{"hospital":{"ccn":"220016","name":"BAYSTATE FRANKLIN MEDICAL CENTER","city":"GREENFIELD","state":"MA","zip":"01301","phone":"413-773-0211","ownership":"Voluntary non-profit - Private","website_domain":"baystatehealth.org","system":null},"version":5,"status":"published","eligibility":{"free_care_max_fpl":{"value":"150","layer":"documented","quote":"generally provides payment for certain Medically Necessary Services provided to uninsured patients whose MassHealth Modified Adjusted Gross Income (\"MAGI\") Household Income or Medical Hardship Family Countable Income is equal to or less than 150% of the Federal Poverty Income Guidelines","source_id":"fap-ed6455ab243320ff","checked_on":"2026-10-02","confidence":1.0,"support_count":0},"discount_tiers":null,"asset_test":null,"residency":null,"insured_patients_covered":{"value":true,"layer":"documented","quote":"Health Safety Net -Secondary generally provides payment for certain Medically Necessary Services provided to insured patients whose MAGI Household Income or Medical Hardship Family Countable Income is equal to or less than 150% of the Federal Poverty Income Guidelines if the services are not paid by the patient’s insurance.","source_id":"fap-ed6455ab243320ff","checked_on":"2026-10-02","confidence":1.0,"support_count":0},"min_balance":null,"services_excluded":null},"programs":{"presumptive":{"value":["Medicaid","MassHealth"],"layer":"documented","quote":"BH Hospitals are permitted by MassHealth/Health Safety Net (\"HSN\") to make presumptive eligibility determinations for certain patients who appear to be eligible for Medicaid/HSN coverage (\"Hospital Determined Presumptive Eligibility\").","source_id":"fap-ed6455ab243320ff","checked_on":"2026-10-02","confidence":1.0,"support_count":0},"state_programs":{"value":[{"name":"Health Safety Net (Massachusetts)","how_to_apply":"Apply through the MassHealth application; a hospital financial counselor can file it for you. The hospital's own financial assistance and the Health Safety Net are separate programs."}],"layer":"documented","quote":"Important information you need to know about applying for MassHealth Limited and the Health Safety Net can be found on page 3.","source_id":"state-mass-cafb5ebe5d7f","checked_on":"2026-10-02","confidence":1.0,"support_count":0}},"apply":{"form_url":null,"form_version":null,"documents_required":{"value":["photo_id","proof_of_income","tax_return","pay_stubs","bank_statements","other"],"layer":"documented","quote":"Necessary documentation includes proof of: (1) annual household income (payroll stubs, record of social security payments, and a letter from the employer, tax returns, or bank statements), (2) citizenship and identity, and (3) immigration status for non-citizens (if applicable).","source_id":"fap-ed6455ab243320ff","checked_on":"2026-10-02","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":{"value":[{"kind":"in_person","detail":""}],"layer":"documented","quote":"Information regarding this policy and assistance with the application process for the Financial Assistance Programs may be obtained from the Financial Counseling Department of each BH Hospital:","source_id":"fap-ed6455ab243320ff","checked_on":"2026-10-02","confidence":1.0,"support_count":0},"window_days_from_first_bill":null,"decision_days":null,"decision_days_reported":null},"collections":{"eca_wait_days":{"value":120,"layer":"documented","quote":"ECAs may not begin until at least 120 days after the first post-discharge billing statement.","source_id":"billing-a69a7b025e39813c","checked_on":"2026-10-02","confidence":1.0,"support_count":0},"collection_agencies":null},"contacts":{"phone":null,"hours":null,"languages":null},"coverage":{"facilities":null,"provider_list_url":null},"sources":[{"id":"billing-923cf78e3f4def83","kind":"hospital_web","url":"https://www.baystatehealth.org/patients-and-visitors/healthcare-prices-and-billing","title":"Healthcare Prices & Billing | Baystate Health","fetched_on":"2026-10-02","sha256":"923cf78e3f4def8311fcffee65aa0a0e8eb11dfb1b37c7dc45bf3eb739b22770","effective_date":null},{"id":"billing-2ba98c73940a5d6c","kind":"hospital_web","url":"https://baystatehealth.org/patients-and-visitors/healthcare-prices-and-billing","title":"Healthcare Prices & Billing | Baystate Health","fetched_on":"2026-10-02","sha256":"2ba98c73940a5d6ceea11abd8ea02cf936dc1050b3f3696958b06f0d23ce79ac","effective_date":null},{"id":"billing-f8f7777fc1015226","kind":"hospital_web","url":"https://www.baystatehealth.org/patients-and-visitors/healthcare-prices-and-billing/hospital-standard-charges","title":"Hospital Standard Charges | Baystate Health","fetched_on":"2026-10-02","sha256":"f8f7777fc1015226a4101aea42be392c673d10a150c8fd8b6489392630c8f196","effective_date":null},{"id":"billing-0c6d531f9bdc4479","kind":"hospital_web","url":"https://www.baystatehealth.org/patients-and-visitors/healthcare-prices-and-billing/making-payments","title":"Billing and Collections Policy","fetched_on":"2026-10-02","sha256":"0c6d531f9bdc447948af54169bdfd5eb5d24ffa6ad23a5cd3ca215661117c4e7","effective_date":null},{"id":"fap-ed6455ab243320ff","kind":"hospital_web","url":"https://baystatehealth.canto.com/direct/document/hcpcenvpld2131t6d5rl50vu7d/WL2RJ2ri8X4cRVWQLGNk3NZUTI4/original?content-type=application%2Fpdf&name=Baystate+Health+FAP+Policy+ENGLISH.pdf","title":"Hospital financial assistance policy (pdf)","fetched_on":"2026-10-02","sha256":"ed6455ab243320ff6c1e8d5725bf9255d4984413d06221fe00c196d6f7f3d0f7","effective_date":null},{"id":"summary-09e6b764dad95451","kind":"hospital_web","url":"https://baystatehealth.canto.com/direct/document/n885c1hf6l0t97g9k4h30bni4e/yFjbMDWkiQ5poUmUFz1huXIjXqI/original?content-type=application%2Fpdf&name=Financial+Assistance+-+Plain+Language+Summary.pdf","title":"Hospital financial assistance plain language summary (pdf)","fetched_on":"2026-10-02","sha256":"09e6b764dad95451998579f28a53a7cbb5c69a533e94213d106827ca5a443aa6","effective_date":null},{"id":"billing-a69a7b025e39813c","kind":"hospital_web","url":"https://baystatehealth.canto.com/direct/document/keoetk8i1l2ql0cl2v63rutd4k/5cEjQY7c_N9kGkm5udFul7icR8Q/original?content-type=application%2Fpdf&name=BH+Hospitals+Billing+and+Collection+Policy+revised+122020.pdf","title":"Hospital billing and collections policy (pdf)","fetched_on":"2026-10-02","sha256":"a69a7b025e39813ccbb4a9e06814bf99e31cbacc96c962ab9e664500537c15e8","effective_date":null},{"id":"state-mass-cafb5ebe5d7f","kind":"state_repository","url":"https://www.mass.gov/doc/senior-guide-to-health-care-coverage-4/download","title":"download","fetched_on":"2026-10-02","sha256":"cafb5ebe5d7fd181e3c87567b6609c3aa6ee7fff9af006d521a3a53700a99472","effective_date":null}],"accuracy":null}