Please note: All regulations pertaining to pricing, provider payment rates, and the Health Safety Net are now the responsibility of the Executive Office of Health and Human Services and can be found on their website. Related public hearings and administrative bulletins can also be found at www.mass.gov/eohhs/gov/laws-regs/hhs/regs.html. For your convenience, CHIA will continue to maintain direct links to this content during this transition.
If you experience any difficulty finding the information you are looking for, please contact us at CHIA-Regulations@state.ma.us.
Public Comment
Public Hearings
Email Notifications
Regulations
Public Comments
Links to Public Comment Notice | Comment Deadline, Mailing Address | Submit Comment Online |
All-Payer Claims Data Fee Schedule (114.5 CMR 22.00) | By 5:00 p.m. on Friday, May 17, 2013 Two Boylston Street, Boston, MA 02116 | Comment Period Closed |
| Standard Payments to Nursing Facilities - 101 CMR 206.00 (Currently promulgated as 114.2 CMR 6.00) | Comment Period Closed | Comment Period Closed |
Public Hearings
Links to Public Hearing Notice | Public Hearing Date, Time, and Location | Period to |
Health Care Claims, Case Mix and Charge Data Release Procedures | Friday, June 14, 2013, at 10:00 a.m. Two Boylston Street, Boston, MA 02116 | By 5:00 p.m. on Monday, June 24, 2013 Register to Testify |
| Uniform Provider Reporting of the Standard Quality Measure Set (957 CMR 4.00) | Wednesday, April 10, 2013 at 10:00 a.m. Two Boylston Street, Boston, MA 02116 | Comment period had ended |
| Assessment on Certain Health Care Providers & Surcharge Payors (957 CMR 3.00) | Wednesday, March 27, 2013 at 10:00 a.m. Two Boylston Street, Boston, MA 02116 | Comment period had ended |
| Payer Data Reporting (957 CMR 2.00) | Friday, March 22, 2013 at 10:00 a.m. Two Boylston Street, Boston, MA 02116 | Comment period had ended |
If you would like to testify at an upcoming public hearing, you may either sign up online or during the hearing.
You may also submit written testimony about proposed regulations by the specified date by emailing CHIA-Regulations@state.ma.us. Please submit electronic testimony as an attached Word document or as text within the body of the email and type the name of the regulation in the subject line. All submissions must include the sender's full name and address. Persons who are unable to submit electronic testimony should mail written testimony to the Center for Health Information and Analysis, Two Boylston Street, Boston, MA 02116-4704.
Email Notifications
You may sign up to receive email notifications about CHIA regulatory actions. There are four categories of regulations for which you may sign up to receive notifications through CHIA: Provider Payment Rates; Data Collection and Disclosure; Programs (Health Safety Net and Student Health); and Surcharges and Assessments.*
Please fill out this form in order to be added to the notification list.
You will receive an email notification whenever CHIA proposes a regulation, schedules a public hearing, adopts a regulation, or issues an administrative bulletin for any of the regulations in the category for which you signed up.
*Provider Payment Rates, the Health Safety Net, and Student Health are now maintained by the Executive Office of Health and Human Services and will eventually be responsible for these mailing lists.
Regulations
Regulations are listed in:
- Alphabetical Order (by name and service type)
- Numerical Order (by CMR number)
Regulations that appear below and within other CHIA web content are provided for informational use only. In the case of any discrepancy between versions within CHIA 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.
Note: Regulations highlighted in blue or marked with an asterisk (*) in this section will remain under the authority of CHIA.
Alphabetical Order (by name and service type)
- Provider Payment Rates (by provider type)
- Data Collection and Disclosure
- Programs
- Surcharges and Assessments
Numerical Order (by CMR number)
Please note: This table only includes information pertaining to regulations still under the authority of CHIA. For a comprehensive list of regulations once maintained by DHCFP, please see the previous section, which includes links to the appropriate portion of the Executive Office of Health and Human Services' regulations page.
