Provider Cost Report Data

Ambulance and Wheelchair Van Revenue Report Data Submissions

Overview

The Center for Health Information and Analysis (CHIA) is now collecting the Fiscal Year (FY) 2025 Ambulance and Wheelchair Van Revenue Report from ambulance and wheelchair van providers. CHIA collects these reports on behalf of the Executive Office of Health and Human Service (EOHHS) as per regulation 101 CMR 324.00.

Submission Deadline

Ambulance and wheelchair van providers are required to submit the Ambulance and Wheelchair Van Revenue Report no later than July 1, 2026.

Reporting Requirements

Links to instruction documents are posted on this webpage under Data Submission Resources. Please read all instructions carefully.

  • In previous years, providers were required to submit either a partial or full cost report depending on the revenue amount received from MassHealth.
  • This year, providers are only required to fill out the partial cost report, which will be referred to as the “Revenue Report” moving forward.
  • Providers are no longer required to submit financial statements with the Revenue Report.

Tab 2 – Revenue: All Massachusetts ground ambulance revenue should be reported in this section, split out by advanced life support (ALS) emergency and non-emergency, and basic life support (BLS) emergency and non-emergency revenue. All revenue should be reported net of bad debt, charity care, and payer discounts.

Exemptions

For exemption from completing the revenue report, a provider must submit the FY 2025 Ambulance Revenue Report Exemption Request Form, available in the list of submission resources. Email the completed form to data@chiamass.gov.

Municipal providers are exempt from filing the Revenue Report.

 

Registration Instructions

Providers are required to submit completed Revenue Reports through CHIA’s online submission portal, CHIA Submissions. New users must register for access.

1

Complete User Agreement

Complete and sign the CHIA Data Reporter User Agreement (DRUA) after reviewing the DRUA instructions. Note that each individual user for an organization must complete the form.

2

Submit User Agreement

Submit the completed Data Reporter User Agreement to DL-Data-Submitter-HelpDesk@chiamass.gov. You will be notified when your account is ready to use.

Get Support

If you have questions, please email CHIA’s Pricing Cost Reports Help Desk with the following information in the subject line of your email: Name of the agency with MassHealth ID, Name of the report in question, and Reporting year.

Subject Line Example: Question on FY 2025 Ambulance Revenue Report – ABC agency, ID# 123456789A

CostReports.Pricing@chiamass.gov