Provider payment guidelines

Response to ED Boarding Crisis 

Mass General Brigham Health Plan will comply with regulatory guidance to ensure Hospitals are reimbursed for behavioral health crisis evaluations and stabilization services provided in the Emergency Department in response to the ED Boarding crisis. 

This will apply to:

• Commercial members, for dates of service 11/01/2022 and forward per MA DOI Bulletin 2022-08. 
• MassHealth members, for dates of service 01/03/2023 and forward per EOHHS guidance issued by the Office of Behavioral Health and per MCE bulletin 93.