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DHCFP Public Hearings

DHCFP Regulations


DHCFP Public Hearings and Public Comment Periods

Public hearing notices provide interested parties with:
  • the date, time, and location of the public hearing, or the dates of the public comment period
  • the changes to the regulation,
  • the fiscal impact of those changes, and
  • instructions on how to submit comments and/or to testify at the public hearing.

 

Hearing
Date

 Number

Name

Notice and Regulations

Tuesday, March 16, 2010 at 10:00 A.M.
at the Reggie Lewis Center, Roxbury Crossing, MA
--

Health Care Provider and Payer Costs and Cost Trends

Thursday, March 4, 2010 at 10:00 A.M.114.3 CMR 13.00Rates for Freestanding Clinics Providing Abortion and Sterilization Services
Thursday, January 28, 2010 at 10:00 A.M.114.3 CMR 47.00Freestanding Ambulatory Surgical Facilities
Wednesday, December 16, 2009 at 10:00 A.M.114.3 CMR 22.00Durable Medical Equipment, Oxygen, and Respiratory Therapy Equipment
Monday, December 7, 2009 at 10:00 A.M.114.3 CMR 52.00Rates of Payment for Certain Children's Behavioral Health Services
Friday, October 23, 2009 at 10:00 A.M.114.4 CMR 13.00Payments for Youth Intermediate-Term Stabilization Services
Tuesday, October 20, 2009 at 10:00 A.M.114.4 CMR 12.00Rates for Family Transitional Support Services
Friday, September 25, 2009 at 10:00 A.M.114.4 CMR 11.00Rates for Certain Placement and Support Services


 


DHCFP Regulations

Regulations are listed in:
- Alphabetical Order (by name and service type)
- Numerical Order (by CMR number)

Regulations that appear below and within other DHCFP web content are provided for informational use only. In the case of any discrepancy between versions within DHCFP web content and the official Code of Massachusetts regulation published by the Secretary of State, the Secretary of State's version takes precedence. The effective dates of all regulations, informational bulletins, or other related documents are located in parentheses.

Alphabetical Order (by name and service type)

Community Health Care Providers (Ambulatory Care)

Abortion and Sterilization Services 
Adult Day Health Services 
Adult Foster Care 
Ambulance Services 
Children's Behavioral Health Services
Chiropractic Services 
Clinical Laboratory Services
Community Health Centers 
Day Habilitation Programs 
Dental Services 
Dialysis Treatment (Chronic Maintenance and Home Dialysis Supplies)
Durable Medical Equipment, Oxygen, and Respiratory Therapy Equipment 
Early Intervention Program Services 
Family Planning Services 
Freestanding Ambulatory Surgical Facilities
Hearing Aid Dispensers 
Home Health Services
Hospice Services 
Independent Living Services (Personal Care Attendants)
Medicine 
Mental Health Services (in CHCs and MHCs)
Prescribed Drugs 
Primary Care Clinician Plan Services 
Podiatric Care 
Prostheses, Prosthetic Devices, and Orthotic Devices 
Psychological Services
Psychiatric Day Treatment
Radiology 
Rates of Payment for Primary Care Clinician Plan Services Including Pay for Performance Program 
Rehabilitation Clinics, Audiological Services, and Restorative Services 
Substance Abuse Programs 
Surgery and Related Anesthesia 
TEAM Evaluation Services 
Temporary Nursing Services 
Tuberculosis Control Services (Outpatient)
Vision Care Services / Ophthalmic Materials 
Worker's Compensation 

Hospitals / Nursing Homes and Rest Homes

Case Mix Data Submission (Hospitals)
Disclosure of Hospital Case Mix and Charge Data
Hospital Financial Reports
Intermediate Care Facilities (Department of Mental Retardation)
Nursing Facilities
Nursing Facility User Fees
Resident Care Facilities (Rest Homes)
Worker's Compensation (Hospital Industrial Accident Patients)

Health Safety Net

Health Safety Net Eligible Services
Health Safety Net Payments and Funding

Health Care Reform Implementation -- Employer Requirements

Determination of the Employer Fair Share Contribution
Employer Surcharge for State-Funded Health Costs
Health Insurance Responsibility Disclosure (HIRD - Employer and Employee Forms available)

