Health and Human Services, Commonwealth of Massachusetts http://www.mass.gov/?pageID=eohhs2homepage&L=1&L0=Home&sid=Eeohhs2 http://www.mass.gov/Eeohhs2/RSS/Home/Government/Departments%20and%20Divisions/Division%20of%20Health%20Care%20Finance%20&%20Policy/newsandupdates.xml © 2009 Commonwealth of Massachusetts 2009-11-20T00:00:00Z http://www.mass.gov/?pageID=eohhs2modulechunk&L=4&L0=Home&L1=Government&L2=Departments+and+Divisions&L3=Division+of+Health+Care+Finance+%26+Policy&sid=Eeohhs2&b=terminalcontent&f=dhcfp_government_regs_related_pubs&csid=Eeohhs2#114_5_20 2009-11-20T00:00:00Z 2009-11-20T00:00:00Z

The Division of Health Care Finance and Policy (DIvision) proposed regulation 114.5 CMR 20.00: Pediatric Immunization Program Assessment. The proposed regulation, effective January 1, 2010, implements an assessment on Health Safety Net surcharge payers for certain costs of administering the Department of Public Health Pediatric Immunization Program. The Division will hold a public hearing on Tuesday, December 22, 2009 at 10:00 a.m.

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The Division of Health Care Finance and Policy proposed amendments to regulation 114.6 CMR 14.00: Health Safety Net Payments and Funding, effective February 1, 2010. The Division will hold a public hearing on January 6, 2010 at 10:00 a.m.

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This bulletin addresses the Division of Health Care Finance and Policy's Health Safety Net policy, effective Nov. 5, 2009, regarding the Commonwealth Health Insurance Connector Authority plan established by the Massachusetts Legislature in Section 31 of Chapter 65 of the Acts of 2009, otherwise known as Commonwealth Care Bridge.

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The Health Safety Net (HSN) will pay for HSN providers to administer the H1N1 and seasonal influenza vaccines to any eligible HSN patient. The billing process differs for Acute Hospital and Community Health Centers and HSN Pharmacy Providers. Please see the Division of Health Care Finance and Policy administrative bulletin 09-17, regulation 114.6 CMR 13.00 for further information.

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The Patrick-Murray Administration announced today that more than 97 percent of Massachusetts residents have health insurance, demonstrating the ongoing success of health care reform in the Commonwealth.

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The Division of Health Care Finance and Policy (Division) updated the Nursing Facility Class and User Fee list on October 1, 2009, in relation to regulation 114.5 CMR 12.00: Nursing Facility User Fee.

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The Division of Health Care Finance and Policy (Division) adopted regulation 114.5 CMR 16.00: Determination of the Fair Share Contribution, effective October 1, 2009.

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The Division of Health Care Finance and Policy (Division) adopted regulation 114.3 CMR 53.00: Payment for Primary Care Clinician Plan Services Including Pay for Performance Program, effective October 1, 2009.

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The Division of Health Care Finance and Policy proposed regulation 114.4 CMR 12.00: Payments for Youth Intermediate-Term Stabilization Services, effective November 1, 2009.

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The Division of Health Care Finance and Policy proposed regulation 114.4 CMR 12.00: Rates for Family Transitional Support Services, effective November 1, 2009.

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The Division of Health Care Finance and Policy issued informational bulletin 09-14 for regulations 114.3 CMR 17.00: Medicine and 114.3 CMR 18.00: Radiology. The bulletin explains rate corrections effective July 1, 2009.

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The Division of Health Care Finance and Policy proposed a new regulation, 114.4 CMR 11.00: Rates for Certain Placement and Support Services. The proposed regulation, effective October 1, 2009, is a purchase of service regulation proposed under Chapter 257 of the Acts of 2008,. The regulation implements rates for two different residential placement services, Intensive Foster Care and Enhance Foster Care.

