In 2022, Massachusetts enacted Chapter 177: An Act Addressing Barriers to Care for Mental Health, charging CHIA with monitoring “costs, cost trends, price, quality, utilization, and patient outcomes related to behavioral health service subcategories.” Behavioral health service subcategories include, but are not limited to: mental health, substance use disorder, outpatient, inpatient, services for children, services for adults, and provider types as defined in M.G.L. c. 12C, § 10 Section 21A. Chapter 177 requires CHIA to publish information that separately measures mental health and substance use disorders across specific settings and populations.
Payers must submit data to CHIA annually in accordance with regulation 957 CMR 2.00. This regulation governs the methodology and filing requirements for health care payers to calculate and report Primary Care & Behavioral Health Expenditures.
All Primary Care and Behavioral Health (PCBH) data will be submitted by using a pre-formatted Excel template. Reports are required to be submitted through https://chiasubmissions.chia.state.ma.us, CHIA’s web-based transaction service. For more information on this transaction service, please see CHIA Submissions and INET Questions and Answers. Please refer to the CHIA Submissions User Guide for information specific to PCBH reporting.
For questions specifically related to payer data reporting, please email Erin.Bonney@chiamass.gov.
On Wednesday, February 12, 2020, CHIA held a listening session to solicit public comments and feedback on proposed updates to CHIA’s data specifications to better measure primary care and behavioral health spending in the Commonwealth.
The listening session focused on the following topics related to the draft data specifications: