MedicaidReimbursementMedium impact
Managed Care Entity Bulletin 142: Youth Withdrawal Management within Inpatient Psychiatric Unit
MassHealth·MA · Psychiatry·Managed Care
Effective date
Jan 1, 2026
We identified it
Jun 18, 2026
Summary
MassHealth has updated the directed minimum rate floor for Youth Withdrawal Management and Stabilization Services (HCPCS H0011-HV) provided within inpatient psychiatric units to $1,208.58 per diem, effective January 1, 2026. This applies to ACPPs, MCOs, and the MassHealth behavioral health vendor serving adolescents ages 13-17.
Action Required
By January 1, 2026: Billing team must update contracted rates with MassHealth ACPPs, MCOs, and behavioral health vendor to ensure reimbursement for HCPCS H0011-HV (Youth Withdrawal Management) meets the new minimum rate floor of $1,208.58 per diem. Review existing contracts and negotiate rate adjustments if current rates fall below this threshold.