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The Division of Health Care Finance and Policy adopted regulation 114.3 CMR 31.00: Prescribed Drugs, effective August 1, 2009.

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The Division of Health Care Finance and Policy adopted regulation 114.3 CMR 4.00: Rates for Community Health Centers, effective July 1, 2009.

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The Division of Health Care Finance and Policy will hold a public hearing on Thursday, September 24, 2009 at 10:00 a.m. at 2 Boylston Street, Boston, MA relative to the adoption of amendments to regulation 114.6 CMR 13.00: Health Safety Net Eligible Services.

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The Division of Health Care Finance and Policy will hold a public comment period until Friday, September 18, 2009 relative to proposed regulation 114.5 CMR 16:00: Determination of Employer Fair Share Contribution

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The Division of Health Care Finance and Policy will hold a public hearing on Tuesday, September 29, 2009 at 10:00 a.m. at 2 Boylston St., Boston, MA relative to the adoption of amendments to regulation 114.5 CMR 12.00: Nursing Facility User Fee. The proposed regulation is available online.

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The Division of Health Care Finance and Policy proposed amendments to regulation 114.3 CMR 14.00: Health Safety Net Payments and Funding. The amendments change the payment rates effective October 1, 2009 for HSN eligible services. A public hearing will be held on Tuesday, September 22, 2009 at 10:00 a.m. at Two Boylston Street, Boston, MA.

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The Division of Health Care Finance and Policy adopted regulations 114. 3 CMR 16.00: Surgery and Anesthesia Services; 114.3 CMR 17.00: Medicine; and 114.3 CMR 18.00: Radiology. All regulations are effective July 1, 2009.

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The Division of Health Care Finance and Policy made available instructions for the 2008 Ambulance and Car Chair Cost Report.

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The Division of Health Care Finance and Policy proposed regulation 114.3 CMR 53.00: Payment for Primary Care Clinician Plan Services Including Pay for Performance Program, effective Sept. 1, 2009. The proposed regulation governs the Primary Care Clinician (PCC) Plan and establishes eligibility and the methodology for incentive payments for the PCC Plan Pay for Performance Program. The Division will hold a public hearing on Tues., Sept. 15, 2009 at 10:00 a.m. at the Division, 2 Boylston Street, Boston, MA.

http://www.mass.gov/?pageID=eohhs2modulechunk&L=4&L0=Home&L1=Government&L2=Departments+and+Divisions&L3=Division+of+Health+Care+Finance+%26+Policy&sid=Eeohhs2&b=terminalcontent&f=dhcfp_payment_commission_pr_2009_07_16&csid=Eeohhs2 2009-07-16T00:00:00Z 2009-07-16T00:00:00Z

The Special Commission on the Health Care Payment System today unanimously endorsed recommendations for improving the quality of patient care in Massachusetts by dramatically changing the way patients pay for health care.

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The Division of Health Care Finance and Policy posted instructions for the 2009 adult day health cost report.

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The Division of Health Care Finance and Policy issued a Student Health Insurance bulletin, pursuant to regulation 114.6 CMR 3.00, related to mandatory health insurance coverage, effective July 2009.

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The Division of Health Care Finance and Policy proposed amendments to regulation 114.3 CMR 31.00: Presribed Drugs, effective August 1, 2009. A public hearing is scheduled for Tuesday, July 28, 2009 at 10:00 a.m. at 2 Boylston Street, Boston, MA, 5th floor.

http://www.mass.gov/?pageID=eohhs2terminal&L=6&L0=Home&L1=Provider&L2=Client+Eligibility+%26+Benefits+Assistance&L3=Health+Safety+Net+(HSN)&L4=For+Providers&L5=Hospitals%3a+Health+Safety+Net+Information&sid=Eeohhs2&b=terminalcontent&f=dhcfp_provider_hsn_hosp_billing_claims&csid=Eeohhs2#mha_claims 2009-05-27T00:00:00Z 2009-05-27T00:00:00Z

The Division of Health Care Finance and Policy Health Safety Net Office released a claim update regarding Verification of Eligibility on Submitted HSN Claims on May 21, 2009.

