Public Hearings
Email Notifications
Regulations

 

Public Hearings

Links to Public Hearing Notice
and Regulatory Information

Public Hearing Date, Time, and Location

Period to
Submit Written Comments

Payments for Youth Short-Term Stabilization and Emergency Placement Services
(114.4 CMR 18.00)
Wednesday, December 21, 2011 at 10:00 AM
Two Boylston Street, 5th floor, Boston, MA

Comment period has ended 

Payments for Youth Intermediate-Term Stabilization Services
(114.4 CMR 13.00)
Tuesday, January 31, 2012 at 10:00 AM
222 Maple Avenue, Shrewsbury, MA 01545

Comment period has ended

Chiropractic Services
(114.3 CMR 28.00)

Wednesday, May 30, 2012 at 10:00 AM
Two Boylston Street, 5th floor, Boston, MA
Before  5:00 P.M. on Monday, June 11, 2012
(Register to testify at this public hearing)
Hospital Financial Reports
(114.1 CMR 42.00)
Friday, June 22, 2012 at 10:00 AM at
Two Boylston Street, Boston, MA 02116-4704
Before  5:00 P.M. on Monday, July 2, 2012
(Register to testify at this public hearing)
Rates for Family Stabilization Services
(114.4 CMR 14.00)
 
Friday, June 29, 2012 at 10:00 AM
Two Boylston Street, Boston, MA 02116-4704
Before  5:00 P.M. on Tuesday, July 10, 2012
(Register to testify at this public hearing)

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 HCF-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 Division of Health Care Finance and Policy, Two Boylston Street, Boston, MA 02116-4704.

 

Email Notifications

You may sign up to receive email notifications about DHCFP regulatory actions. There are four categories of regulations for which you may sign up to receive notifications: Provider Payment Rates; Data Collection and Disclosure; DHCFP 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 DHCFP 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.
 


 

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)

 

Provider Payment Rates
(by provider type)

Community Health Care Providers (Ambulatory Care) 

Abortion and Sterilization Services Provided by Freestanding Clinics (114.3 CMR 13.00)
Acquired Brain Injury Waiver and Related Services (114.3 CMR 54.00)
Adult Day Health Services (114.3 CMR 10.00)
Adult Foster Care (114.3 CMR 51.00)
Ambulance Services (114.3 CMR 27.00)
Children's Behavioral Health Services (114.3 CMR 52)
Certain Children's Behavioral Health Services(114.3 CMR 52.00)
Chiropractic Services (114.3 CMR 28.00)
Chronic Maintenance Dialysis and Home Supplies (114.3 CMR 37.00)
Clinical Laboratory Services (114.3 CMR 20.00)
Community Health Centers (114.3 CMR 4.00)
Day Habilitation Program Services (114.3 CMR 48.00)
Dental Services (114.3 CMR 14.00)
Durable Medical Equipment, Oxygen, and Respiratory Therapy Equipment (114.3 CMR 22.00)
Early Intervention Program Services (114.3 CMR 49.00)
Family Planning Services (114.3 CMR 12.00)
Freestanding Ambulatory Surgical Facilities (114.3 CMR 47.00)
Free-Standing Birth Centers (114.3 CMR 55.00)
Hearing Aid Dispensers (114.3 CMR 23.00)
Home Health Services (114.3 CMR 50.00)
Hospice Services (114.3 CMR 43.00)
Independent Living Services for the Personal Care Attendant Program (114.3 CMR 9.00)
Medicine (114.3 CMR 17.00)
Mental Health Services Provided in Community Health and Mental Health Centers (114.3 CMR 6.00)
Outpatient Tuberculosis Control Services (114.3 CMR 8.00)
Prescribed Drugs (114.3 CMR 31.00)
Primary Care Clinician Plan Services Including Pay for Performance Program (114.3 CMR 53.00)
Prostheses, Prosthetic Devices, and Orthotic Devices (114.3 CMR 34.00)
Psychological Services (114.3 CMR 29.00)
Psychiatric Day Treatment (114.3 CMR 7.00)
Radiology (114.3 CMR 18.00)
Rehabilitation Centers, Audiological Services, and Restorative Services (114.3 CMR 39.00)
Substance Abuse Programs (114.3 CMR 46.00)
Surgery and Anesthesia (114.3 CMR 16.00)
TEAM Evaluation Services (114.3 CMR 30.00)
Temporary Nursing Services (114.3 CMR 45.00)
Vision Care Services and Ophthalmic Materials (114.3 CMR 15.00)
Worker's Compensation (ambulatory care services to industrial accident patients) (114.3 CMR 40.00)

Hospitals / Nursing Homes and Rest Homes

Hospital Services Provided to Industrial Accident Patients (114.1 CMR 41.00)
Rate and Charge Determination for Certain Intermediate Care Facilities Operated by the Department of Developmental Services (114.1 CMR 29.00)
Nursing Facilities (114.2 CMR 6.00)
Resident Care Facilities (114.2 CMR 4.00)

