Information for Data Submitters: Nursing Services Cost Reports


NSR Submission Deadline

  • Due to the COVID-19 outbreak, CHIA is postponing the FY2019 NSR deployment.

    The deployment date and a due date will be determined at a later time.

Overview

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 policies. Nursing service 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.

 

Important update regarding the FY2019 NSR

Due to the COVID-19 outbreak, CHIA is postponing the FY2019 NSR deployment. The deployment date and a due date will be determined at a later time.

CHIA will keep you informed once the deployment date is determined.

Please Note: The 2018 NSR reporting information is below on this page.

 

Questions and More Information

If you have any questions, please e-mail CHIA.Data@state.ma.us or call CHIA's Pricing Cost Report Help Desk at (617) 701-8156.

 


2018 NSR Report Resources


If you have questions, please contact CHIA's Pricing Cost Report Help Desk at (617) 701-8156
.

NSR Submission Deadline

  • FY 2018 NSR filings were due on July 31, 2019

Webinar for CSN and HHA Providers

CHIA held a webinar for CSN and HHA providers on June 18, 2019 as support in completing 2018 NSR Cost Report.

 

2018 NSR Reporting Information

Overview

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 policies. Nursing service 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.

 

New for the FY18 Nursing Services Cost Report (NSR)

Update on Cost Report Schedules

    • On Schedule 1 (Agency Information), Continuous Skilled Nursing (CSN) Agencies and Home Health Agencies are now required to enter their Medicaid/MassHealth Provider ID. The MassHealth Provider ID is 9 numeric digits followed by 1 character.

 

    • On Schedule 1 (Agency Information), Temporary Nursing Services (TNS) Agencies  are now required to enter their Department of Public Health (DPH) license number. The DPH License Number is 4 alphanumeric characters.

 

    • Training and Travel for indirect staff should be reported on Schedule 3 (Administrative Expenses for Non-Direct Care Staff), while Travel for direct staff should be reported on Schedule 2 (Direct Care Staff Expenses) and Training for direct staff should be reported on Schedule 5 (Summary of Expenses Schedule).

 

    • On Schedule 4 (Gross Revenue), new fields (line 5, 10, and 15) have been added to report discounts and contractual adjustments for each program type (ex: CSN, Home Health or TNS). This data will automatically be pulled through to the Income Statement on Schedule 6.

 

    • Many fields on Schedule 5 (Summary of Expense Schedule) will now automatically populate direct care staff expenses entered on Schedule 2 (Direct Care Staff Expenses). For example, on Schedule 5 if you are an HHA, line 1 (Salaries) through line 6 (Travel) in column 3 (HHA) will be automatically populated with the cost information you entered on Schedule 2.

 

  • Schedule 6 (Income Statement) automatically populates Total Gross Service (line 1) and Discounts/Contractual Adjustments (line 2) entered on Schedule 4 (Gross Revenue).

 

Update on Exemption Criteria

    • If your agency was in business for less than 6 months during FY18, or if you owned the agency for less than 6 months during FY18, you are not required to file the 2018 NSR.

 

 

Additional Reminders About the NSR Cost Report

    • Providers are required to submit completed cost reports through CHIA’s online submission portal, CHIA Submissions.

 

 

 

  •  Complete Cost Reports and audited financials were to be submitted no later than July 31, 2019.

Filing Application

The NSR is filed using the CHIA Submissions website at: https://chiasubmissions.chia.state.ma.us.

Please note: Upon review of the cost report, CHIA may determine that additional information is required from an agency. Such additional documentation will be considered a component of the cost report subject to the same certification delivered with the initial filing.

In order to access the online reporting system, providers will need to set up login credentials (username and password). Please see CHIA Submissions and INET Questions and Answers for more complete information for registration information. If you have not registered already, please complete, sign, and send both the Business Security Agreement and CHIA INET User Agreement forms to:
CHIA-DL-Data-Submitter-HelpDesk@MassMail.State.MA.US.

For information on the Fixed Term Travel Employee Disclosure reporting requirements, please see the Fixed Term Travel Employee Disclosure Report section.

 

How to Submit Other Filings

After submitting the NSR cost report online, please email your other completed required documents to: chia.data@state.ma.us.

 

Questions

If you need assistance submitting the documents through e-mail or have any questions about the 2018 report, please email CHIA’s Pricing Cost Report Help Desk at chia.data@state.ma.us.


Webinar for CSN and HHA Providers June 18 2019