Code of Massachusetts Regulations
101 CMR - EXECUTIVE OFFICE FOR HEALTH AND HUMAN SERVICES
Title 101 CMR 345.00 - Rates for Temporary Nursing Services
Section 345.03 - Rate Provisions

Universal Citation: 101 MA Code of Regs 101.345

Current through Register 1518, March 29, 2024

(1) General. All prices are per hour. An agency's price for a service provided to a nursing facility or hospital may not exceed the maximum price set forth in 101 CMR 345.03(2) or (3). Rates vary by health service area (HSA). The location of the nursing facility or hospital determines the maximum price that may be charged.

(a) Holidays. Rates for holidays may not exceed 150% of the maximum prices set forth in 101 CMR 345.03(2) or (3). An agency and the purchasing nursing facility or hospital may define the specific times for each shift and the days that constitute holidays in the written agreement for services as required by 105 CMR 157.220: Written Agreements.

(b) Overtime. An agency and a nursing facility or hospital may agree to an overtime differential to be added to a maximum service price to compensate an employee for overtime hours worked.

(c) Exemptions. Fixed-term employees are not subject to the maximum prices set forth in 101 CMR 345.03.

(d) 12-hour Shift. An agency and a nursing facility or hospital may agree to a single price per hour for services provided during a 12-hour shift. The price per hour cannot exceed the weighted average of the combined maximum prices for the applicable shifts as set forth in 101 CMR 345.03(2) or (3). For example, an RN in HSA 1 providing weekday services at a nursing facility from 7:00 A.M. to 7:00 P.M. could be billed at a single rate of $72.45, using eight hours at $71.03 and four hours at $75.29. (Example calculation: 8 x $71.03 + 4 x $75.29 = $869.40. $869.40/12 = $72.45.)

(e) Travel Nurse Factor. For temporary nursing services provided at nursing facilities or hospitals that are performed by travel nurse employees, agencies may charge, and nursing facilities and hospitals may purchase, temporary nursing services performed by such travel nurse employees at a factor of 19.7% above the rate limits established in 101 CMR 345.03.

(2) Maximum Prices, Nursing Facilities.

(a) Registered Nurse (RN) - Nursing Facility.

Shift

HSA 1 Western

HSA 2 Central

HSA 3 Merrimack Valley

HSA 4 Greater Boston

HSA 5 Southeastern

HSA 6 North Shore

Weekday 1

$71.03

$68.84

$69.49

$71.37

$69.80

$70.51

Weekday 2

$75.29

$73.10

$73.75

$75.63

$74.06

$74.76

Weekday 3

$77.42

$75.22

$75.88

$77.76

$76.18

$76.89

Weekend 1

$76.35

$74.16

$74.81

$76.69

$75.12

$75.83

Weekend 2

$78.48

$76.29

$76.94

$78.82

$77.25

$77.96

Weekend 3

$78.48

$76.29

$76.94

$78.82

$77.25

$77.96

(b) Licensed Practical Nurse (LPN) - Nursing Facility.

Shift

HSA 1 Western

HSA 2 Central

HSA 3 Merrimack Valley

HSA 4 Greater Boston

HSA 5 Southeastern

HSA 6 North Shore

Weekday 1

$60.06

$58.77

$59.93

$63.24

$61.28

$63.15

Weekday 2

$64.32

$63.03

$64.19

$67.50

$65.54

$67.41

Weekday 3

$66.44

$65.15

$66.32

$69.63

$67.67

$69.54

Weekend 1

$65.38

$64.09

$65.25

$68.57

$66.60

$68.47

Weekend 2

$67.51

$66.22

$67.38

$70.69

$68.73

$70.60

Weekend 3

$67.51

$66.22

$67.38

$70.69

$68.73

$70.60

(c) Certified Nurse Aide (CNA) - Nursing Facility.

Shift

HSA 1 Western

HSA 2 Central

HSA 3 Merrimack Valley

HSA 4 Greater Boston

HSA 5 Southeastern

HSA 6 North Shore

Weekday 1

$32.43

$32.86

$33.45

$33.33

$32.89

$34.00

Weekday 2

$34.56

$34.99

$35.58

$35.46

$35.02

$36.12

Weekday 3

$35.62

$36.06

$36.64

$36.53

$36.08

$37.19

Weekend 1

$35.62

$36.06

$36.64

$36.53

$36.08

$37.19

Weekend 2

$36.69

$37.12

$37.70

$37.59

$37.14

$38.25

Weekend 3

$37.22

$37.65

$38.24

$38.12

$37.68

$38.78

(3) Maximum Prices, Hospitals.

(a) Registered Nurse (RN) - Hospital.

Shift

HSA 1 Western

HSA 2 Central

HSA 3 Merrimack Valley

HSA 4 Greater Boston

HSA 5 Southeastern

HSA 6 North Shore

Weekday 1

$96.76

$102.35

$100.28

$105.00

$100.21

$100.08

Weekday 2

$106.81

$112.40

$110.33

$115.05

$110.27

$110.13

Weekday 3

$110.49

$116.08

$114.01

$118.73

$113.94

$113.81

Weekend 1

$107.16

$112.75

$110.68

$115.40

$110.61

$110.48

Weekend 2

$110.99

$116.57

$114.51

$119.23

$114.44

$114.31

Weekend 3

$112.74

$118.32

$116.26

$120.98

$116.19

$116.06

(b) Registered Nurse Specialist (RN-Specialist) - Hospital .

Shift

HSA 1 Western

HSA 2 Central

HSA 3 Merrimack Valley

HSA 4 Greater Boston

HSA 5 Southeastern

HSA 6 North Shore

Weekday 1

$106.75

$108.12

$111.73

$113.62

$103.50

$109.16

Weekday 2

$131.09

$132.46

$136.07

$137.97

$127.84

$133.51

Weekday 3

$134.60

$135.96

$139.58

$141.47

$131.34

$137.01

Weekend 1

$133.21

$134.58

$138.19

$140.08

$129.96

$135.63

Weekend 2

$134.19

$135.55

$139.16

$141.06

$130.93

$136.60

Weekend 3

$135.87

$137.24

$140.85

$142.74

$132.62

$138.29

(c) Licensed Practical Nurse (LPN) - Hospital.

Shift

HSA 1 Western

HSA 2 Central

HSA 3 Merrimack Valley

HSA 4 Greater Boston

HSA 5 Southeastern

HSA 6 North Shore

Weekday 1

$63.35

$61.66

$63.93

$64.24

$65.47

$62.72

Weekday 2

$71.66

$69.96

$72.24

$72.54

$73.77

$71.02

Weekday 3

$73.91

$72.21

$74.48

$74.79

$76.02

$73.27

Weekend 1

$72.37

$70.67

$72.95

$73.25

$74.49

$71.73

Weekend 2

$75.53

$73.83

$76.11

$76.41

$77.65

$74.89

Weekend 3

$76.33

$74.63

$76.91

$77.21

$78.45

$75.69

(d) Certified Nurse Aide (CNA) - Hospital.

Shift

HSA 1 Western

HSA 2 Central

HSA 3 Merrimack Valley

HSA 4 Greater Boston

HSA 5 Southeastern

HSA 6 North Shore

Weekday 1

$35.76

$35.31

$36.03

$36.61

$36.10

$37.26

Weekday 2

$44.32

$43.87

$44.59

$45.17

$44.66

$45.82

Weekday 3

$46.18

$45.73

$46.45

$47.03

$46.52

$47.68

Weekend 1

$45.53

$45.08

$45.81

$46.38

$45.87

$47.03

Weekend 2

$49.58

$49.13

$49.85

$50.42

$49.92

$51.08

Weekend 3

$50.38

$49.93

$50.65

$51.22

$50.72

$51.88

(4) Rates for Temporary Nursing Services Related to COVID-19. Temporary nursing services related to COVID-19 may be purchased by governmental units at individually considered rates that exceed the maximum rates established in 101 CMR 345.00, and governmental units may enter into contracts for the provision of these services in alternate service locations other than a hospital or nursing facility. A governmental unit, in its sole discretion, may determine whether a rate above the maximum rates established in 101 CMR 345.00 is necessary and appropriate, as well as the appropriate rate for services provided in a service location other than a hospital or nursing facility.

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