Regulations


Please note: All regulations listed on this web page are unofficial. The only official version of each regulation is published in the Massachusetts Register, which is available through the State Bookstore.

CHIA Regulations

Administrative Bulletins
Public Hearings and Comments

Alphabetical Order

Regulation
Description
CMR Reference
APCD and Case Mix Data Submission This regulation governs the reporting requirements regarding health care data and information that health care Payers and Hospitals must submit in connection with the All Payer Claims Database (APCD) and the Acute Hospital Case Mix and Charge Data (Case Mix and Charge) Databases.  
Assessment on Certain Health Care Providers & Surcharge Payors
This regulation governs payments to the Center for Health Information and Analysis from certain Acute Hospitals, Ambulatory Surgical Centers and Surcharge Payors.
Cost Reporting
This regulation governs the filing requirements for certain providers to report their costs and other data to the Center for Health Information and Analysis.
Health Care Claims, Case Mix and Charge Data Release Procedures
This regulation governs the disclosure of certain payer data, hospital Case Mix data and hospital charge data submitted by health care payers and providers pursuant to M.G.L. c. 12C.
Health Care Payers Premiums and Claims Data Reporting Requirements This regulation governs the reporting requirements for Private Health Care Payers to submit health care data and information to the Center for Health Information and Analysis in accordance with M.G.L. c. 12C.
Hospital Financial Data Reporting Requirements The regulation, effective March 24, 2016, governs the financial reporting requirements for acute and non-acute hospitals, including hospital cost reports, charge books, and quarterly and annual hospital financial data filings.
Nursing Facility Cost Reporting
This regulation, effective July 4, 2014, sets forth the filing requirements, procedures and time frames for nursing facilities to report their costs and other data to the Center.
Payer Data Reporting
This regulation governs the methodology and filing requirements for health care payers to calculate and report Health Status Adjusted Total Medical Expenses, Relative Prices, and Alternative Payment Method information to the Center for Health Information and Analysis.
Registered Provider Organizations Reporting Requirements
This regulation governs the reporting requirements for Registered Provider Organizations (RPOs) to submit data and information in accordance with M.G.L. c. 12C.
Uniform Provider Reporting of the Standard Quality Measure Set
This regulation governs the establishment, use of, and uniform reporting requirements for certain health care provider performance measures included in the Standard Quality Measure Set.

 

 

Numerical Order (by CMR number) 

Main regulations are highlighted, followed by additional relevant updates or materials.

957 CMR 2.00 - Payer Data Reporting
(effective November 27, 2020)
Administrative Bulletin 23-02
Revision of Payer Data Reporting Requirements
(Effective April 11, 2023)
PDF Word
Administrative Bulletin 21-05
Clarification of $50,000 Annual Limit for Fines
(Effective October 1, 2021)
PDF Word
Administrative Bulletin 21-04
Revision of Case Mix and Charge Data file submission guidelines
(Effective July 30, 2021)
PDF Word
Administrative Bulletin 21-03
Revision of Payer Data Reporting Requirements
(Effective July 22, 2021)
 PDF  Word
Administrative Bulletin 20-07
Revision of Payer Data Reporting Requirements
(Effective June 25, 2020)
Administrative Bulletin 20-03
Revision of Payer Data Reporting Requirements
(Effective May 4, 2020)
Administrative Bulletin 17-03
Revision of Payer Data Reporting Requirements for Total Medical Expense (TME), Relative Price (RP), and Alternative Payment Methods (APM) data.
(Effective May 5, 2017)
Administrative Bulletin 16-04
Extended Filing Deadline and Revision of Reporting Requirements for Total Medical Expense and Alternative Payment Method Data
(effective March 11, 2016)
Administrative Bulletin 15-03
Extended Filing Deadline for Relative Price Data and Suspension of Data Collection of Relative Price Network Average Dollar Amount and Certain Alternative Payment Methods
(Effective March 5, 2015)
Administrative Bulletin 14-02
Alternative Payment Methods Insurance Category Reporting
(Effective January 17, 2014)
Administrative Bulletin 14-03
Extended Filing Deadline for Collecting Certain Alternative Payment Methods Data and Network Average Relative Price Amounts
(Effective January 17, 2014)
957 CMR 3.00 - Assessment on Certain Health Care Providers & Surcharge Payers
(effective June 29, 2018)
Administrative Bulletin 21-05
Clarification of $50,000 Annual Limit for Fines
(Effective October 1, 2021)
PDF Word
Administrative Bulletin 16-08
Revised Reporting Requirement for Gross Patient Service Revenue Data
(Effective August 31, 2016)
957 CMR 4.00 - Uniform Provider Reporting of the Standard Quality Measure Set
(effective March 1, 2013)

Administrative Bulletin 16-10
Notification, as defined in 957 CMR 4.02, of the updates to the quality measures in the Standard Quality Measure Set (SQMS)
(Effective November 18, 2016)

Administrative Bulletin 15-10
Updates to the quality measures in the Standard Quality Measure Set (SQMS).
(Effective November 2, 2015)
Administrative Bulletin 14-09
Updates to the Uniform Provider Reporting of the Standard Quality Measure Set
(Effective November 7, 2014)
Administrative Bulletin 14-07
Uniform Provider Reporting of the Standard Quality Measure Set
(Effective May 15, 2014)
Administrative Bulletin 14-04
Uniform Provider Reporting of the Standard Quality Measure Set
(Effective February 20, 2014)
Administrative Bulletin 13-08
Uniform Provider Reporting of the Standard Quality Measure Set
(Effective October 25, 2013)
957 CMR 5.00 - Health Care Claims, Case Mix and Charge Data Release Procedures
(effective December 29, 2017)
Administrative Bulletin 17-06
All-Payer Claims Data Fee Schedule
(Effective January 1, 2018)
Administrative Bulletin 17-05
Hospital Case Mix and Charge Data Fee Schedule
(Effective January 1, 2018)
Administrative Bulletin 16-14
Update to Hospital Case Mix and Charge Data Fee Schedule.
(Effective February 1, 2017)
Administrative Bulletin 16-13
Update to All-Payer Claims Database (“APCD”) Fee Schedule.
(Effective February 1, 2017)
Administrative Bulletin 16-12
Notice of a change to the requirements for the release of Data under 957 CMR 5.06, All Other Requests for Data.
(Effective December 22, 2016)

Administrative Bulletin 16-07
Notice of Massachusetts All-Payer Claims Database Release 5.0.
(Effective July 1, 2016)

Administrative Bulletin 16-06
Notice of a change in how Massachusetts Acute Hospital Case Mix Databases data is released.
(Effective June 30, 2016)

Administrative Bulletin 16-02
Update to All-Payer Claims Database (“APCD”) Fee Schedule
(Effective January 21, 2016)
Administrative Bulletin 15-09
Availability of MA APCD Release 4.0 Data
(Effective November 2, 2015)
Administrative Bulletin 15-07
Hospital Case Mix and Charge Data Fee Schedule
(Effective June 1, 2015)
Administrative Bulletin 15-06
All-Payer Claims Data Fee Schedule
(Effective June 1, 2015)
Administrative Bulletin 15-02
All-Payer Claims Data Fee Schedule
(Effective March 5, 2015)
Administrative Bulletin 14-01
Health Care Claims, Case Mix and Charge Data Release Procedures
(Effective January 9, 2014)
Administrative Bulletin 13-11
All-Payer Claims Data Fee Schedule
(December 27, 2013)
Administrative Bulletin 13-09
Hospital Case Mix and Charge Data Fee Schedule
(December 27, 2013)
Data Release Regulation:
Comments and Responses
Administrative Bulletin 13-05
Health Care Claims Data and Reclassification of Data Elements
(Effective July 19, 2013)
Administrative Bulletin 13:06
Data Fee Schedule  
(Effective July 19, 2013)
Administrative Bulletin 13-09
Health Care Claims, Case Mix and Change Data Release.
(November 22, 2013)
957 CMR 6.00 - Cost Reporting Requirements
(effective April 25, 2014)
Administrative Bulletin 24-01
Cost Reporting Requirements Resident Care Facilities Cost Report Due Dates
(Effective February 29, 2024)
PDF Word
Administrative Bulletin 23-05
Cost Reporting Requirements Resident Care Facilities Extension of Cost Report Due Dates
(Effective June 20, 2023)
PDF Word
Administrative Bulletin 23-01
Suspension of Community Health Centers Cost Reports for FY2020 and FY2021
(Effective February 3, 2023)
PDF Word
Administrative Bulletin 21-01
Resident Care Facilities - Extension of Cost Report Due Dates
(Effective April 9, 2021)
PDF  Word
Administrative Bulletin 20-06
Group Adult Foster Care Extension of Cost Report Due Dates
(Effective May 1, 2020, extension until July 30, 2020)
PDF Word
Administrative Bulletin 20-05
Ambulance and Chair Car Services Extension of Cost Report Due Dates
(Effective May 1, 2020, extension until August 3, 2020)
PDF Word
Administrative Bulletin 20-04
Community Health Centers Extension of Cost Report Due Dates
(Effective May 1, 2020, extension until August 3, 2020)
PDF Word
Administrative Bulletin 20-02
Resident Care Facilities Extension of Cost Report Due Dates
(Effective April 10, 2020, extension until August 3, 2020)
PDF Word
Administrative Bulletin 20-01
Resident Care Facilities Extension of Cost Report Due Dates
(Effective March 12, 2020, extension until May 1, 2020)
 PDF  Word
Administrative Bulletin 19-01
Resident Care Facilities Extension of Cost Report Due Dates
(Effective February 22, 2019, extension until May 1, 2019)
Administrative Bulletin 18-01
Nursing and Resident Care Facilities Extension of Cost Report Due Dates
(Effective January 25, 2018)
Administrative Bulletin 17-01
Extension of cost report due dates for the 2016 nursing facility and resident care facility cost reports
(Effective January 20, 2017)
Administrative Bulletin 16-01
Extension of cost report due dates for the 2015 nursing facility and resident care facility cost reports
(Effective January 21, 2016)
Administrative Bulletin 15-04
Adult Day Health Services Facilities Extension of Cost Report Due Dates
(Effective March 5, 2015)
Administrative Bulletin 15-01
Nursing and Resident Care Facilities Extension of Cost Report Due Dates
(Effective February 12, 2015)
957 CMR 7.00 - Nursing Facilities Cost Reporting Requirements
(effective July 4, 2014)
Administrative Bulletin 21-02
Nursing Homes - Extension of Cost Report Due Dates
(Effective April 9, 2021)
PDF   Word
Administrative Bulletin 18-01
Resident Care Facilities Extension of Cost Report Due Dates
(Effective January 25, 2018)
Administrative Bulletin 17-01
Extension of cost report due dates for the 2016 nursing facility and resident care facility cost reports
(Effective January 20, 2017)
Administrative Bulletin 16-01
Extension of cost report due dates for the 2015 nursing facility and resident care facility cost reports
(Effective January 21, 2016)
Administrative Bulletin 15-01
Nursing and Resident Care Facilities Extension of Cost Report Due Dates
(Effective February 12, 2015)
957 CMR 8.00 - APCD and Case Mix Data Submission
(effective June 16, 2017)
Administrative Bulletin 24-02
All Payer Claims Database (APCD) and Case Mix and Charge Data Submission
- Submission guidelines relating to the Electronic Health Record Dataset (EHRD)
(Effective February 29, 2024)
PDF Word
Administrative Bulletin 23-04
All Payer Claims Database (APCD) and Case Mix and Charge Data Submission
(Effective June 20, 2023)
PDF Word
Administrative Bulletin 23-03
Update to data submission requirements
(Effective August 1, 2023)
PDF Word
Administrative Bulletin 22-02
Update to data submission requirements
(Effective August 1 2022)
PDF Word
Administrative Bulletin 22-01
Changes to the Case Mix and Charge Data File Submission Guidelines
(Effective January 1 2022)
PDF Word
Administrative Bulletin 21-05
Clarification of $50,000 Annual Limit for Fines
(Effective October 1, 2021)
PDF Word
Administrative Bulletin 21-04
Changes to the Case Mix and Charge Data File Submission Guidelines
(Effective July 30, 2021)
PDF Word
Administrative Bulletin 20-11
Changes to the Case Mix and Charge Data file submission guidelines
(Effective December 17 2020)
PDF Word
Administrative Bulletin 20-10
Case Mix and Charge Data submission requirements on the Submittal Schedule
(Effective November 1, 2020)
PDF Word
Administrative Bulletin 20-09
Changes to the Case Mix and Charge Data file submission guidelines
(Effective September 25, 2020)
 PDF  Word
Administrative Bulletin 19-04
The Release of Health Care Data and Information (Case Mix and Charge Data file submission guidelines)
(Effective August 26, 2019)
Administrative Bulletin 19-03
The Release of Health Care Data and Information (Public record status for certain data)
(Effective March 29, 2019)
Administrative Bulletin 19-02
APCD and Case Mix Data Submission (data elements with updated specifications)
(Effective August 1, 2019)
Administrative Bulletin 17-04
Requirement of non-acute psychiatric hospitals and psychiatric facilities controlled by the Department of Mental Health (“DMH”) to submit health care data to CHIA
(Effective August 15, 2017)
Administrative Bulletin 17-02
Changes to the Massachusetts All-Payer Claims Database (MA APCD) file submission guidelines
(Effective August 1, 2017)
Administrative Bulletin 16-09
Changes to the Case Mix and Charge Data file submission guidelines.
(Effective October 6, 2016)
Administrative Bulletin 16-03
Clarification to existing submission guidelines
(effective February 25, 2016)
Administrative Bulletin 15-08
Public Health Care Payer Data Elements
(Effective September 10, 2015)
Administrative Bulletin 15-05
All Payer Claims Database (APCD) and Case Mix and Data Submission file submission guidelines
(Effective March 31, 2015)
Administrative Bulletin 14-08
Submission of new data elements
(Effective October 30, 2014)
957 CMR 9.00 - Hospital Financial Data Reporting Requirements
(effective August 10, 2018)
Administrative Bulletin 23-06
Information Related to Temporary Staffing Expenses
(Effective July 14, 2023)
PDF Word
Administrative Bulletin 21-05
Clarification of $50,000 Annual Limit for Fines
(Effective October 1, 2021)
PDF Word
Administrative Bulletin 20-08
Hospital Financial Data Reporting Requirements - Information related to COVID -19 relief funding
(Effective August 31 2020)
957 CMR 10.00 - Health Care Payers Premiums and Claims Data Reporting Requirements
(effective February 17, 2016)
Administrative Bulletin 21-05
Clarification of $50,000 Annual Limit for Fines
(Effective October 1, 2021)
PDF Word
Administrative Bulletin 16-05
 Revised Reporting Requirements for Administrative Service Fee Data & Revised Data Submission Manual
(Effective May 11, 2016)
957 CMR 11.00 - Registered Provider Organizations Reporting Requirements
(effective March 10, 2017)
Administrative Bulletin 21-05
Clarification of $50,000 Annual Limit for Fines
(Effective October 1, 2021)
PDF Word

