HD 4963 Massachusetts House · 194th Legislature (2025-2026)

A communication from the Executive Office of Health and Human Services (see item 4000-0500 of Section 2 of Chapter 140 of the Acts of 2024) submitting its comparative analysis of the rate differential for inpatient psychiatric and substance use hospital per diem payments achieved by Accountable Care Organizations (ACOs) and Community Partners

This is a procedural report, not a legislative bill, required by Chapter 140 of the Acts of 2024. It provides a comparative analysis of per diem payment rates for inpatient psychiatric and substance use hospital services between MassHealth's Fee-for-Service (FFS) program and Managed Care Entities (MCEs). The report details rate ranges (minimum, maximum, average, median) for adult/child psychiatric units, specialty services for neurodevelopmental disorders and eating disorders, and substance abuse treatment hospitals, showing MCE rates generally align with or exceed the FFS rate floors. The document informs legislative committees about payment differentials but does not propose new policy changes.
Bill status introduced 1 of 4 stages cleared
Introduction
Aug 2025
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Governor
Introduced Aug 4, 2025 Last action Aug 4, 2025
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