Purchase of Service (Chapter 257): Rates for Social Services

Rates for Certain Placement and Support Services 
Rates for Competitive Integrated Employment Services
Rates for Family Transitional Support Services 
Payments for Youth Intermediate-Term Stabilization Services 

Other DHCFP Regulations

Pediatric Immunization Program Assessment 
Insurer Assessment
Health Plan Data (Report Card) 
Rates for Certain Social, Rehabilitation, and Health Care Consultant Services
Student Health Insurance


Numerical Order (by CMR number)

 

Regulation Name
(Effective Date)

 Format


 114.1 CMR 17.00

Requirement for the Submission of
Hospital Case Mix and Charge Data
(October 1, 2006)
 PDF Word
Payer Type and Payer Source Code List
(October 1, 2009)
 PDF  Word 
Update for Present on Admission
(November 19, 2007)
 PDF Word
Case Mix Submissions- FAQ
(February 2, 2007)
 PDF Word
Submission Update
(December 19, 2006)
 PDF  Word
Data Specifications: ---- ----
Hospital Inpatient Discharge: Data Specifications
(October 2008)
 PDF Word
Hospital Emergency Department: Data Specifications
(September 2006)
 PDF Word
Hospital Emergency Department: Summary of Changes
(June 2006)
 PDF Word
Hospital Outpatient Observation: Data Specifications
(September 2006)
 PDF Word
Hospital Outpatient Observation: Summary of Changes
(June 2006)
 PDF Word
Previous Information/Submission Updates: ---- ----
Hospital Inpatient Discharge: Data Specifications
(September 2006)
 PDF Word (1.5 MB)
Hospital Inpatient Discharge: Summary of Changes
(June 2006)
 PDF Word
Submission Update
(September 14, 2006)
 PDF Word
Hierarchy for Mapping Ethnicity
(September 14, 2006)
 PDF Word
Summary of Adopted Changes
(July 20, 2006)
 PDF Word
Summary of Proposed Changes
(May 11, 2006)
 PDF Word


 114.1 CMR 29.00

Rate and Charge Determination for Certain Intermediate
Care Facilities for the Mentally Retarded Operated by
the Department of Mental Retardation
(January 1, 2009)
 PDF Word


 114.1 CMR 41.00

Rates of Payment for Services Provided to Industrial
Accident Patients by Hospital
(April 1, 2009)
 PDF Word
Bulletin: Publication of Payment on Account Factors for Hospital Services
(June 11, 2009)
 PDF Word
Acute and Non-Acute Hospital Payment on Account Factors (PAFs)
(Updated: July 2009)
 PDF Excel


 114.1 CMR 42.00

Hospital Financial Reports
(November 15, 2006)
 PDF Word
Bulletin: FY08 DHCFP-403 Revisions
(January 8, 2009)
 PDF Word
Bulletin: FY07 DHCFP-403 Revisions
(November 29, 2007)
 PDF Word
Bulletin: FY06 DHCFP-403 Revisions
(November 10, 2005)
 PDF Word
link to: DHCFP-INET Online Reporting System Information ---- ----


 114.2 CMR 4.00

Resident Care Facilities: Rest Homes
(December 1, 2007)
 PDF Word
Link to: Resident Care Facility Reports  ----  ----


 114.2 CMR 6.00

Standard Payments to Nursing Facilities
(September 1, 2009)
 PDF Word
Certified Nursing Facility Rates
(September 1, 2009)
 PDF Excel
Nursing Home Rates
(April 1, 2009)
 PDF  Excel 
Bulletin: Nursing Facility Direct Care Add-On Compliance
(July 13, 2007)
 PDF Word
link to: Nursing Facilty Reports ---- ----


 114.3 CMR 4.00

Current Regulation
Rates for Community Health Centers
(July 1, 2009)
 PDF  Word 
Previous Regulation
Rates for Community Health Centers
(February 7, 2009)
 PDF Word


 114.3 CMR 6.00

Rates of Payment for Mental Health Services Provided in Community Health Centers and Mental Health Centers
(July 1, 2009)
 PDF Word