Purchase of Service: Rates for Social Services 

Certain Elder Care Services (114.4 CMR 17.00)
Rates for Clubhouse Services (114.4 CMR 16.00)
Competitive Integrated Employment Services (114.4 CMR 10.00)
Community Based Day Support Services (114.4 CMR 15.00)
Family Stabilization Services (114.4 CMR 14.00)
Family Transitional Support Services (114.4 CMR 12.00)
Placement and Support Services (114.4 CMR 11.00)
Social, Rehabilitation, and Health Care Services (114.5 CMR 4.00)
Youth Intermediate-Term Stabilization Services (114.4 CMR 13.00)
Youth Short-Term Stabilization and Emergency Placement Services (114.4 CMR 18.00)

Data Collection and Disclosure 

Criteria and Procedures for Submission of Health Plan Data (114.5 CMR 11.00)
Disclosure of Hospital Case Mix and Charge Data (114.5 CMR 2.00)
Health Care Claims Data Release (114.5 CMR 22.00)
Health Care Claims Data Submission (114.5 CMR 21.00)
Health Insurance Responsibility Disclosure (HIRD Forms and other information) (114.5 CMR 18.00)
Hospital Financial Reports (114.1 CMR 42.00)
Payer Reporting of Total Medical Expenses and Relative Prices (114.5 CMR 23.00)
Requirement for Submission of Hospital Case Mix and Charge Data (114.1 CMR 17.00)

DHCFP Programs 

Health Safety Net Eligible Services (114.6 CMR 13.00)
Health Safety Net Payments and Funding (includes surcharge on hospital payments) (114.6 CMR 14)
Student Health Insurance (114.6 CMR 3.00)

Surcharges and Assessments

Employer Fair Share Contribution (114.5 CMR 16.00)
Employer Surcharge for State-Funded Health Costs (114.5 CMR 17.00)
Health Safety Net Payments and Funding (includes provider payments) (114.6 CMR 14)
Nursing Facility User Fee(114.5 CMR 12.00)
Pediatric Immunization Program Assessment (114.5 CMR 20.00)

 
 


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 pdf format of    114-1-17.pdf  Word doc format of    114-1-17.doc
Administrative Bulletin:
Reporting Format for the Physicians' National Provider Identifier (NPI)
(May 13, 2011 )
PDF pdf format of    1111.pdf  Word doc format of    1111.doc

Administrative Bulletin:
Requirement for the Submission of Hospital Case Mix and Charge Data
(March, 18 2010)

PDF pdf format of    1006.pdf  Word doc format of    1006.doc
Nursing and Rest Home Facility List PDF pdf format of    nursing-and-rest-home-facility-list.pdf  Excel xls format of    nursing-and-rest-home-facility-list.xls
Update for Present on Admission
(November 19, 2007)
PDF pdf format of    114-1-17-poa-letter.pdf  Word doc format of    114-1-17-poa-letter.doc
Case Mix Submissions- FAQ
(February 2, 2007)
PDF pdf format of    114-1-17-faq.pdf  Word doc format of    114-1-17-faq.doc
Submission Update
(December 19, 2006)
PDF pdf format of    114-1-17-spec-update.pdf  Word doc format of    114-1-17-spec-update.doc
Data Specifications:--------
Hospital Inpatient Discharge: Data Specifications
(May 2011)
PDF pdf format of    114-1-17-inpatient-specs.pdf  Word doc format of    114-1-17-inpatient-specs.doc  file size 1MB
Hospital Emergency Department: Data Specifications
(December 2010)
PDF pdf format of    114-1-17-ed-data-specs.pdf  Word doc format of    114-1-17-ed-data-specs.doc  file size 1MB
Hospital Emergency Department: Summary of Changes
(June 2006)
PDF pdf format of    114-1-17-ed-summary-changes.pdf  Word doc format of    114-1-17-ed-summary-changes.doc
Hospital Outpatient Observation: Data Specifications
(September 2006)
PDF pdf format of    114-1-17-ooa-data-specs.pdf  Word doc format of    114-1-17-ooa-data-specs.doc
Hospital Outpatient Observation: Summary of Changes
(June 2006)
PDF pdf format of    114-1-17-ooa-summary-changes.pdf  Word doc format of    114-1-17-ooa-summary-changes.doc
Previous Information/Submission Updates:--------
Informational Update to Hospital Inpatient Discharge: Payer Codes for FY10 Filing
(October 2009)
PDF pdf format of    114-1-17-payer-source-codes-2010.pdf  Word doc format of    114-1-17-payer-source-codes-2010.doc
Hospital Inpatient Discharge: Data Specifications
(October 2008)
PDF pdf format of    114-1-17-inpatient-specs-2008.pdf  Word doc format of    114-1-17-inpatient-specs-2008.doc  file size 1MB
Hospital Inpatient Discharge: Data Specifications
(September 2006)
PDF pdf format of    114-1-17-hdd-data-specs.pdf  Word doc format of    114-1-17-hdd-data-specs.doc  file size 1MB
Hospital Inpatient Discharge: Summary of Changes
(June 2006)
PDF pdf format of    114-1-17-hdd-summary-changes.pdf  Word doc format of    114-1-17-hdd-summary-changes.doc
Submission Update
(September 14, 2006)
PDF pdf format of    114-1-17-submission-update.pdf  Word doc format of    114-1-17-submission-update.doc
Hierarchy for Mapping Ethnicity
(September 14, 2006)
PDF pdf format of    114-1-17-hierarchy-ethnicity.pdf  Word doc format of    114-1-17-hierarchy-ethnicity.doc
Summary of Adopted Changes
(July 20, 2006)
PDF pdf format of    114-1-17-summary.pdf  Word doc format of    114-1-17-summary.doc
Summary of Proposed Changes
(May 11, 2006)
PDF pdf format of    114-1-17-p-summary.pdf  Word doc format of    114-1-17-p-summary.doc


