Section 345.03 - Rate Provisions(1)General. All prices are per hour. An agency's price for a service provided to a nursing facility or hospital may not exceed the maximum price set forth in 101 CMR 345.03(2) or (3). Rates vary by health service area (HSA). The location of the nursing facility or hospital determines the maximum price that may be charged. (a)Holidays. Rates for holidays may not exceed 150% of the maximum prices set forth in 101 CMR 345.03(2) or (3). An agency and the purchasing nursing facility or hospital may define the specific times for each shift and the days that constitute holidays in the written agreement for services as required by 105 CMR 157.220: Written Agreements.(b)Overtime. An agency and a nursing facility or hospital may agree to an overtime differential to be added to a maximum service price to compensate an employee for overtime hours worked.(c)Exemptions. Fixed-term employees are not subject to the maximum prices set forth in 101 CMR 345.03.(d)12-hour Shift. An agency and a nursing facility or hospital may agree to a single price per hour for services provided during a 12-hour shift. The price per hour cannot exceed the weighted average of the combined maximum prices for the applicable shifts as set forth in 101 CMR 345.03(2) or (3). For example, an RN in HSA 1 providing weekday services at a nursing facility from 7:00 A.M. to 7:00 P.M. could be billed at a single rate of $72.45, using eight hours at $71.03 and four hours at $75.29. (Example calculation: 8 x $71.03 + 4 x $75.29 = $869.40. $869.40/12 = $72.45.)(e)Travel Nurse Factor. For temporary nursing services provided at nursing facilities or hospitals that are performed by travel nurse employees, agencies may charge, and nursing facilities and hospitals may purchase, temporary nursing services performed by such travel nurse employees at a factor of 19.7% above the rate limits established in 101 CMR 345.03.(2)Maximum Prices, Nursing Facilities. (a)Registered Nurse (RN) - Nursing Facility. Shift | HSA 1 Western | HSA 2 Central | HSA 3 Merrimack Valley | HSA 4 Greater Boston | HSA 5 Southeastern | HSA 6 North Shore |
Weekday 1 | $71.03 | $68.84 | $69.49 | $71.37 | $69.80 | $70.51 |
Weekday 2 | $75.29 | $73.10 | $73.75 | $75.63 | $74.06 | $74.76 |
Weekday 3 | $77.42 | $75.22 | $75.88 | $77.76 | $76.18 | $76.89 |
Weekend 1 | $76.35 | $74.16 | $74.81 | $76.69 | $75.12 | $75.83 |
Weekend 2 | $78.48 | $76.29 | $76.94 | $78.82 | $77.25 | $77.96 |
Weekend 3 | $78.48 | $76.29 | $76.94 | $78.82 | $77.25 | $77.96 |
(b)Licensed Practical Nurse (LPN) - Nursing Facility. Shift | HSA 1 Western | HSA 2 Central | HSA 3 Merrimack Valley | HSA 4 Greater Boston | HSA 5 Southeastern | HSA 6 North Shore |
Weekday 1 | $60.06 | $58.77 | $59.93 | $63.24 | $61.28 | $63.15 |
Weekday 2 | $64.32 | $63.03 | $64.19 | $67.50 | $65.54 | $67.41 |
Weekday 3 | $66.44 | $65.15 | $66.32 | $69.63 | $67.67 | $69.54 |
Weekend 1 | $65.38 | $64.09 | $65.25 | $68.57 | $66.60 | $68.47 |
Weekend 2 | $67.51 | $66.22 | $67.38 | $70.69 | $68.73 | $70.60 |
Weekend 3 | $67.51 | $66.22 | $67.38 | $70.69 | $68.73 | $70.60 |
(c)Certified Nurse Aide (CNA) - Nursing Facility. Shift | HSA 1 Western | HSA 2 Central | HSA 3 Merrimack Valley | HSA 4 Greater Boston | HSA 5 Southeastern | HSA 6 North Shore |
Weekday 1 | $32.43 | $32.86 | $33.45 | $33.33 | $32.89 | $34.00 |
Weekday 2 | $34.56 | $34.99 | $35.58 | $35.46 | $35.02 | $36.12 |
Weekday 3 | $35.62 | $36.06 | $36.64 | $36.53 | $36.08 | $37.19 |
Weekend 1 | $35.62 | $36.06 | $36.64 | $36.53 | $36.08 | $37.19 |
Weekend 2 | $36.69 | $37.12 | $37.70 | $37.59 | $37.14 | $38.25 |
Weekend 3 | $37.22 | $37.65 | $38.24 | $38.12 | $37.68 | $38.78 |
