27PMEHSACUTEHOSPITAL: Rate Year 2027 Acute Hospital Request for Applications

The Massachusetts Executive Office of Health and Human Services is soliciting applications from eligible in-state acute hospitals to participate as MassHealth Providers for Rate Year 2027 under solicitation BD-27-1039-EHS01-EHS01-133508. This open market procurement focuses on comprehensive health services, with a submission deadline of September 30, 2026, at 5:00 p.m. Prospective applicants must submit written questions by September 23, 2026. The program establishes a detailed reimbursement system for inpatient and outpatient services, including specific per diem rates for psychiatric services, behavioral health crisis management, and various admission categories. The contract features a robust Clinical Quality Incentive Program with a total aggregate funding pool of 250 million dollars, where hospitals earn incentive payments based on a quality score derived from domains such as patient experience, patient safety, and care coordination. Additional supplemental funding pools are available for high public payer hospitals, specialized pediatric services, and inpatient behavioral health access. Performance is monitored using data from the CDC, CMS, and EOHHS, while administrative compliance requires electronic claims submission via 837I and 837P formats and strict adherence to HIPAA and other federal and state privacy regulations.