| Regulation Name (Effective Date) | Format | |
| ||
| Requirement for the Submission of Hospital Case Mix and Charge Data (October 1, 2006) |
PDF 
|
Word 
|
| Administrative Bulletin: Reporting Format for the Physicians' National Provider Identifier (NPI) (May 13, 2011) |
PDF
|
Word
|
Administrative Bulletin: |
PDF
|
Word
|
| Nursing and Rest Home Facility List |
PDF
|
Excel 
|
| 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 (May 2011) |
PDF
|
Word file size 1MB
|
| Hospital Emergency Department: Data Specifications (December 2010) |
PDF
|
Word file size 1MB
|
| 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: | ---- | ---- |
| Informational Update to Hospital Inpatient Discharge: Payer Codes for FY10 Filing (October 2009) | PDF
| Word
|
| Hospital Inpatient Discharge: Data Specifications (October 2008) |
PDF
|
Word file size 1MB
|
| Hospital Inpatient Discharge: Data Specifications (September 2006) |
PDF
|
Word file size 1MB
|
| 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
|
| ||
| Notice of Public Hearing - Friday, June 22, 2012 at 10:00 AM | PDF
| Word
|
| Proposed Regulation Hospital Financial Reports (August 1, 2012) | PDF
| Word
|
| Hospital Financial Reports (February 15, 2011) |
PDF
|
Word
|
| Administrative Bulletin 12-02: - Hospital Licensed Health Center Cost Reports (January 13, 2012) | PDF
| Word
|
| Administrative Bulletin 11-17 - Regarding hospital reporting of bad debt (December 15, 2011) | PDF
| Word
|
| Administrative Bulletin: FY2010 Hospital Licensed Health Center Cost Reports | PDF
| Word
|
| Link to DHCFP-INET Online Reporting System Information | ---- | ---- |
| Link to Nursing Facility Reports | ---- | ---- |
| ||
| Disclosure of Hospital Case Mix and Charge Data (July 20, 2009) |
PDF
|
Word
|
| ||
| Criteria and Procedures for The Submission of Health Plan Data (April 8, 2005) |
PDF
|
Word
|
| ||
| 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. | ||
| ||
| Employer Surcharge for State-funded Health Costs (July 1, 2007) |
PDF
|
Word
|
| ||
| Health Insurance Responsibility Disclosure (HIRD) (April 1, 2009) |
PDF
|
Word
|
| HIRD Forms and Information | ||
| ||
| Administrative Bulletin 13-04: Health Care Payers Claims Data Submission - Changes to Guidelines (May 9, 2013) |
PDF
|
Word
|
Administrative Bulletin 13-02: |
PDF
|
Word
|
| Total Medical Expenses Reporting in APCD Update (February 2013) |
PDF
|
Word
|
| Question and Answer Document (January 31, 2013) - This document will be routinely updated |
Excel
| |
| Administrative Bulletin: Health Care Payers Claims Data Submission - Changes to Guidelines (November 8, 2012) |
PDF
|
Word
|
| New Element Submission Guideline (November 8, 2012) | PDF * |
Excel
|
| Administrative Bulletin: Health Care Payers Claims Data Submission |
PDF
|
Word
|
Administrative Bulletin: |
PDF
|
Word
|
Administrative Bulletin: |
PDF
|
Word
|
| Health Care Claims Data Submission (July 23, 2010) |
PDF
|
Word
|
| ||
| Administrative Bulletin 13-03 APCD Data Fee Schedule (Effective July 1, 2013) |
PDF
|
Word
|
| Notice of Public Hearing Monday, November 19, 2012 (See Public Hearing Comments) |
PDF
|
Word
|
| Administrative Bulletin 12-31 Data Fee Schedule (October 5, 2012) |
PDF
|
Word
|
| Notice of Public Hearing Monday, May 17, 2010 (See Public Hearing Comments) |
PDF
|
Word
|
| Health Care Claims Data Release (July 23, 2010) |
PDF
|
Word
|
| Administrative Bulletin 12-15 Reclassification of Certain Data Elements (May 24, 2012) | PDF
| Word
|
| Administrative Bulletin 12-14 Administrative Procedures and Guidelines (May 24, 2012) | PDF
| Word
|
| ||
| Payer Reporting of Total Medical Expenses and Relative Prices (effective April 1, 2011) |
PDF
|
Word
|
| Additional information and materials regarding Total Medical Expenses and Relative Pricing | -- | -- |
| Link to DHCFP-INET Online Reporting System Information | -- | -- |
| ||
| Student Health Insurance (June 1, 2009) |
PDF
|
Word
|
| Administrative Bulletin: Consolidated Filings (March 2011) |
PDF
|
Word
|
| Administrative Bulletin: Mandatory Health Insurance Coverage (July 2009) |
PDF
|
Word
|
| Outline of Changes to Student Health Insurance Regulation |
PPT 
|
Word
|
| ||
| Notice of Public Hearing Friday, March 22, 2013 |
PDF
|
Word
|
| Payer Data Reporting (February 5, 2013) |
PDF
|
Word
|
| ||
| Notice of Public Hearing Wednesday, March 27, 2013 |
PDF
|
Word
|
| Assessment on Certain Health Care Providers & Surcharge Payors (February 19, 2013) |
PDF
|
Word
|
| ||
| Notice of Public Hearing Wednesday, April 10, 2013 |
PDF
|
Word
|
| Uniform Provider Reporting of the Standard Quality Measure Set (March 1, 2013) |
PDF
|
Word
|
| ||
| Notice of Public Hearing Friday, June 14, 2013 |
PDF
|
Word
|
Health Care Claims, Case Mix and Charge Data Release Procedures |
PDF
|
Word
|