Reporting Requirements
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- Ambulance and Wheelchair Van Revenue Report from ambulance and wheelchair van providers are required to submit the following, due no later than July 1, 2026.
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- 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.
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- Providers are no longer required to submit financial statements with the Revenue Report.
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- To be considered exempt from completing the revenue report, a provider must claim an exemption using the FY 2025 Ambulance Revenue Report Exemption Request Form, available as a Word document listed in the blue box above. Email the completed form to data@chiamass.gov.
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- Providers are required to submit completed Revenue Reports through CHIA’s online submission portal, CHIA Submissions.
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- If your agency has not registered with CHIA, you must complete a CHIA Data Reporter User Agreement to file the Revenue Report. Please review the the DRUA instructions for completing the agreement. Please Note: Each individual user for an organization must complete the form.
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- 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.
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- Links to instruction documents are posted on this webpage under Data Submission Resources. Please read all instructions carefully.
Registration Instructions
New users must register to submit data via CHIA Submissions.
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.
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.
Recommended
CHIA Regulations (CMR)
Access CHIA's regulations governing health care data collection and reporting in Massachusetts, including current rules, administrative bulletins, and hearings.
Provider Financials/Cost Reports
Provider financial and cost reports are submitted from acute hospitals, affiliated physician groups, hospital health systems, hospitals, skilled nursing facilities, resident care facilities, and other providers.