Massachusetts Health Safety Net Fund

What is the Health Safety Net Fund?

The Health Safety Net Fund (formerly known as the Massachusetts Uncompensated Care Pool) is a fund created by the state of Massachusetts to finance health care for the low income and uninsured within the state. The Pool was started in 1998 and is funded by a surcharge tax on all health services rendered at a hospital or ambulatory surgical center in the state of Massachusetts. All health insurance plans, including insured and self funded, are required by law to pay the tax.


Who is Required to Pay the Surcharge?

Any HRC Total Solutions Health Reimbursement Arrangement (HRA) Employer Group whose HRA direct pays any of the listed Acute Care Hospitals and/or Ambulatory Surgical Centers for health services incurred by their participants. Employer Groups whose HRA plan direct reimburses employees is not subject to this Surcharge.


What Payments are Subject to the Surcharge?

All payments to Massachusetts acute hospitals for hospital health care services or to ambulatory surgical centers for ambulatory surgical facility services are subject to the surcharge. Please see the list below of Acute Care Hospitals and Ambulatory Surgical Centers.  Services received at hospitals that are not part of the list below are not subject to the Health Safety Net Fund.


How is the Surcharge Calculated?

Currently, payments for services applicable to the Surcharge are taxed 2.00% of the payment, effective October 1, 2013.  The percentage is subject to change annually by the MA Division of Health Care Finance.


How is HRCTS Going to Assist?

After concluding ongoing discussions with the State of Massachusetts, HRC Total Solutions is now in the process of registering with the Massachusetts Department of Health and Finance Policy in order to make payments toward the fund on behalf of our clients.  We will identify claims that meet the requirements in our system as they are processed. HRCTS is capturing the claims incurred at these specific hospitals so we can identify the claims subject to the Surcharge and invoice our clients for the applicable surcharge fee. Once the surcharge invoice is paid by the Employer, HRCTS will then make the payment to the applicable providers.


Next Steps?

Our Account Executive teams will be working with in the coming weeks and months to help clarify and provide further guidance on this process and the additional billing that may occur as a result.


Massachusetts Acute Hospitals

Anna Jaques Hospital
Athol  Memorial Hospital
Baystate Franklin Medical Center
Baystate Mary Lane Hospital
Baystate Medical Center
Berkshire Medical Center
Beth Israel Deaconess Medical Center
Beth Israel Deaconess Medical Center-Needham Campus
Boston Medical Center
Boston Medical Center/ Codman Square Health Center
Boston Medical Center/ Dorchester House
Boston Medical Center/ East Boston NHC
Boston Medical Center/ South Boston CHC
Brigham and Women's Hospital
Cambridge Health Alliance - Cambridge Campus
Cambridge Health Alliance/ Cambridge Health Alliance Physician Org
Cape Cod Hospital
Children's Hospital
Clinton Hospital
Cooley Dickinson Hospital
Dana Farber Cancer Institute
Emerson Hospital
Fairview Hospital
Falmouth Hospital
Faulkner Hospital
Hallmark Health Systems
Harrington Memorial Hospital
Health Alliance Hospitals, Inc
Heywood Hospital
Holyoke Medical Center, Inc.
Jordan Hospital
Kindred Hospital Boston
Kindred Hospital North Shore
Lahey Clinic Hospital
Lahey Clinic Hospital /Lahey Clinic Foundation, Inc.
Lahey Clinic Hospital MRI Services, LLC
Lawrence General Hospital
Lowell General Hospital
Marlborough Hospital
Martha's Vineyard Hospital
Mass General Hospital
Mass. Eye & Ear Infirmary
Mercy Medical Center (includes Providence Hospital)
Merrimack Valley Hospital, A Steward Family Hospital, Inc.
Metro West Medical Center
Milford Regional Medical Center, Inc
Milton Hospital
Morton Hospital and Medical Center
Mount Auburn Hospital
Nantucket Cottage Hospital
Nashoba Valley Medical Center, A Steward Family Hospital, Inc.
New England Baptist Hospital
Newton-Wellesley Hospital
Noble Hospital
North Adams Regional Hospital
North Shore Medical Center (includes Salem & Union Hospital)
Northeast Hospital
Quincy Medical Center
Saint Vincent Hospital
Saints Medical Center  (listed previously as Saints Memorial Medical Center)
Shriners Hospital-Boston
Shriners Hospital- Springfield
Signature Healthcare Brockton Hospital (listed previously as Brockton Hospital)
South Shore Hospital
Southcoast Hospitals Group, Inc. (listed previously as Southcoast Health Systems)
Steward  Norwood Hospital
Steward Carney Hospital Inc.
Steward Good Samaritan Medical Center
Steward Holy Family
Steward Saint Anne's Hospital
Steward St. Elizabeth's Medical Center
Sturdy Memorial Hospital
Tufts Medical Center (listed previously as Tufts New England Medical Center)
UMass. Memorial Medical Center
Winchester Hospital
Wing Memorial Hospital and Medical Center


Massachusetts Ambulatory Surgical Centers

Advanced Eye Surgery Center, LLC
ARC Worcester Center, LP d/b/a Worcester Surgical Center
Berkshire Cosmetic and Reconstructive Surgery Center
Berkshire Endoscopy Center LLC
Boston Center for Ambulatory Surgery, Inc.
Boston Endoscopy Center
Boston Eye Surgery and Laser Center, Inc.
Boston OutPatient Surgical Suites, LLC
Boston Surgery Center, LLC (new effective 9/29/09)
Boston University Eye Associates Surgery and Laser Center formerly University Eye Associate)
Cape and Islands Endoscopy Center, LLC
Cape Cod ASC, LLC
Cape Cod Eye Surgery and Laser Center
Cape Cod Surgery Center, Inc.
Cataract & Laser Center West, LLC.
Cataract & Laser Center, Inc.
Cataract and Laser Center  of the North Shore, LLC
Cataract and Laser Center Assoc. (Adams)
Cataract and Laser Center Central, L.L.C.
Central Massachusetts Ambulatory Endoscopy Center, LLC
Charles River Endoscopy, LLC (new effective 9/29/09)
Commonwealth Endoscopy Center, Inc.(new FEIN only effective 2/1/09)
DHA Endoscopy, LLC
East Bay Surgery Center, LLC
East Pond Enterprises Inc.
Eastern Massachusetts Surgery Center  (new effective 9/29/09)
Four Women's Health Services
Greater New Bedford Surgicenter
Greater Springfield Surgery Center, LLC
Hawthorn Endoscopy Services, LLC
Hyannis Ear, Nose & Throat Assoc.
Hyde Park Pain Management, LLC
MD Sine, LLC dba Spine Institute of New England
Merrimack Valley Endoscopy Center, LLC
Middlesex  Endoscopy Center, LLC
New England Ambulatory Surgicenter, LLC
New England Eye Surgical Center Inc.
New England Pain Association P.C.
New England Pain Care
New England Surgery Center
New England Surgical Center for Outpatient Endoscopy, LLC
North Shore Cataract and Laser Center
Northeast Ambulatory Center, Inc
Northeast Endoscopy Center,  LLC
Orthopaedic Surgical Center of North Shore, LLC
Orthopedic Care Surgery Center, LLC (new effective 9/29/09)
Peabody Surgery Center LLC
Pioneer Valley Surgicenter
Plymouth Laser and Surgical Center
Same Day Surgiclinic
South Shore Endoscopy Ctr, Inc.
Surgical Eye Experts of New England
The  Surgery Center of Waltham (formerly listed as Boston IVF, Inc)
The Cataract Surgery Center of Milford, Inc. (new effective 10/05/09)
The Endoscopy Center of  Southeast Massachusetts, LLC
Valley Medical Group, P.C.
West Suburban Eye Surgery Center  dba SurgiSite Boston
Womens Health Services
Weymouth Endoscopy LLC


Affiliated Organizations

Baycare Health Partners
Baystate Medical Practices
Health Alliance with Physicians
Partners Community HealthCare Inc. (PCHI)

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