 

All Administrative Bulletins

CHIA administrative bulletins are listed in reverse chronological order by year.

2024
Administrative Bulletin 24-02
Submission guidelines relating to the Electronic Health Record Dataset (EHRD)
(Effective February 29, 2024)
Related Regulation: 957 CMR 8.00: APCD and Case Mix Data Submission
PDF Word
Administrative Bulletin 24-01
Cost Reporting Requirements Resident Care Facilities Cost Report Due Dates
(Effective February 29, 2024)
Related Regulation: 957 CMR 6.00: Cost Reporting Requirements
PDF Word
2023
Administrative Bulletin 23-05
Cost Reporting Requirements Resident Care Facilities Extension of Cost Report Due Dates
(Effective June 20, 2023)
Related Regulation: 957 CMR 6.00: Cost Reporting Requirements
PDF Word
Administrative Bulletin 23-04
Submission guidelines relating to the Electronic Health Record Dataset (EHRD)
(Effective June 20, 2023)
Related Regulation: 957 CMR 8.00: APCD and Case Mix Data Submission
PDF Word
Administrative Bulletin 23-03
Update to data submission requirements
(Effective August 1, 2023)
Related Regulation: 957 CMR 8.00: APCD and Case Mix Data Submission
PDF Word
Administrative Bulletin 23-02
Revision of Payer Data Reporting Requirements
(Effective April 11, 2023)
Related Regulation: 957 CMR 2.00: Payer Data Reporting
PDF Word
Administrative Bulletin 23-01
Suspension of Community Health Centers Cost Reports for FY2020 and FY2021
(Effective February 3, 2023)
Related Regulation: 957 CMR 6.00: Cost Reporting Requirements
PDF Word
2022
Administrative Bulletin 22-02
Update to data submission requirements
(Effective August 1 2022)
Related Regulation: 957 CMR 8.00: APCD and Case Mix Data Submission
PDF Word
Administrative Bulletin 22-01
Changes to the Case Mix and Charge Data File Submission Guidelines
(Effective January 1 2022)
Related Regulation: 957 CMR 8.00: APCD and Case Mix Data Submission
PDF Word
2021
Administrative Bulletin 21-05
Clarification of $50,000 Annual Limit for Fines
(Effective October 1, 2021)
Related Regulations: 957 CMR 2.00: Payer Data Reporting
957 CMR 3.00: Assessment on Certain Health Care Providers and Surcharge Payors

