{"hospital":{"ccn":"220077","name":"BAYSTATE MEDICAL CENTER","city":"SPRINGFIELD","state":"MA","zip":"01199","phone":"413-794-5516","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","other","tax_return","pay_stubs","bank_statements"],"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":null,"window_days_from_first_bill":{"value":240,"layer":"documented","quote":"Written notifications by a BH Hospital regarding the Hospital Supplemental Financial Assistance Program and a patient’s eligibility to apply for financial assistance will include a deadline after which the BH Hospital will no longer accept and process a FAP application seeking assistance under the Hospital Supplemental Financial Assistance Program submitted by the individual for the previously-provided care. The deadline will be no earlier than the later of 30 days after the date that the written notice specified above is provided or 240 days after the date of the first post-discharge billing statement for the previously provided care (the \"Application Period\").","source_id":"billing-a69a7b025e39813c","checked_on":"2026-10-02","confidence":1.0,"support_count":0},"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. If a BH Hospital aggregates an individual’s outstanding bills for multiple episodes of care before initiating one or more ECAs to obtain payment for those bills, it will refrain from initiating any ECAs until 120 days after it has provided the first post-discharge billing statement for the most recent episode of care included in the aggregation.","source_id":"billing-a69a7b025e39813c","checked_on":"2026-10-02","confidence":1.0,"support_count":0},"collection_agencies":null},"contacts":{"phone":{"value":"413-794-2452","layer":"documented","quote":"Please call [413-794-2452](tel:4137942452) for help with the application process.","source_id":"billing-923cf78e3f4def83","checked_on":"2026-10-02","confidence":1.0,"support_count":0},"hours":null,"languages":{"value":["English","Russian","Spanish"],"layer":"documented","quote":"English, Russian, and Spanish versions of the Policy, the Financial Assistance Policy application form, and this plain language summary are available at https://www.baystatehealth.org/patients-and-visitors/healthcare-prices-and-billing, and up on request and without charge by mail and in public locations at Baystate Health hospitals.","source_id":"summary-09e6b764dad95451","checked_on":"2026-10-02","confidence":1.0,"support_count":0}},"coverage":{"facilities":{"value":["Baystate Medical Center","Baystate Franklin Medical Center","Baystate Wing Hospital","Baystate Noble Hospital"],"layer":"documented","quote":"Baystate Medical Center\nAddress: 759 Chestnut St., Daly Entrance, Springfield, MA 01104\nTelephone: (413) 794-2452\nBaystate Franklin Medical Center\nAddress: 164 High St., Greenfield, MA 01301\nTelephone: (413) 773-8249\nBaystate Wing Hospital\nAddress: 40 Wright St., Palmer, MA 01069\nTelephone: 413-370-5540\nBaystate Noble Hospital\nAddress: 115 W. Silver St., Westfield, MA 01085\nTelephone: 413-562-2811 ext. 5850","source_id":"fap-ed6455ab243320ff","checked_on":"2026-10-02","confidence":1.0,"support_count":0},"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-8867d96177d755d8","kind":"hospital_web","url":"https://www.baystatehealth.org/patients-and-visitors/healthcare-prices-and-billing/requesting-a-price-estimate","title":"Billing and Collections Policy","fetched_on":"2026-10-02","sha256":"8867d96177d755d8d4bdc7d9462c5be43f38ec3b5268440e057a93e2960a8637","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}