(3)Maximum Prices, Hospitals.(a)Registered Nurse (RN) - Hospital. Shift | HSA 1 Western | HSA 2 Central | HSA 3 Merrimack Valley | HSA 4 Greater Boston | HSA 5 Southeastern | HSA 6 North Shore |
Weekday 1 | $96.76 | $102.35 | $100.28 | $105.00 | $100.21 | $100.08 |
Weekday 2 | $106.81 | $112.40 | $110.33 | $115.05 | $110.27 | $110.13 |
Weekday 3 | $110.49 | $116.08 | $114.01 | $118.73 | $113.94 | $113.81 |
Weekend 1 | $107.16 | $112.75 | $110.68 | $115.40 | $110.61 | $110.48 |
Weekend 2 | $110.99 | $116.57 | $114.51 | $119.23 | $114.44 | $114.31 |
Weekend 3 | $112.74 | $118.32 | $116.26 | $120.98 | $116.19 | $116.06 |
(b)Registered Nurse Specialist (RN-Specialist) - Hospital . Shift | HSA 1 Western | HSA 2 Central | HSA 3 Merrimack Valley | HSA 4 Greater Boston | HSA 5 Southeastern | HSA 6 North Shore |
Weekday 1 | $106.75 | $108.12 | $111.73 | $113.62 | $103.50 | $109.16 |
Weekday 2 | $131.09 | $132.46 | $136.07 | $137.97 | $127.84 | $133.51 |
Weekday 3 | $134.60 | $135.96 | $139.58 | $141.47 | $131.34 | $137.01 |
Weekend 1 | $133.21 | $134.58 | $138.19 | $140.08 | $129.96 | $135.63 |
Weekend 2 | $134.19 | $135.55 | $139.16 | $141.06 | $130.93 | $136.60 |
Weekend 3 | $135.87 | $137.24 | $140.85 | $142.74 | $132.62 | $138.29 |
(c)Licensed Practical Nurse (LPN) - Hospital. Shift | HSA 1 Western | HSA 2 Central | HSA 3 Merrimack Valley | HSA 4 Greater Boston | HSA 5 Southeastern | HSA 6 North Shore |
Weekday 1 | $63.35 | $61.66 | $63.93 | $64.24 | $65.47 | $62.72 |
Weekday 2 | $71.66 | $69.96 | $72.24 | $72.54 | $73.77 | $71.02 |
Weekday 3 | $73.91 | $72.21 | $74.48 | $74.79 | $76.02 | $73.27 |
Weekend 1 | $72.37 | $70.67 | $72.95 | $73.25 | $74.49 | $71.73 |
Weekend 2 | $75.53 | $73.83 | $76.11 | $76.41 | $77.65 | $74.89 |
Weekend 3 | $76.33 | $74.63 | $76.91 | $77.21 | $78.45 | $75.69 |
(d)Certified Nurse Aide (CNA) - Hospital. Shift | HSA 1 Western | HSA 2 Central | HSA 3 Merrimack Valley | HSA 4 Greater Boston | HSA 5 Southeastern | HSA 6 North Shore |
Weekday 1 | $35.76 | $35.31 | $36.03 | $36.61 | $36.10 | $37.26 |
Weekday 2 | $44.32 | $43.87 | $44.59 | $45.17 | $44.66 | $45.82 |
Weekday 3 | $46.18 | $45.73 | $46.45 | $47.03 | $46.52 | $47.68 |
Weekend 1 | $45.53 | $45.08 | $45.81 | $46.38 | $45.87 | $47.03 |
Weekend 2 | $49.58 | $49.13 | $49.85 | $50.42 | $49.92 | $51.08 |
Weekend 3 | $50.38 | $49.93 | $50.65 | $51.22 | $50.72 | $51.88 |
(4)Rates for Temporary Nursing Services Related to COVID-19. Temporary nursing services related to COVID-19 may be purchased by governmental units at individually considered rates that exceed the maximum rates established in 101 CMR 345.00, and governmental units may enter into contracts for the provision of these services in alternate service locations other than a hospital or nursing facility. A governmental unit, in its sole discretion, may determine whether a rate above the maximum rates established in 101 CMR 345.00 is necessary and appropriate, as well as the appropriate rate for services provided in a service location other than a hospital or nursing facility.Amended by Mass Register Issue 1265, eff. 8/1/2014.Amended by Mass Register Issue 1299, eff. 11/1/2015.Amended by Mass Register Issue 1302, eff. 11/1/2015.Amended by Mass Register Issue S1331, eff. 1/27/2017.Amended by Mass Register Issue 1340, eff. 1/27/2017.Amended by Mass Register Issue 1361, eff. 3/23/2018.Amended by Mass Register Issue 1389, eff. 4/19/2019.Amended by Mass Register Issue 1407, eff. 12/27/2019.Amended by Mass Register Issue 1428, eff. 8/1/2020.Amended by Mass Register Issue 1455, eff. 10/7/2021.Amended by Mass Register Issue 1460, eff. 10/7/2021.Amended by Mass Register Issue 1461, eff. 1/21/2022.