Public Records Request Form and Instructions

Please complete the DHCFP Public Records Request Form (PDF) pdf format of    public-records-form.pdf  doc format of public-records-form.doc to facilitate your request.

You may submit your request in the following ways:

  • Email the form to public.records@state.ma.us
  • Fax the form to 617-727-7662
  • Mail the form to:
    DHCFP Public Records
    The Division of Health Care Finance and Policy
    2 Boylston Street, 5th floor
    Boston, MA 02116-4734

Please note there is a fee of $.20/per copied page. You will be notified if the charge for your request exceeds $25.00. If you have other public records questions, please contact the Division's Help Desk at 1-800-609-7232.

Case Mix Datasets Request Application and Instructions

Please complete the DHCFP Case Mix Datasets Request Application (PDF) pdf format of    case-mix-data-application.pdf  doc format of case-mix-data-application.doc to facilitate your request. You should also review the General Information and Fees (PDF) pdf format of    case-mix-data-application-general-information.pdf  doc format of case-mix-data-application-general-information.doc

You may submit your request in the following ways:

  • Email the application to public.records@state.ma.us
  • Fax the application to 617-727-7662 - Attention: Data Protection Committee
  • Mail the application to:
    DHCFP Public Records
    The Division of Health Care Finance and Policy
    2 Boylston Street, 5th floor
    Boston, MA 02116-4734

For questions about the application or the process, please contact the Division's Help Desk at 1-800-609-7232.


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