Regulation 114.3 CMR 27.00 governs the payment rates for ambulance and chair car services purchased by governmental units and under the Worker's Compensation Act. This regulation also specifies that providers shall file cost and other information with the Center for Health Information and Analysis (the Center) on an annual basis.
The fiscal year (FY) 2012 cost report is now available. Please find more information below.
All non-municipal providers that received more than $100,000 in revenue from MassHealth for services rendered in FY2012 are required to file the report.
The FY2012 cost report is due November 15, 2013.
Please follow the Cost Report Instructions to complete the report.
Providers that earned less than $100,000 from MassHealth for services provided in FY2012 may claim exemption from filing the report. To be considered exempt, a provider must send an email to email@example.com, and in the email:
- State that it is requesting exemption from filing the FY2012 Ambulance and Chair Car cost report;
- Specify the date range of its fiscal year (e.g., 1/1/12 to 12/31/12, or 7/1/11 to 6/30/12); and
- State the dollar value of MassHealth revenue earned for services rendered in FY2012.
Penalties for Noncompliance
Please note that agencies that fail to file the required data with the Center in a timely manner may be subject to penalties in accordance with 114.3 CMR 27.00 and MGL 118G.
If you have any questions regarding the cost report, please contact the Center's Help Desk at 617-988-3100 and ask for assistance regarding the Ambulance and Chair Car Services Cost Report.