Reporting Templates (Updated November 10, 2022)
M.G.L. c. 12C, § 10 requires the Center for Health Information and Analysis (CHIA) to collect certain information from both private and public health care payers in the Commonwealth.
Payers must submit data 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 on Relative Price (RP) data.
The blue box on the right of this page contains the relative price reporting resources. The submission deadlines for relative price reporting (as also outlined in the gray box on the right of this page) are:
For more information and regulatory guidance, please refer to Regulation 957 CMR 2.00 (Payer Data Reporting) and the latest Administrative Bulletins.
New this year, CHIA has removed reporting of Service Category from the data specification manual and submission template. This element was added for the 2021 reporting year and resulted in inaccurate reporting of multiplier data by some insurers in the market. To eliminate confusion and ensure accuracy, this element has been removed for the 2022 reporting year which reverts back to how information was reported in 2020 and prior years. Insurers should be reporting data by Service Field, where the services reported align with how each insurer negotiates their provider contracts.
For questions specifically related to payer data reporting, please email Lisa.Ahlgren@chiamass.gov.