Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 425.000 - Psychiatric Inpatient Hospital Services
Section 425.408 - Payment Methodology
Universal Citation: 130 MA Code of Regs 130.425
Current through Register 1531, September 27, 2024
(A) In State. Payments to in-state private psychiatric inpatient hospitals for services furnished to MassHealth members will equal the rate established in the signed provider contract with the MassHealth agency.
(B) Out of State. Payment to out-of-state private psychiatric inpatient hospitals will be the Massachusetts state-wide average per diem rate or administrative day rate established by the MassHealth agency for in-state private psychiatric inpatient hospitals.
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