{"hospital":{"ccn":"221303","name":"ATHOL MEMORIAL HOSPITAL","city":"ATHOL","state":"MA","zip":"01331","phone":"978-249-3511","ownership":"Voluntary non-profit - Private","website_domain":"atholhospital.org","system":null},"version":5,"status":"published","eligibility":{"free_care_max_fpl":{"value":"200","layer":"documented","quote":"CHARITY CARE PROGRAM Income as percentage of Federal Poverty Income Guidelines AH Financial Assistance for Non-covered\" medically necessary service AH Financial Assistance for co-pays or deductibles* 0%-200% 100% 100%","source_id":"billing-cd090144c3f29785","checked_on":"2026-10-02","confidence":1.0,"support_count":0},"discount_tiers":null,"asset_test":null,"residency":null,"insured_patients_covered":null,"min_balance":null,"services_excluded":null},"programs":{"presumptive":{"value":["MassHealth"],"layer":"documented","quote":"Applicants are determined presumptively eligible for Mass Health coverage by qualified hospitals on the basis of self-attested eligibility factors, including but not limited to household income, household size, pregnancy status, parent or caretaker relative status, immigration status, and Massachusetts residency status.","source_id":"billing-cd090144c3f29785","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":["proof_of_income","proof_of_residency","other"],"layer":"documented","quote":"Other verification may still be needed, including proof of income, residency, and citizenship.","source_id":"billing-cd090144c3f29785","checked_on":"2026-10-02","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":null,"window_days_from_first_bill":null,"decision_days":{"value":5,"layer":"documented","quote":"The hospital will endeavor to submit the total and completed application within five (5) business days of receiving all necessary information from the patient.","source_id":"billing-cd090144c3f29785","checked_on":"2026-10-02","confidence":1.0,"support_count":0},"decision_days_reported":null},"collections":{"eca_wait_days":{"value":120,"layer":"documented","quote":"If not paid at the end of 120 days, the “Bad Debt Procedure” will be followed.","source_id":"billing-cd090144c3f29785","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-cd090144c3f29785","kind":"hospital_web","url":"https://www.atholhospital.org/download.cfm?downloadfile=8EF874C4-A376-961D-E9FB8CE4DF6A5D28&typename=dmHTMLFile&fieldname=filename","title":"[PDF] Athol Hospital Credit and Collection Policy","fetched_on":"2026-10-02","sha256":"cd090144c3f29785b871a75afa30b1414e80a60d1e086657cfc2521f37eb16d3","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}