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The Division of Health Care Finance and Policy released a proposed regulation for Rehabilitation Clinic Services, Audiological Services, Restorative Services, 114.3 CMR 39.00. A public hearing is scheduled for Tuesday, July 7, 2009 at 10:00 a.m.

http://www.mass.gov/?pageID=eohhs2terminal&L=4&L0=Home&L1=Consumer&L2=Insurance+(including+MassHealth)&L3=Additional+Insurance+and+Assistance+Programs&sid=Eeohhs2&b=terminalcontent&f=dhcfp_consumer_student_health_insurance&csid=Eeohhs2#Metrics_Report 2009-05-20T00:00:00Z 2009-05-20T00:00:00Z

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The Division of Health Care Finance and Policy (DHCFP) proposed regulation 114.5 CMR 2.00: Disclosure of Hospital Case Mix and Charge Data, effective May 1, 2009. A public comment period is open until Friday, May 29, 2009.

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The Division issued and informational bulletin for Regulation 114.3 CMR 43.00: Hospice Services effective October 1, 2008.

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The Division of Health Care Finance and Policy will extend the Credit and Collection policy submission deadline to January 1, 2010.

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The Division of Health Care Finance and Policy release a rate development worksheet related to regulation 114.4 CMR 10.00 Competitive Integrated Employment Services.

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The Patrick Administration today released the state's fifth annual report identifying employers with 50 or more employees using publicly-funded health insurance programs.

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The Division of Health Care Finance and Policy adopted regulation 114.5 CMR 19.00, Insurer Assessment effective March 15, 2009.

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The Division of Health Care Finance and Policy proposed amendments to regulation 114.6 CMR 3.00, Student Health Insurance, effective May 1, 2009.

http://www.mass.gov/?pageID=eohhs2terminal&L=6&L0=Home&L1=Provider&L2=Client+Eligibility+%26+Benefits+Assistance&L3=Health+Safety+Net+(HSN)&L4=For+Providers&L5=Hospitals%3a+Health+Safety+Net+Information&sid=Eeohhs2&b=terminalcontent&f=dhcfp_provider_hsn_hosp_claims&csid=Eeohhs2 2009-02-11T00:00:00Z 2009-02-11T00:00:00Z

The Health Safety Net Office updated the covered and noncovered code lists on Feb. 6, 2009.

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The Patrick Administration announced today that it has awarded approximately $32.6 million in FY09 grants and increased rate payments from the state's Essential Community Provider Trust Fund to 69 hospitals and community health centers across the Commonwealth.

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The Division of Health Care Finance and Policy emergency adopted regulation 114.3 CMR 4.00 Rates for Community Health Centers, effective February 7, 2009. The public hearing is scheduled for Wednesday, March 11, 2009 at 10:00 a.m.

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The Division of Health Care Finance and Policy adopted regulation 114.3 CMR 14.00 Dental Services, effective January 1, 2009.

http://www.mass.gov/?pageID=eohhs2terminal&L=6&L0=Home&L1=Provider&L2=Client+Eligibility+%26+Benefits+Assistance&L3=Health+Safety+Net+(HSN)&L4=For+Providers&L5=Hospitals%3a+Health+Safety+Net+Information&sid=Eeohhs2&b=terminalcontent&f=dhcfp_provider_hsn_hosp_billing_claims&csid=Eeohhs2#mha_claims 2009-01-29T00:00:00Z 2009-01-29T00:00:00Z

The Division of Health Care Finance and Policy Health Safety Net Office released a claims update regarding denial reports on January 30, 2009.

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Under authority of Regulation 114.3 CMR 15.01(4), the Division of Health Care Finance and Policy is updating procedure codes for Vision Care Services and Ophthalmic Materials providers, who provide services to publicly-aided individuals and industrial accident patients. These changes are effective January 1, 2009.