 114.3 CMR 7.00

Psychiatric Day Treatment Center Services
(January 1, 2008)
 PDF Word


 114.3 CMR 8.00

Outpatient Tuberculosis Control Services
(August 1, 2007)
 PDF Word


 114.3 CMR 9.00

Independent Living Services for the Personal Care Attendant Program
(January 1, 2008)
 PDF Word
Bulletin: Update to the Personal Care Attendant Wage and Employer Expense Component Rates
(July 1, 2008)
 PDF Word
Bulletin: Update to the Employer Expense Component Rates
(April 6, 2008)
 PDF Word


 114.3 CMR 10.00

Adult Day Health Services
(November 1, 2007)
 PDF Word
Bulletin: Supplemental Codes
(November 15, 2009)
 PDF Word
Bulletin: Revisions to Cost Report Due Dates
(November 1, 2008)
 PDF Word


 114.3 CMR 12.00

Family Planning Services
(January 1, 2008)
 PDF Word


 114.3 CMR 13.00

Proposed Regulation
Rates for Freestanding Clinics Providing Abortion and Sterilization Services
(April 1, 2010)
PDFWord
Current Regulation
Rates for Freestanding Clinics Providing Abortion and Sterilization Services
(August 1, 2007)
 PDFWord
Notice of Public Hearing
Thursday, March 4, 2010 at 10:00 a.m.
PDFWord


 114.3 CMR 14.00

Dental Services
(January 1, 2009)
 PDF Word


 114.3 CMR 15.00

Vision Care Services and Ophthalmic Materials
(March 1, 2008)
 PDF Word
Bulletin: CPT/HCPCS 2009 Coding Updates
(January 1, 2009)
 PDF Word


 114.3 CMR 16.00

Surgery and Anesthesia Services
(July 1, 2009)
 PDF
(1.3 MB)
 Word
(11.7 MB) 
Bulletin: CPT/HCPCS 2009 Coding Updates
(January 1, 2010)
 PDF Word


 114.3 CMR 17.00

Emergency Adopted Regulation
Medicine
(October 18, 2009)
 PDF  Word 
Bulletin: CPT/HCPCS 2009 Coding Updates
(January 1, 2010)
 PDF Word


 114.3 CMR 18.00

Radiology
(July 1, 2009)
 PDF  Word 
(1 MB)
Bulletin: Rate Corrections
(Effective July 1, 2009)
 PDF Word
Bulletin: CPT/HCPCS 2009 Coding Updates
(January 1, 2010)
 PDF Word 


 114.3 CMR 20.00

Clinical Laboratory Services
(February 1, 2009)
 PDF Word
Bullentin: Procedure Code Update
(January 1, 2010)
 PDF  Word 


 114.3 CMR 22.00

Bulletin: The Division has not adopted the proposed amendments to 114.3 CMR 22.00 that were the subject of the December 16, 2009 public hearing. The Division is currently reviewing the testimony. The amendments will not be effective on January 1, 2010. The effective date will be delayed until a final decision is made on the amendments.   
Proposed Regulation
Durable Medical Equipment, Oxygen, and Respiratory Therapy Equipment
(TBD)
 PDF  Word 
Notice of Public Hearing
Wednesday, December 16, 2009 at 10:00 a.m.
 PDF  Word 
Current Regulation
Durable Medical Equipment, Oxygen, and Respiratory Therapy Equipment
(February 1, 2009)
 PDF   Word 
(3.7 MB)
Bulletin: 09-22: HCPCS Updates and Corrections
(January 1, 2010)
 PDF Word
Bulletin 09-15: HCPCS Updates and Corrections
(May 1, 2009)
 PDF Word
Bulletin 09-10: HCPCS Updates and Corrections
(June 1, 2009)
 PDF Word
Bulletin 09-07: HCPCS Updates and Corrections
(May 1, 2009)
 PDF  Word 


 114.3 CMR 23.00

Hearing Aid Dispensers
(January 1, 2007)
 PDF Word


 114.3 CMR 27.00

Ambulance Services
(May 1, 2008)
 PDF Word
Bulletin: Clarification of Air Ambulance Rates for Worker's Compensation Payments
(September 25, 2008)
 PDF  Word 