957 CMR 8.00: APCD and Case Mix Data Submission

957 CMR 9.00: Hospital Financial Data Reporting Requirements
957 CMR 10.00:  Health Care Payers Premiums and Claims Data Reporting Requirements
957 CMR 11.00:  Registered Provider Organizations Reporting Requirements
PDF Word
Administrative Bulletin 21-04
Changes to the Case Mix and Charge Data File Submission Guidelines
(Effective July 30, 2021)
Related Regulation: 957 CMR 8.00: APCD and Case Mix Data Submission
PDF Word
Administrative Bulletin 21-03
Revision of Payer Data Reporting Requirements
(Effective July 22, 2021)
Related Regulation: 957 CMR 2.00: Payer Data Reporting
PDF Word
Administrative Bulletin 21-02
Nursing Homes - Extension of Cost Report Due Dates
(Effective April 9, 2021)
Related Regulation: 957 CMR 6.00: Cost Reporting Requirements
PDF Word
Administrative Bulletin 21-01
Resident Care Facilities - Extension of Cost Report Due Dates
(Effective April 9, 2021)
Related Regulation: 957 CMR 6.00: Cost Reporting Requirements
PDF Word
2020
Administrative Bulletin 20-11
Changes to the Case Mix and Charge Data file submission guidelines
(Effective December 17 2020)
Related Regulation: 957 CMR 8.00: APCD and Case Mix Data Submission
PDF Word
Administrative Bulletin 20-10
Case Mix and Charge Data submission requirements on the Submittal Schedule
(Effective November 1, 2020)
Related Regulation: 957 CMR 8.00: APCD and Case Mix Data Submission
PDF Word
Administrative Bulletin 20-09
Changes to the Case Mix and Charge Data file submission guidelines
(Effective September 25, 2020)
Related Regulation: 957 CMR 8.00: APCD and Case Mix Data Submission
PDF Word
Administrative Bulletin 20-08
Hospital Financial Data Reporting Requirements - Information related to COVID -19 relief funding
(Effective August 31 2020)
Related Regulation: 957 CMR 9.00: Hospital Financial Data Reporting Requirements
PDF Word
Administrative Bulletin 20-07
Revision of Payer Data Reporting Requirements
(Effective June 25, 2020)
Related Regulation: 957 CMR 2.00: Payer Data Reporting
PDF Word
Administrative Bulletin 20-06
Group Adult Foster Care Extension of Cost Report Due Dates
(Effective May 1, 2020, extension until July 30, 2020)
Related Regulation: 957 CMR 6.00: Cost Reporting Requirements
PDF Word
Administrative Bulletin 20-05
Ambulance and Chair Car Services Extension of Cost Report Due Dates
(Effective May 1, 2020, extension until August 3, 2020)
Related Regulation: 957 CMR 6.00: Cost Reporting Requirements
PDF Word
Administrative Bulletin 20-04
Community Health Centers Extension of Cost Report Due Dates
(Effective May 1, 2020, extension until August 3, 2020)
Related Regulation: 957 CMR 6.00: Cost Reporting Requirements
PDF Word
Administrative Bulletin 20-03
Revision of Payer Data Reporting Requirements
(Effective May 4, 2020)
Related Regulation: 957 CMR 2.00: Payer Data Reporting
PDF Word
Administrative Bulletin 20-02
Resident Care Facilities Extension of Cost Report Due Dates
(Effective April 10, 2020, extension until August 3, 2020)
Related Regulation: 957 CMR 6.00: Cost Reporting Requirements
PDF Word
Administrative Bulletin 20-01
Resident Care Facilities Extension of Cost Report Due Dates
(Effective March 12, 2020, extension until May 1, 2020)
Related Regulation: 957 CMR 6.00: Cost Reporting Requirements
  PDF   Word
2019
Administrative Bulletin 19-04
The Release of Health Care Data and Information (Case Mix and Charge Data file submission guidelines)
(Effective August 26, 2019)
Related Regulation: 957 CMR 8.00: APCD and Case Mix Data Submission
Administrative Bulletin 19-03
The Release of Health Care Data and Information (Public record status for certain data)
(Effective March 29, 2019)
Related Regulation: 957 CMR 8.00: APCD and Case Mix Data Submission
Administrative Bulletin 19-02
APCD and Case Mix Data Submission (data elements with updated specifications)
(Effective August 1, 2019)
Related Regulation: 957 CMR 8.00: APCD and Case Mix Data Submission
Administrative Bulletin 19-01
Resident Care Facilities Extension of Cost Report Due Dates
(Effective February 22, 2019; Due date extension to May 1, 2019)
Related Regulations: 957 CMR 7.00: Nursing Facilities Cost Reporting Requirements and
957 CMR 6.00: Cost Reporting Requirements
2018
Administrative Bulletin 18-01
Nursing and Resident Care Facilities Extension of Cost Report Due Dates
(Effective January 25, 2018)
Related Regulations: 957 CMR 7.00: Nursing Facilities Cost Reporting Requirements and
957 CMR 6.00: Cost Reporting Requirements
2017
Administrative Bulletin 17-06
All-Payer Claims Data Fee Schedule
(Effective January 1, 2018)
Related Regulation: 957 CMR 5:00: Health Care Claims, Case Mix and Charge Data Release Procedures
Administrative Bulletin 17-05
Hospital Case Mix and Charge Data Fee Schedule
(Effective January 1, 2018)
Related Regulation: 957 CMR 5:00: Health Care Claims, Case Mix and Charge Data Release Procedures
Administrative Bulletin 17-04
Requirement of non-acute psychiatric hospitals and psychiatric facilities controlled by the Department of Mental Health (“DMH”) of the to submit health care data to CHIA
(Effective August 15, 2017)
Related Regulations: 957 CMR 8.00: APCD and Case Mix Data Submission
Administrative Bulletin 17-03
Revision of Payer Data Reporting Requirements for Total Medical Expense (TME), Relative Price (RP), and Alternative Payment Methods (APM) data.
(Effective May 5, 2017)
Related Regulation: 957 CMR 2.00: Payer Data Reporting
Administrative Bulletin 17-02
Changes to the Massachusetts All-Payer Claims Database (MA APCD) file submission guidelines
(Effective August 1, 2017)
Related Regulations: 957 CMR 8.00: APCD and Case Mix Data Submission

