Massachusetts COMMBUYS #BD-27-1039-EHS01-ASHWA-133295

MassHealth Psychiatric Hospital Services RFA for Rate Year 2027

This opportunity from the Massachusetts Executive Office of Health and Human Services (EOHHS) seeks applications from eligible psychiatric hospitals to provide MassHealth psychiatric hospital services for Rate Year 2027. - Government Buyer: - Executive Office of Health and Human Services (EOHHS), Commonwealth of Massachusetts - MassHealth Office of Accountable Care and Behavioral Health, Office of Medicaid - Eligible Providers: - Psychiatric hospitals licensed by the Massachusetts Department of Mental Health - Accredited by The Joint Commission or another nationally recognized agency - Medicare-certified and located in Massachusetts - Services Requested: - Inpatient psychiatric services for MassHealth members - Outpatient psychiatric services - Specialty inpatient services for children/adolescents with neurodevelopmental disorders - Specialty inpatient services for eating disorders - Administratively Necessary Days (AND) coverage - Discharge planning for members at risk of homelessness - Participation in Clinical Quality Incentive Program - Inpatient psychiatric supplemental payments - Unique Requirements: - Hospitals must be enrolled as MassHealth providers and comply with all relevant laws, regulations, and billing instructions - Payment structure includes per diem, admission rates, outpatient cost-to-charge ratio, supplemental payments, and clinical quality incentives - Specialized multi-disciplinary staffing and treatment protocols required for specialty services - Open enrollment allows later applications, but contracts expire at the end of the rate year - No specific OEMs or commercial vendors are mentioned, as this is a service-based solicitation for hospital providers.

Description

The Massachusetts Executive Office of Health and Human Services (EOHHS) is issuing a Request for Applications (RFA) for the Rate Year 2027 to solicit applications from eligible, in-state Psychiatric Hospitals wishing to participate as MassHealth providers of Psychiatric Hospital Services. Eligible hospitals must be licensed by the Massachusetts Department of Mental Health, enrolled as MassHealth providers, accredited by a nationally recognized agency, Medicare-certified, and located in Massachusetts. The contract term is 12 months starting October 1, 2026, and covers inpatient and outpatient psychiatric services. Applicants must complete and execute the enclosed application and contract documents outlining participation requirements.

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