Provider Cost Report Data

Adult Day Health Cost Report Data Submissions

Overview

CHIA collects cost reports from Adult Day Health (ADH) providers per regulation 957 CMR 6.00. The reports are used by CHIA and other public entities for monitoring costs and for health care payment policy development.

 

Submission Deadline

June 1, 2026

Reporting Requirements

  • Completed FY 2025 ADH Cost Report Template
    The ADH cost report is submitted to CHIA online through CHIA Submissions. If you are a new provider or new user and do not have log in credentials, you must register with CHIA as soon as possible (see below).

 

  • FY 2025 Financial Statements
    Financial Statements must be emailed as a PDF to data@chiamass.gov.

 

Reminders

  1. Read the Cost Report Instructions and the CHIA Submissions User Guide found in the “Data Submission Resources” section before beginning work on the cost report.
  2. CHIA Submissions works best in Google Chrome.
  3. Data must be keyed in. Do not insert formulas or references to other spreadsheets because this may prevent the data from calculating accurately.
  4. All numbers must be whole numbers without decimals except for hours and FTEs reported in Schedule B (Program Information) and Schedule D (Staffing Information).
  5. In Schedule D, if you have no information to report for a given staff type, leave the cell blank.
  6. The “Certification by Provider” section in the blue cells in Tab 9 must be filled in to save successfully.
  7. All submissions must be saved using the “Save Submission File” button on Tab 9, Accuracy of Report. Submissions that are not saved by using this button cannot be read by CHIA’s system and will not successfully upload.

Registration Instructions

New users must register to submit data via CHIA Submissions.

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

For assistance with submitting the report, contact CHIA’s Pricing Cost Report Help Desk and include the reporting year, the report you are asking about, and your agency name with MassHealth ID# in the subject line.
Subject Line example: Question on FY2025 ADH Cost Report – ABC agency, ID# 123456789A

CostReports.Pricing@chiamass.gov