Payment Methodology

(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.