130 CMR, § 450.234 - Rates of Payment to Chronic Disease, Rehabilitation, or Similar Hospitals with Both Out-of-state Inpatient Facilities and In-state Outpatient Facilities

Payment to a chronic disease, rehabilitation, or similar hospital with both out-of-state inpatient facilities and in-state outpatient facilities, for any medical service payable by the MassHealth agency is made as follows:

(A) Inpatient Services. For inpatient services, payment is in accordance with 130 CMR 435.405(B).

(B) Outpatient Services.

(1) For outpatient services provided out-of-state, payment is in accordance with 130 CMR 450.233(A) and (B).

(2) For outpatient services provided in-state, payment is the median in-state outpatient hospital cost-to-charge ratio for similar hospitals.

Notes

130 CMR, § 450.234

Amended by Mass Register Issue S1277, eff. 1/2/2015. Amended by Mass Register Issue 1334, eff. 3/10/2017. Amended by Mass Register Issue 1341, eff. 6/16/2017. Amended by Mass Register Issue 1359, eff. 2/23/2018. Amended by Mass Register Issue 1374, eff. 10/1/2018.