APPENDIX 1 Payment Rates.docx
DOCX document 23 KB Posted
- Attached to
- 23LCEHSCDRHOSPITALRFA: RY 2023 Chronic Disease and Rehabilitation Hospital Request for Applications
- Solicitation number
- BD-23-1039-EHS01-EHS01-79579
- Issued by
- Suffolk County, Massachusetts
About this file
This document contains the Payment Rates for the Commonwealth of Massachusetts Executive Office of Health and Human Services (EOHHS) MassHealth Program's Chronic Disease and Rehabilitation Hospital Contract for Rate Year 2023, from October 1, 2022 to September 30, 2023. The document lists the Inpatient, Inpatient Short-Stay AD, and Outpatient Facility Per Diem Rates as well as the Outpatient Cost/Charge Per Diem Ratio for each participating hospital. The Statewide standard long-stay Administrative Day Per Diem Rate is also provided. Additionally, the document includes the Pediatric Chronic Disease and Rehabilitation Hospital Rates for the same time period.
The related State and Local Contract Opportunity is the RY 2023 Chronic Disease and Rehabilitation Hospital Request for Applications (RFA) issued by the Commonwealth of Massachusetts EOHHS to solicit applications from eligible, in-state Chronic Disease and Rehabilitation Hospitals wishing to participate as Massachusetts MassHealth Providers.
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Other files
| File | Type | Posted |
|---|---|---|
| CDR RFA Attachment B Additional Required Documents and Information.docx | DOCX document | |
| Amendment 1 to RY23 Chronic Disease Rehab Hospitals RFA.docx | DOCX document | |
| CDR RFA Attachment D CDR Hospital Contract RY23.docx | DOCX document | |
| APPENDIX 3 Quality Performance Incentive and Supplemental Payments.doc | DOC document | |
| CDR RFA Attachment C Contractor Certification Form.docx | DOCX document | |
| CDR RFA Attachment A Application for Participation.docx | DOCX document | |
| Amendment 1 to CDR RFA ATTACHMENT D - CDR Hospital Contract RY23.docx | DOCX document | |
| APPENDIX 3 Quality Performance Incentive and Supplemental Payments RY24.docx | DOCX document | |
| APPENDIX 1 Payment Rates RY24.docx | DOCX document | |
| APPENDIX 2 Quality Improvement.doc | DOC document | |
| RY23 Chronic Disease Rehab Hospitals RFA - Rev 1.docx | DOCX document |
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Text version
COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES
MASSHEALTH PROGRAM CDR HOSPITAL CONTRACT
APPENDIX 1:
PAYMENT RATES
Chronic Disease and Rehabilitation Hospital Rates for Rate Year 2023: October 1, 2022 - September 30, 2023 (Subject to CMS Approval):
| Inpatient | Inpatient | Outpatient | |||||
| Facility | Per Diem | Short-Stay AD | Cost/Charge | Per Diem | Ratio |
Encompass Health of Braintree $1,104.42 $846.76 66.58%
Fairlawn Rehab Hospital $1,068.37 $881.29 78.11%
Vibra Hospital of Southeastern MA $1,310.50 $1,036.25 51.92%
Encompass Health Rehab Hosp of NE $1,151.39 $934.43 80.48%
New England Sinai Hospital $1,256.23 $1,001.52 65.39%
PAM Health Specialty Hospital $1,663.32 $1,262.06 39.48%
Vibra Hospital of Western MA $1,303.26 $1,031.62 N/A
Spaulding Rehab Hospital-Cape Cod $1,693.53 $1,281.39 38.96%
Encompass Health Rehab Hospital West MA $1,040.34 $863.35 83.13%
Spaulding Rehab Hospital-Boston $1,949.80 $1,445.41 44.08%
Whittier Rehab-Bradford $1,377.41 $1,079.08 46.51%
Whittier Rehab-Westborough $1,343.12 $1,057.13 36.95%
Spaulding Hospital-Cambridge $2,112.71 $1,549.67 90.63% Statewide standard long-stay Administrative Day Per Diem Rate: $740.75
Pediatric Chronic Disease and Rehabilitation Hospital Rates for Rate Year 2023: October 1, 2022- September 30, 2023 (Subject to CMS Approval):
| Inpatient | Inpatient | Outpatient | |||||
| Facility | Per Diem | AD | Cost/Charge | Per Diem | Ratio |
Franciscan Children $2,678.39 $2,245.32 70.52%
RY2023 Chronic Disease and Rehabilitation Services Hospital Contract October 1, 2022
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