Administrative Bulletin 17-01
Extension of cost report due dates for the 2016 nursing facility and resident care facility cost reports
(Effective January 20, 2017)
Related Regulations: 957 CMR 7.00: Nursing Facilities Cost Reporting Requirements and
957 CMR 6.00: Cost Reporting Requirements

2016

Administrative Bulletin 16-14
Update to Hospital Case Mix and Charge Data Fee Schedule.
(Effective February 1, 2017)
Related Regulation: 957 CMR 5:00: Health Care Claims, Case Mix and Charge Data Release Procedures

Administrative Bulletin 16-13
Update to All-Payer Claims Database (“APCD”) Fee Schedule.
(Effective February 1, 2017)
Related Regulation: 957 CMR 5:00: Health Care Claims, Case Mix and Charge Data Release Procedures

Administrative Bulletin 16-12
Notice of a change to the requirements for the release of Data under 957 CMR 5.06, All Other Requests for Data.
(Effective December 22, 2016)
Related Regulation: 957 CMR 5:00: Health Care Claims, Case Mix and Charge Data Release Procedures

Administrative Bulletin 16-11:
Notification of updates to the annual and quarterly Acute Hospital standardized financial filing requirements
(Effective December 1, 2016)
Related Regulation: 957 CMR 9.00 - Hospital Financial Data Reporting Requirements

Administrative Bulletin 16-10:
Notification, as defined in 957 CMR 4.02, of the updates to the quality measures in the Standard Quality Measure Set (SQMS)
(Effective November 18, 2016)
Related Regulation: 957 CMR 4.00: Uniform Provider Reporting of the Standard Quality Measure Set

