MA APCD Application Documents

APCD Fee Schedule

• Administrative Bulletin 17-06 - All-Payer Claims Data Fee Schedule (PDF) | Word
  (Effective January 1, 2018) 

Data Use Agreement

• Data Use Agreement (Word)

Application Materials for Entities Requesting MA APCD Data:

• Go to: Application for MA APCD Data
• Medicare Request Form (Excel)
• Medicare Addendum to Data Use Agreement (PDF) | Word
• Medicaid Acknowledgement of Conditions (PDF) | Word

Note: Case Mix application documents are located here.