Acute Hospital RFA14 Amendment 2_052914.doc

AMENDMENT 2

to the Executive Office of Health and Human Services

Office of Medicaid

Rate Year 2014 Acute Hospital Request for Applications and Contract Amended May 29, 2014

Effective June 30, 2014

In accordance with Section 12.F and Appendix A, Section I.5 of the Rate Year 2014 Acute Hospital Request for Applications and Contract (RY14 RFA), the Executive Office of Health and Human Services (EOHHS) is hereby amending the RY14 RFA as follows effective as of June 30, 2014:

1. In Section 7.3, Hospital Quality Performance Measures, delete Table 7-1 in its entirety and replace it with the following revised Table 7-1:

Table 7-1. Hospital Quality Performance Measures

Reporting Status

Maternity Measure Set

Pediatric Asthma Measure Set

PN-3b

PN-6

Community Acquired Pneumonia Measure Set Blood culture performed in ED prior to first antibiotic received in hospital

Appropriate antibiotic selection for CAP in immuno-competent patients Discontinue PN-3b as of Q1-2014 data

No change

Surgical Care Infection Prevention Measure Set

Health Disparities Measure

2.

In Section 7.3.A., Quality Performance Measure Sets, delete Section 7.3.A.3, Community Acquired Pneumonia Measure Set, in its entirety and replace it with the following:

c.

Community Acquired Pneumonia Measure Set: The PN-3b (Blood culture performed in ED prior to first antibiotic received in hospital) will be discontinued from the RY14 measures reporting requirements beginning with the Q1-2014 discharge period data. This measure has been retired by CMS for use with national hospital quality reporting programs and from Hospital Compare as of Q1-2014. Hospitals should not collect or report on PN-3b measures data beginning with the Q1-2014 (January 1, 2014 - March 31, 2014) discharge period (i.e., the discharge period with a submission deadline of August 15, 2014, as noted in Section 7.6 of the RFA). No changes apply to the reporting status for individual pneumonia measure PN-6. Hospitals must continue to collect and report on PN-6 in RY14.

3. In Appendix A, MassHealth Hospital Contract, delete pages 13 and 14 in their entirety and replace them with the attached pages 13 and 14.

1.

Any special conditions that indicate they are to be incorporated into this Contract and that are signed by both parties to this Contract;

2.

The Acute Hospital RFA dated August 19, 2013 and amended August 28, 2013 (Amendment 1) and May 29, 2014 (Amendment 2), and all appendices and attachments thereto;

3.

Information and documentation required by EOHHS in response to the Acute Hospital RFA; and

4.

The Provider application(s) and supporting documentation of the above-named Contractor, which is required to be on file with MassHealth and supporting documentation and any changes or amendments thereto accepted and agreed to by EOHHS.

In the event of any conflict among the documents that are a part of this Contract and any regulation now existing or hereinafter adopted by MassHealth, the terms of the Contract shall prevail.

The Contractor hereby represents and warrants that it is the licensee of the below-named Hospital facility(ies).

The person signing this Agreement on behalf of the Contractor warrants that he/she has actual authority to bind the Contractor.

Contractor Executive Office of Health and Human Services (Legal Name of Licensee)

(Name[s] of Hospital[s], if Different)

(Signature)

(Signature)

Name

Name

Title

Title

Date

Date

RY2014 Acute Hospital RFA

Amendment #2