 114.3 CMR 28.00

Chiropractic Services
(July 1, 2005)
 PDF Word


 114.3 CMR 29.00 

Psychological Services
(January 1, 2008)
 PDF Word
Bulletin: Coding Updates
(January 1, 2006)
 PDF Word


 114.3 CMR 30.00

TEAM Evaluation Services
(July 1, 2004)
 PDF Word


 114.3 CMR 31.00

Current Regulation
Prescribed Drugs
(August 1, 2009)
 PDF Word
Bulletin: Massachusetts Upper Limit
(November 1, 2007)
 PDF Word


 114.3 CMR 34.00

Prostheses, Prosthetic Devices, and Orthotic Devices
(June 1, 2007)
 PDF Word
Bulletin: Updated Codes
(January 1, 2010)
 PDF Word
Bulletin: Updated Codes
(May 1, 2009)
 PDF Word
Bulletin: Updated Codes
(March 19, 2009)
 PDF Word
Bulletin: Coding Updates
(June 1, 2008)
 PDF Word
Bulletin: Coding Updates
(June 1, 2007)
 PDF Word


 114.3 CMR 37.00

Chronic Maintenance Dialysis Treatments and
Home Dialysis Supplies
(June 1, 2007)
 
PDF
 
Word


 114.3 CMR 39.00

Rehabilitation Clinic Services, Audiological Services, Restorative Services
(June 15, 2009)
 PDF  Word


 114.3 CMR 40.00 

Current Regulation
Rates for Service Under M.G.L. c. 152,
Worker's Compensation Act
(April 1, 2009)
 PDF 
(6MB)
 Word (16MB)
Previous Regulation
Rates for Service Under M.G.L. c. 152,
Worker's Compensation Act
(September 1, 2004)
 PDF
(12MB)
 Word
(16MB)
Bulletin: Rates for Prescribed Drugs Under M.G.L. c. 152, Worker's Compensation Act
(November 19, 2004)
 PDF  Word 
Bulletin: Clarification of the Computation of Partial Services Units for Restorative Services
(January 7, 2010)
 PDF Word


 114.3 CMR 43.00

Hospice Services
(October 1, 2008)
 PDF Word
Bulletin: Rate Update/ Change to Regulation
(October 1, 2009)
 PDF Word


 114.3 CMR 45.00

Temporary Nursing Services
(March 15, 2009)
 PDF Word


 114.3 CMR 46.00

Rates for Certain Substance Abuse Programs
(January 21, 2010)
 PDF Word


 114.3 CMR 47.00

Proposed Regulation
Freestanding Ambulatory Surgical Facilities
(January 1, 2010)
 PDF Word
(1.1 MB)
Notice of Public Hearing
Thursday, January 28, 2010 at 10:00 a.m.
 PDF Word
Current Regulation
Freestanding Ambulatory Surgical Facilities
(May 1, 2006)
 PDF Word
Bulletin: CPT/HCPCS 2009 Coding Updates
(January 1, 2009)
 PDF Word
Bulletin: Coding Updates
(February 2, 2007)
 PDF Word


 114.3 CMR 48.00

Day Habilitation Program Services
(February 15, 2008)
 PDF Word
Bulletin: Reporting Requirements
(August 19, 2005)
 PDF Word


 114.3 CMR 49.00

Rates for Early Intervention Program Services
(November 1, 2006)
 PDF Word


 114.3 CMR 50.00

Home Health Services
(December 1, 2008)
  PDF Word


114.3 CMR 51.00

Adult Foster Care
(May 1, 2008)
 PDF Word


114.3 CMR 52.00

Proposed Regulation
Rates of Payment for Certain Children's Behavioral Health Services
(December 1, 2009)
PDF Word
Notice of Public Hearing
Monday, December 7, 2009 at 10:00 a.m.
PDF Word
Current Regulation
Rates of Payment for Certain Children's Behavioral Health Services
(January 1, 2009)
PDF Word
Bulletin: Coding Update
(February 4, 2010)
PDF Word 


114.3 CMR 53.00

Rates of Payment for Primary Care Clinician Plan Services Including Pay for Performance Program
(October 1, 2009)
 PDF Word


114.4 CMR 10.00

Rates for Competitive Integrated Employment Services
(July 1, 2009)
 PDF Word
Rate Development Worksheet
(April 2, 2009)
 PDF Excel