Administrative Bulletin 16-09
All Payer Claims Database (APCD) and Case Mix and Charge Data Submission
(Effective October 6, 2016)
Related Regulation: 957 CMR 8.00: APCD and Case Mix Data Submission
Administrative Bulletin 16-08
Revised Reporting Requirement for Gross Patient Service Revenue Data
(Effective August 31, 2016)
Related Regulation: 957 CMR 3.00: Assessment on Certain Health Care Providers and Surcharge Payors

Administrative Bulletin 16-07
Notice of Massachusetts All-Payer Claims Database Release 5.0.
(Effective July 1, 2016)
Related Regulation: 957 CMR 5:00: Health Care Claims, Case Mix and Charge Data Release Procedures

Administrative Bulletin 16-06
Notice of a change in how Massachusetts Acute Hospital Case Mix Databases data is released.
(Effective June 30, 2016)
Related Regulation: 957 CMR 5:00: Health Care Claims, Case Mix and Charge Data Release Procedures

Administrative Bulletin 16-05
Revised Reporting Requirements for Administrative Service Fee Data & Revised Data Submission Manual
(Effective May 11, 2016)
Related Regulation: 957 CMR 10:00: Health Care Payers Premiums and Claims Data Reporting Requirements

Alternative Filing Specifications Data Submission Manual
957 CMR 10.00: Health Care Payers Premiums and Claims Data Reporting Requirements
Alternative Filing Specifications for 2016 Premiums Reporting Workbook (Option 1)

Administrative Bulletin 16-04
Extended Filing Deadline and Revision of Reporting Requirements for Total Medical Expense and Alternative Payment Method Data
(effective March 11, 2016)
Related Regulation: 957 CMR 2.00: Payer Data Reporting

Administrative Bulletin 16-03:
Clarification to existing submission guidelines
(effective February 25, 2016)
Related Regulation: 957 CMR 8.00: APCD and Case Mix Data Submission
Administrative Bulletin 16-02
Update to All-Payer Claims Database (“APCD”) Fee Schedule
(Effective January 21, 2016)
Related Regulation: Related Regulation: 957 CMR 5:00: Health Care Claims, Case Mix and Charge Data Release Procedures

Administrative Bulletin 16-01
Extension of cost report due dates for the 2015 nursing facility and resident care facility cost reports
(Effective January 21, 2016)
Related Regulations: 957 CMR 7.00: Nursing Facilities Cost Reporting Requirements and
957 CMR 6.00: Cost Reporting Requirements

2015
Administrative Bulletin 15-10
Updates to the quality measures in the Standard Quality Measure Set (SQMS)
(Effective November 2, 2015)
Related Regulation: 957 CMR 4.00: Uniform Provider Reporting of the Standard Quality Measure Set
Administrative Bulletin 15-09
Availability of MA APCD Data
(Effective November 2, 2015)
Related Regulation: 957 CMR 5.00: Health Care Claims, Case Mix and Charge Data Release Procedures
Administrative Bulletin 15-08
Public Health Care Payer Data Elements
(Effective September 10, 2015)
Related Regulation: 957 CMR 8.00: APCD and Case Mix Data Submission
Administrative Bulletin 15-07
Hospital Case Mix and Charge Data Fee Schedule
(Effective June 1, 2015)
Related Regulation: 957 CMR 5.00: Health Care Claims, Case Mix and Charge Data Release Procedures
Administrative Bulletin 15-06
All-Payer Claims Data Fee Schedule
(Effective June 1, 2015)
Related Regulation: 957 CMR 5.00: Health Care Claims, Case Mix and Charge Data Release Procedures
Administrative Bulletin 15-05
All Payer Claims Database (APCD) and Case Mix and Data Submission file submission guidelines
(Effective March 31, 2015)
Related Regulation: 957 CMR 8.00: APCD and Case Mix Data Submission

Administrative Bulletin 15-04
Adult Day Health Services Facilities Extension of Cost Report Due Dates
(Effective March 5, 2015)
Related Regulation: 957 CMR 6.00: Cost Reporting Requirements

Administrative Bulletin 15-03
Extended Filing Deadline for Relative Price Data and Suspension of Data Collection of Relative Price Network Average Dollar Amount and Certain Alternative Payment Methods
(Effective March 5, 2015)
Related Regulation: 957 CMR 2.00: Payer Data Reporting

