Table of Contents:
What Sets Massachusetts Apart in MIH-CP?
Worcester EMS Hiring Paramedics for Mobile Integrated Health Program
New MIH-CP Massachusetts State Bills
Standout Names
InstED Posts Record 2025 for Massachusetts' Biggest MIH-CP Program
Read Time: 9 minutes
What Sets Massachusetts Apart in MIH-CP?
One regulator, one rulebook: Unlike states with patchwork local rules, all MIH and Community EMS programs in Massachusetts fall under a single DPH regulation (105 CMR 173.000), requiring a Certificate of Approval before any program can operate.
A standing advisory council: The Mobile Integrated Health Advisory Council (MIHAC) brings EMS, hospitals, nursing, and ACOs to the same table on an ongoing basis, most states have no equivalent permanent body.
Two clearly defined program tracks: Massachusetts splits standard MIH programs from "MIH with ED Avoidance" programs tied directly to 911 dispatch, each with its own oversight structure and medical director requirements.
Evidence required up front: Applicants must prove a documented service gap and community health need before approval, accountability built into the front end, not bolted on later.
The gap that remains: Even with this unified structure, insurance reimbursement is still catching up, most MassHealth and commercial plans don't yet cover MIH as a standard benefit, unlike states like Illinois and California that are moving toward coverage mandates.
New Story
Worcester EMS is recruiting full-time paramedics for its Mobile Integrated Health division, based at UMass Memorial Medical Center's University Campus, to deliver advanced in-home care to medically complex patients.
Duties include ultrasound-guided IV placement, feeding-tube insertion and troubleshooting, urinary catheter insertion, port access, and supporting X-rays, ultrasounds, lab studies, and EKGs during home visits.
The position pays $29.35–$39.53/hour with mixed 8- and 12-hour shifts, every other weekend and holiday, and a possible signing bonus.
Candidates need MA EMT-paramedic certification, CPR/ACLS, and a clean driver's license, and must earn Certified Community Paramedic certification within a year of hire; 3+ years of urban EMS and prior MIH experience are preferred.
The hire supports UMass Memorial's broader Hospital at Home program, reflecting the growing role paramedics play in keeping patients out of the ED and treated safely at home.
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New MIH-CP State Bills:
Filed by Rep. Adam Scanlon, this bill directs the Secretary of Health and Human Services to launch five regional pilot programs testing non-emergency medical transport for behavioral health patients, with MassHealth required to reimburse participants. It relates to MIH-CP by exploring an adjacent model, non-ambulance transport for behavioral crises, that could complement or divert from MIH-CP-linked ED avoidance and mobile crisis work; the bill has been sent to a study order (H5319) rather than advancing.
Filed by Sen. Julian Cyr, this sweeping behavioral health reform bill centralizes oversight of crisis response services under the Secretary of Health and Human Services, mandates reimbursement for crisis stabilization and mobile crisis intervention, and creates public dashboards and financing reports to track the system. Its MIH-CP tie-in is narrower but concrete: it authorizes grant funding for 911 dispatch centers to build "warm hand-off" integration with mobile integrated health programs and other behavioral health crisis responders, and the bill has advanced further than H.2234, having been reported favorably by committee before being sent to a further study order (S2972).
Standout MIH-CP Names in Massachusetts:
Dr. Kelly Lannutti, DO
Director of Clinical Transformation & co-Medical Director of Mobile Integrated Health, South Shore Health
LinkedIn: linkedin.com/in/kelly-lannutti-0ba7842
Casey Rainville
Director of Advanced Life Support (Chief Paramedic), Lowell General Hospital/Tufts Medicine, oversees the LGH MIH program
LinkedIn: linkedin.com/in/caseyrainville
Dr. Laurel O'Connor, MD, MSc
Medical Director, UMass Chan/UMass Memorial Health Mobile Integrated Health Program; Assistant/Associate Professor of Emergency Medicine, UMass Chan Medical School
InstED Posts Record 2025 for Massachusetts' Biggest MIH-CP Program
instED, born out of Commonwealth Care Alliance to serve dually eligible and Medicare patients, completed more than 12,500 encounters with over 5,500 unique patients in 2025 alone — bringing its lifetime total to 50,000+ encounters across 15,000+ patients, with nearly 90% of visits keeping patients home rather than heading to the ED. The program leans heavily into complex, high-acuity cases: over half of patients had two or more chronic conditions, 54% had a history of serious mental illness or substance use disorder, and nearly 30% of visits were the highest acuity tier — yet clinicians still averaged under 3 hours to arrival and posted an 80+ Net Promoter Score. Now licensed beyond Massachusetts (Oregon, NH, RI, Louisiana, Texas), instED frames 2025 as the start of its next phase of scale as an infrastructure-driven alternative to the ED.