23LCEHSCDRHOSPITALRFA: RY 2023 Chronic Disease and Rehabilitation Hospital Request for Applications

The Commonwealth of Massachusetts Executive Office of Health and Human Services (EOHHS) is issuing a Request for Applications (RFA) for Rate Year 2023 to solicit applications from eligible, in-state Chronic Disease and Rehabilitation (CDR) Hospitals wishing to participate as Massachusetts MassHealth Providers. The contract will provide inpatient and outpatient chronic disease and rehabilitation services to MassHealth members under the oversight of EOHHS. To be considered, applicants must meet specific qualifications, such as being a non-state-operated CDR Hospital located in Massachusetts, utilizing a majority of beds for chronic disease or rehabilitation services, and transitioning to electronic medical records by October 1, 2023. CDR Hospitals that choose to participate will be paid according to the rates outlined in the RFA and the CDR Hospital Contract, with the opportunity to qualify for Quality Performance Incentive Payments or Supplemental Payments based on meeting certain criteria related to successful discharge to community, medication management, infection prevention, and appropriate discharge planning efforts.

The RFA is an open enrollment process, and EOHHS reserves the right to reopen the RFA at its discretion to accept responses from additional applicants. There are no set-aside designations or restrictions on the types of organizations that can respond. The contract term is from October 1, 2022 through September 30, 2023, with the option to extend for up to four additional years. While specific award values are not provided, the RFA references a total of $3 million in Quality Performance Incentive Payments and $700 per patient day in Discharge Planning Centered Quality Performance Incentive Payments, as well as $500,000 in Quality Performance Incentive Payments for Pediatric CDR Hospitals.