Massachusetts enacted the new Behavioral Health Access and Crisis Intervention Trust Fund surcharge, which is a surcharge on certain payments made to Massachusetts acute hospitals and ambulatory surgical centers (ASCs). The surcharge requirement is applied to both fully insured and self-insured plans. The insurers for fully insured plans and TPAs for self-insured plans where a TPA makes payments to ASCs are directly responsible for administering the payments with the Massachusetts Executive Office of Health and Human Services. If a self-insured plan pays claims directly to hospitals and ASCs, then the plan sponsor (generally, the employer) is the surcharge payer.
For further information, the Surcharge FAQ below outlines the details of the surcharge requirement.
Mass. Behavioral Health Access and Crisis Intervention Trust Fund Site » Surcharge FAQ » 101 CMR 516.00 »
Employers sponsoring a health plan that covers individuals in Massachusetts should be aware of the surcharge and work with their carrier or TPA to ensure compliance.
PPI Benefit Solutions does not provide legal or tax advice. Compliance, regulatory and related content is for general informational purposes and is not guaranteed to be accurate or complete. You should consult an attorney or tax professional regarding the application or potential implications of laws, regulations or policies to your specific circumstances.
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