Information for Data Submitters: Nursing Services Cost Reports

2021 Nursing Services
Report Resources

Submission Deadlines

  • The FY2020 report was due on Wednesday, June 15, 2022.


The Center for Health Information and Analysis (CHIA) collects Nursing Services Cost Reports (NSR) on an annual basis. CHIA and other public entities use these reports to monitor costs and to develop health care payment rates. Nursing services providers must submit their cost reports in accordance with 957 CMR 6.00 and the filing requirements set out in the cost report instructions, which can be found in the blue box on this page.

Please be sure to read the Cost Report Instructions and the CHIA Submissions User Guide found under Report Resources PRIOR to beginning work on the cost report.

Reports were due by Wednesday, June 15, 2022.

Important Reminders About the NSR Cost Report:

  • Providers are required to submit completed cost reports through CHIA’s online submission portal, CHIA Submissions. Please note, CHIA Submissions works best in Google Chrome.

  • Financial statements must be emailed to, not uploaded through CHIA Submissions.

  • Complete FY2021 Cost Reports and audited financials must be submitted no later than Wednesday, Junes 15, 2022.

  • The 2021 Medicare Cost Report/CMS 1728 must be submitted in PDF format to This requirement applies only to Home Health Agencies.


Filing Application

The NSR cost report is submitted to CHIA online through CHIA Submissions. You may log into CHIA Submissions with the credentials used in previous years for INET submissions. If you are a new provider or new user and do not have log in credentials, you must register with CHIA as soon as possible. Please consult the NSR CHIA Submissions User Guide for detailed steps on registering with CHIA.

If you have questions, please email

After submitting the NSR cost report online, please email your other completed required documents to:


Questions and More Information

If you have additional questions about your cost report filing, please email us at with the following information in the subject line of your email:

  • Name of your agency with MassHealth ID# or DPH License #
  • Name of the cost report you are questioning about
  • Cost report reporting year
    • Subject Line Example 1: Question on FY2021 TNS Cost Report – ABC agency, DPH License ID #AB12
    • Subject Line Example 2: Question on FY2021 CSN Cost Report – XYZ agency, MassHealth ID#123456789A