Administrative Bulletin 15-02
All-Payer Claims Data Fee Schedule
(Effective March 5, 2015)
Related Regulation: 957 CMR 5.00: Health Care Claims, Case Mix and Charge Data Release Procedures

Administrative Bulletin 15-01
Nursing and Resident Care Facilities Extension of Cost Report Due Dates
(Effective February 12, 2015)
Related Regulation: 957 CMR 7.00: Nursing Facilities Cost Reporting Requirements and
957 CMR 6.00: Cost Reporting Requirements
2014
Administrative Bulletin 14-09:
Updates to the Uniform Provider Reporting of the Standard Quality Measure Set
(Effective November 7, 2014)
Related Regulation: 957 CMR 4.00: Uniform Provider Reporting of the Standard Quality Measure Set
Administrative Bulletin 14-08
Submission of new data elements
(Effective October 30, 2014)
Related Regulation: 957 CMR 8.00: APCD and Case Mix Data Submission
Administrative Bulletin 14-07
Quality measures recommended by the Statewide Quality Advisory Committee (SQAC)
(Effective May 15, 2014)
Related Regulation: 957 CMR 4.00: Uniform Provider Reporting of the Standard Quality Measure Set
Administrative Bulletin 14-04
Hospitals’ reporting requirements related to the Standard Quality Measure Set (SQMS) measures
(Effective February 20, 2014)
Related Regulation: 957 CMR 4.00: Uniform Provider Reporting of the Standard Quality Measure Set
Administrative Bulletin 14-03
Extended Filing Deadline for Collecting Certain Alternative Payment Methods Data and Network Average Relative Price Amounts
(Effective January 17, 2014)
Related Regulation: 957 CMR 2.00: Payer Data Reporting
Administrative Bulletin 14-02
Alternative Payment Methods Insurance Category Reporting
(Effective January 17, 2014)
Related Regulation: 957 CMR 2.00: Payer Data Reporting
Administrative Bulletin 14-01
Health Care Claims, Case Mix and Charge Data Release Procedures
(Effective January 9, 2014)
Related Regulation: 957 CMR 5.00: Health Care Claims, Case Mix and Charge Data Release Procedures
2013
Administrative Bulletin 13-11
All-Payer Claims Data Fee Schedule
(December 27, 2013)
Related Regulation: 957 CMR 5:00: Health Care Claims, Case Mix and Charge Data Release Procedures
Administrative Bulletin 13-10
Nursing and Resident Care Facilities Extension of Cost Report Due Dates
(December 19, 2013)
Related Regulations: Nursing facility and resident care facility cost reports; See EOHHS Regulations regarding Hospitals/Nursing Homes and Rest Homes
Administrative Bulletin 13-09
Hospital Case Mix and Charge Data Fee Schedule.
(December 27, 2013)
Related Regulation:  957 CMR 5.00 - Health Care Claims, Case Mix and Change Data Release Procedure
Administrative Bulletin 13-08
Uniform Provider Reporting of the Standard Quality Measure Set
(October 25, 2013)
Related Regulation: 957 CMR 4.00 - Uniform Provider Reporting of the Standard Quality Measure Set
Administrative Bulletin 13:06
Data Fee Schedule  
(July 19, 2013)
Related Regulation(s): 957 CMR 5.00 - Health Care Claims, Case Mix and Charge Data Release Procedures
Administrative Bulletin 13-05
Health Care Claims Data and Reclassification of Data Elements
(July 19, 2013)
Related Regulation(s): 957 CMR 5.00 - Health Care Claims, Case Mix and Charge Data Release Procedures

 

Public Hearings and Public Comment

Public Hearing NoticeProposed RegulationPublic Hearing or Comment Information
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Please note: If you would like to testify at a public hearing, you may either sign up by email (CHIA-Regulations@chiamass.gov) or during the hearing.  You may also submit written testimony about proposed regulations by the specified date by emailing CHIA-Regulations@chiamass.gov. Please submit electronic testimony as an attached Word document or as text within the body of the email and type the name of the regulation in the subject line. All submissions must include the sender's full name and address. Persons who are unable to submit electronic testimony should mail written testimony to the Center for Health Information and Analysis, 501 Boylston Street, Boston, MA 02116.

If you require disability-related accommodations for this meeting or other CHIA public meetings, please contact CHIA at 617-701-8100 or email tonya.bourassa@chiamass.gov. If possible, please contact CHIA at least 14 days prior to the meeting.