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The Division of Health Care Finance and Policy issue a procedure code update for regulation 114.3 CMR 20.00 Clinical Laboratory Services. The changes, effective January 1, 2009, include adding seven new procedure codes and deleting an outdated code.

http://www.mass.gov/?pageID=eohhs2modulechunk&L=4&L0=Home&L1=Government&L2=Departments+and+Divisions&L3=Division+of+Health+Care+Finance+%26+Policy&sid=Eeohhs2&b=terminalcontent&f=dhcfp_government_regs_related_pubs&csid=Eeohhs2#114_3_22 2009-01-06T00:00:00Z 2009-01-06T00:00:00Z

The Division of Health Care Finance and Policy proposed regulation 114.3 CMR 22.00 Durable Medical Equipment, Oxygen and Respiratory Therapy Equipment, effective February 1, 2009. The Division also scheduled a public hearing for Thursday, March 5, 2009 at 10:00 a.m.

http://www.mass.gov/?pageID=eohhs2terminal&L=5&L0=Home&L1=Government&L2=Laws%2c+Regulations+and+Policies&L3=Division+of+Health+Care+Finance+and+Policy%3a+Regulations&L4=Proposed+Amendments%2c+Public+Hearings%2c+Consultative+Sessions&sid=Eeohhs2&b=terminalcontent&f=dhcfp_government_public_hearings&csid=Eeohhs2 2009-01-06T00:00:00Z 2009-01-06T00:00:00Z

The Division of Health Care Finance and Policy proposed regulations 114.1 CMR 41.00 Rates of Payment for Services Provided to Industrial Accident Patients by Hospitals and 114.3 CMR 40.00 Rates for Services under M.G.L. c. 152, Worker's Compensation Act, both effective March 1, 2009. The Division also scheduled public hearings for the regulations on Tues., Feb. 10 and Thurs. Feb. 12, 2009 at 10:00 a.m., respectively.

http://www.mass.gov/?pageID=eohhs2terminal&L=5&L0=Home&L1=Provider&L2=Reporting+to+the+State&L3=Reporting+Entities&L4=Hospital&sid=Eeohhs2&b=terminalcontent&f=dhcfp_provider_hosp_reports&csid=Eeohhs2 2009-01-06T00:00:00Z 2009-01-06T00:00:00Z

The Division of Health Care Finance and Policy released the FY08 403 Cost Report and related instructions for hospitals.

http://www.mass.gov/?pageID=eohhs2terminal&L=5&L0=Home&L1=Provider&L2=Client+Eligibility+%26+Benefits+Assistance&L3=Health+Safety+Net+(HSN)&L4=For+Providers&sid=Eeohhs2&b=terminalcontent&f=dhcfp_provider_hsn_provider_faq_071005&csid=Eeohhs2 2009-01-06T00:00:00Z 2009-01-06T00:00:00Z

The Division of Health Care Finance and Policy's Health Safety Net Office updated provider frequently asked questions for January 2009.

http://www.mass.gov/?pageID=eohhs2modulechunk&L=4&L0=Home&L1=Government&L2=Departments+and+Divisions&L3=Division+of+Health+Care+Finance+%26+Policy&sid=Eeohhs2&b=terminalcontent&f=dhcfp_government_regs_related_pubs&csid=Eeohhs2#114_3_43 2008-12-29T00:00:00Z 2008-12-29T00:00:00Z

The Division of Health Care Finance and Policy adopted emergency regulation 114.3 CMR 43.00 Hospice Services, effective October 1, 2008. The Division will hold a public hearing on Tuesday, January 27, 2009 at 10:00 a.m.

