Amendment 1 to CDR RFA ATTACHMENT D - CDR Hospital Contract RY23.docx

AMENDMENT #1 to the

CONTRACT TO PROVIDE CHRONIC DISEASE AND REHABILITATION HOSPITAL SERVICES

between

THE COMMONWEALTH OF MASSACHUSETTS

EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

and

[CONTRACTOR]

WHEREAS, the Executive Office of Health and Human Services Office of Medicaid (EOHHS) and [Name of Contractor] (Contractor) entered into a Contract, effective October 1, 2022 pursuant to a Request for Applications for Chronic Disease and Rehabilitation Hospitals issued September 8, 2022 to provide services for MassHealth Members who are admitted to an inpatient hospital unit of the Contractor or who obtain Outpatient Services from the Contractor; and WHEREAS, EOHHS and the Contractor desire to amend their agreement pursuant to Section 9.4: Contract Term and Section 9.7 Amendment, and in accordance with the rates, terms and conditions set forth herein;

NOW, THEREFORE, in consideration of their mutual undertakings, and subject to the approval of the Centers for Medicare and Medicaid Services (CMS), EOHHS and the Contractor agree to amend the Contract to Provide Chronic Disease and Rehabilitation Hospital Services as follows:

1. In SECTION 4, PAYMENT:

a. At Section 4.1: General Provisions by removing the phrase “Section 4.1.a.” in subsection 2. and replacing it with the phrase “Section 4.1.1;” and,

b. at Section 4.5: Payment for Administrative Days by removing the phrase “Rate Year 2023” as it appears in the last sentence of Section 4.5 Payment for Administrative Days.

2. In SECTION 9.4, CONTRACT TERM by adding a new sentence at the end of the first paragraph:

“Accordingly, both parties agree to extend the Contract beyond the initial term, through September 30, 2024.”

3. The CONTRACT APPENDICES are amended as follows:

a. Appendix 1: Payment Rates by striking it in its entirety and inserting in place thereof the new Appendix 1: Payment Rates, dated October 2023, and attached hereto.

b. Appendix 3: Quality Performance Incentive Payments, by striking it in its entirety and inserting in place thereof the new Appendix 3: Quality Performance Incentive Payments, dated October 2023, and attached hereto.

[SIGNATURE SECTION ON NEXT PAGE]

and Human Services

[CONTRACTOR]

Signed by

Signed by

Print Name Mike Levine

Print Name

Print Title Assistant Secretary for MassHealth

Print Title

Date

Date