HSN Medical Co-Pays Suspended

May 13, 2008

As reported by MA Division of Health Care Finance and Policy on May 12, 2008.

This is to notify Health Safety Net patients and providers that the Division is temporarily suspending the copayment requirements for medical services in 114.6 CMR 13.04(6)(a)(2)(b).

  • These include the $5 copayment for an outpatient visit, the $50 copayment for an inpatient admission, and the $50 copayment for an emergency room visit.

  • This policy is necessitated by provider messaging system limitations and is effective immediately. Low Income Patients continue to be responsible for pharmacy copayments in accordance with the regulation.

  • The Division anticipates that copayments for medical visits will be implemented in the future.

  • Health Safety Net providers should immediately stop charging for and collecting the medical copayments listed above from Low Income Patients.

  • The Division will offer further guidance on processes to address any copayments that may have been collected to date.

Again, this is a temporary suspension and the Division of Health Care Finance and Policy does expect to re-institute the copayments at a later date.

Please feel free to e-mail any questions, comments or concerns. We will continue to update you as more information becomes available.

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