http://www.mass.gov/?pageID=eohhs2modulechunk&L=4&L0=Home&L1=Government&L2=Departments+and+Divisions&L3=Division+of+Health+Care+Finance+%26+Policy&sid=Eeohhs2&b=terminalcontent&f=dhcfp_government_regs_related_pubs&csid=Eeohhs2#114_6_13 2008-12-23T00:00:00Z 2008-12-23T00:00:00Z

The Division of Health Care Finance and Policy propsed regulation 114.6 CMR 13.00 Health Safety Net Eligible Services, effective February 1, 2009.

http://www.mass.gov/?pageID=eohhs2pressrelease&L=4&L0=Home&L1=Government&L2=Departments+and+Divisions&L3=Division+of+Health+Care+Finance+%26+Policy&sid=Eeohhs2&b=pressrelease&f=081218_health_insurance&csid=Eeohhs2 2008-12-18T00:00:00Z 2008-12-18T00:00:00Z

The Patrick Administration announced today the results of a new survey finding that more than 97 percent of Massachusetts residents have health insurance.

http://www.mass.gov/?pageID=eohhs2modulechunk&L=4&L0=Home&L1=Government&L2=Departments+and+Divisions&L3=Division+of+Health+Care+Finance+%26+Policy&sid=Eeohhs2&b=terminalcontent&f=dhcfp_government_regs_related_pubs&csid=Eeohhs2#114_3_52 2008-12-18T00:00:00Z 2008-12-18T00:00:00Z

The Division of Health Care Finance and Policy adopted regulation 114.5 CMR 52.00 Children's Behavioral Health Services, effective November 1, 2008.

http://www.mass.gov/?pageID=eohhs2modulechunk&L=4&L0=Home&L1=Government&L2=Departments+and+Divisions&L3=Division+of+Health+Care+Finance+%26+Policy&sid=Eeohhs2&b=terminalcontent&f=dhcfp_government_regs_related_pubs&csid=Eeohhs2#114_3_52 2008-12-15T00:00:00Z 2008-12-15T00:00:00Z

The Division of Health Care Finance and Policy Proposed Regulation 114.3 CMR 52.00: Rates of Payment for Certain Behavioral Health Services, effective January 1, 2009.

http://www.mass.gov/?pageID=eohhs2modulechunk&L=4&L0=Home&L1=Government&L2=Departments+and+Divisions&L3=Division+of+Health+Care+Finance+%26+Policy&sid=Eeohhs2&b=terminalcontent&f=dhcfp_government_regs_related_pubs&csid=Eeohhs2#114_3_16 2008-12-15T00:00:00Z 2008-12-15T00:00:00Z

The Division of Health Care Finance and Policy issued an Informational Bulletin for Physicial Regulations 114.3 CMR 16.00-18.00. The bulletin regards CPT/HCPCS 2009 Coding Updates and is effective January 1, 2009.

http://www.mass.gov/?pageID=eohhs2modulechunk&L=4&L0=Home&L1=Government&L2=Departments+and+Divisions&L3=Division+of+Health+Care+Finance+%26+Policy&sid=Eeohhs2&b=terminalcontent&f=dhcfp_government_regs_related_pubs&csid=Eeohhs2#114_3_9 2008-12-05T00:00:00Z 2008-12-05T00:00:00Z

The Division of Health Care Finance and Policy issued an informational bulletin for regulation 114. 3 CMR 9.00 Independent Living Services for the Personal Care Attendant Program. The bulletin provides rate updates for the PCA Wage and Employer Expense Component Rates effective July 1, 2008.

http://www.mass.gov/?pageID=eohhs2subtopic&L=4&L0=Home&L1=Provider&L2=Reporting+to+the+State&L3=Reporting+Entities&sid=Eeohhs2 2008-12-03T00:00:00Z 2008-12-03T00:00:00Z

The Division of Health Care Finance and Policy released the Nursing Facility 2008 Reports including, amongst others, the Nursing Facility Cost Report, Pediatric and Specialty Contract and Supplemental Form.