider Preventable Conditions (English, TXT 12.32 KB)
Open PDF file, 19.57 KB,  Notice of Final Agency Action: MassHealth: Payment for Out-of-State Acute Hospital Services effective May 25, 2012 (English, PDF 19.57 KB)
Open TXT file, 4.1 KB,  Notice of Final Agency Action: MassHealth: Payment for Out-of-State Acute Hospital Services effective May 25, 2012 (English, TXT 4.1 KB)
Open PDF file, 11.35 KB,  Notice of Proposed Agency Action: MassHealth: Payment for Out-of-State Acute Hospital Services effective April 27, 2012 (English, PDF 11.35 KB)
Open TXT file, 3.81 KB,  Notice of Proposed Agency Action: MassHealth: Payment for Out-of-State Acute Hospital Services effective April 27, 2012 (English, TXT 3.81 KB)
Open PDF file, 176.95 KB,  Notice of Final Agency Action Effective October 1, 2011 (English, PDF 176.95 KB)
Open TXT file, 169.24 KB,  Notice of Final Agency Action Effective October 1, 2011 (English, TXT 169.24 KB)
Open PDF file, 268.04 KB,  Notice of Proposed Agency Action Effective October 1, 2011 (English, PDF 268.04 KB)
Open TXT file, 169.24 KB,  Notice of Proposed Agency Action Effective October 1, 2011 (English, TXT 169.24 KB)

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