 114.4 CMR 11.00

Rates for Certain Placement and Support Services
(October 1, 2009)
 PDF  Word 


 114.4 CMR 12.00

Notice of Public Hearing
Tuesday, October 20, 2009, 10:00 a.m.
 PDF  Word 
Proposed Regulation
Rates for Family Transitional Support Services
(November 1, 2009)
 PDF  Word 


 114.4 CMR 13.00

Notice of Public Hearing
Friday, October 23, 2009, 10:00 a.m.
 PDF  Word 
Proposed Regulation
Payments for Youth Intermediate-Term Stabilization Services
(November 1, 2009)
 PDF  Word 


 114.5 CMR 2.00

Disclosure of Hospital Case Mix and Charge Data
(July 20, 2009)
 PDF Word


 114.5 CMR 4.00

Rates for Certain Social, Rehabilitation,
and Health Care Services
(January 1, 1999)
 PDF Word


 114.5 CMR 9.00

Criteria and Procedures for Awarding One-time Grants
for Community Health Centers
(January 9, 2004)
 PDF Word


 114.5 CMR 10.00

Criteria and Procedures for Awarding One-time Grants
to Non-profit Providers of Elder Care Service
(March 15, 2001)
 PDF Word


 114.5 CMR 11.00

Criteria and Procedures for The Submission of
Health Plan Data
(April 8, 2005)
 PDF Word


 114.5 CMR 12.00

Nursing Facility User Fee
(September 1, 2009)
 PDF Word
Nursing Facility Class and User Fee List
(November 1, 2009)
 PDF Word
Bulletin: Nursing Facility User Fee Update
(April 1, 2009)
 PDF Word
link to: Nursing Facilty Reports ---- ----
link to: DHCFP-INET Online Reporting System ---- ----


 114.5 CMR 14.00

Administration of Grants to Certain Community Health Centers
(June 3, 2003)
 PDF Word


 114.5 CMR 16.00

Determination of the Employer Fair Share Contribution
(October 1, 2009)
 PDF Word
Executive Office of Labor and Workforce Development, includes an update on the Fair Share Contribution (FSC) Program and further information on and how it impacts employers.


114.5 CMR 17.00  

Employer Surcharge for State-funded Health Costs
(July 1, 2007)
 PDF Word
Commonwealth Connector, includes a key resources section highlighting the authority's final regulations and the "Employer Handbook," a downloadable brochure for employers concerning health care reform.


 114.5 CMR 18.00  

Health Insurance Responsibility Disclosure (HIRD)
(April 1, 2009)
 PDF Word
Employer HIRD Forms
Employee HIRD Form 


114.5 CMR 19.00

Insurer Assessment           
(March 15, 2009)
 PDF Word


 114.5 CMR 20.00

Pediatric Immunization Program Assessment
(January 1, 2010)
 PDF Word
Bulletin: Pediatric Immunization Program Assessment surcharge percentage PDF Word 


 114.6 CMR 3.00

Student Health Insurance
(June 1, 2009)
 PDF  Word
Bulletin: Mandatory Health Insurance Coverage
(July 2009)  
 PDF  Word 
Outline of Changes to Student Health Insurance Regulation PPT  Word 


 114.6 CMR 13.00

Health Safety Net Eligible Services
(October 1, 2009)
 PDF Word
Bulletin: Extension of Deadline for Submission of Acute Hospital and Community Health Center Credit and Collection Policies
(January 7, 2010)
-- Cross Reference Index (PDF)Excel 
PDF Word 
Bulletin: Health Safety Net Eligibility for Commonwealth Care Bridge Members
(November 5, 2009)
 PDF  Word
Bulletin: Health Safety Net - H1N1 and Seasonal Influenza Vaccine
(October 29, 2009)
 PDF  Word 
Bulletin: Serious Reportable Events Guidelines
(June 16, 2009)
 PDF  Word 


 114.6 CMR 14.00

Health Safety Net Payments and Funding
(February 1, 2010)
 PDF Word
Health Safety Net Rates for Acute Hospitals   
Bulletin: Serious Reportable Events Guidelines
(June 16, 2009)
 PDF  Word 

This information is provided by the Division of Health Care Finance and Policy.