114.1 CMR 29.00

Rate and Charge Determination for Certain Intermediate
Care Facilities Operated by the Department of Developmental Services
(July 1, 2011)
PDF pdf format of    114-1-29.pdf  Word doc format of    114-1-29.doc


114.1 CMR 41.00

Rates of Payment for Services Provided to Industrial
Accident Patients by Hospital
(April 1, 2009)
PDF pdf format of    114-1-41.pdf  Word doc format of    114-1-41.doc
Administrative Bulletin:
Publication of Payment on Account Factors for Hospital Services
(July 1, 2011)
PDF pdf format of    1112.pdf  Word doc format of    1112.doc
Acute and Non-Acute Hospital Payment on Account Factors (PAFs)
(Updated: July 2011)
PDF pdf format of    wc-paf-hospitals-07-01-11.pdf  Excel xls format of    wc-paf-hospitals-07-01-11.xls


114.1 CMR 42.00

Notice of Public Hearing
- Friday, June 22, 2012 at 10:00 AM
PDF pdf format of    114-1-42-nph.pdf  Word doc format of    114-1-42-nph.doc
Proposed Regulation
Hospital Financial Reports
(August 1, 2012)
PDF pdf format of    114-1-42-p.pdf  Word doc format of    114-1-42-p.doc
Hospital Financial Reports
(February 15, 2011)
PDF pdf format of    114-1-42.pdf  Word doc format of    114-1-42.doc
Administrative Bulletin 12-02:
- Hospital Licensed Health Center Cost Reports
(January 13, 2012)
PDF pdf format of    12-02.pdf  Word doc format of    12-02.doc
Administrative Bulletin 11-17
- Regarding hospital reporting of bad debt
(December 15, 2011)
PDF pdf format of    1117.pdf  Word doc format of    1117.doc
New Hospital Cost Reporting Requirements (due on February 1, 2012)  
- The Hospital Costs Data Specification Manual PDF pdf format of    114-1-42-dataspecmanual-121411.pdf  Word doc format of    114-1-42-dataspecmanual-121411.doc
- Hospital Cost Reporting FAQs PDF pdf format of    114-1-42-hospital-cost-reporting.pdf  Word doc format of    114-1-42-hospital-cost-reporting.doc
- Hospital Cost filing template Excel xls format of    114-1-42-file-layout-example.xls   
- Webinar Presentation PPT ppt format of    114-1-42-webinar-presentation.ppt   
Administrative Bulletin:
FY2010 Hospital Licensed Health Center Cost Reports
PDF pdf format of    1109.pdf  Word doc format of    1109.doc
INET Web Application User Guide - Uploading and Downloading Non-Confidential Submission Reports
114.1 CMR 42.00: Hospital Financial Reporting
PDF pdf format of    114-1-42-inet-guide.pdf  Word doc format of    114-1-42-inet-guide.doc
link to: DHCFP-INET Online Reporting System Information--------


114.2 CMR 4.00

Resident Care Facilities: Rest Homes
(December 1, 2007)
PDF pdf format of    114-2-4.pdf  Word doc format of    114-2-4.doc
Administrative Bulletin 12-01:
Extension of Cost Report Due Dates
(January 6, 2012)
PDF pdf format of    12-01.pdf  Word doc format of    12-01.doc
Link to: Resident Care Facility Reports--------


114.2 CMR 6.00

Standard Payments to Nursing Facilities
September 1, 2011
PDF pdf format of    114-2-6.pdf  Word doc format of    114-2-6.doc
Certified Nursing Facility Rates
- 2011
PDF pdf format of    114-2-6-nursing-facilities-rates.pdf  Excel xls format of    114-2-6-nursing-facilities-rates.xls
Administrative Bulletin 12-01:
Extension of Cost Report Due Dates
(January 6, 2012)
PDF pdf format of    12-01.pdf  Word doc format of    12-01.doc
Link to:   Nursing Facility Reporting--------


114.3 CMR 4.00

Current Regulation
Rates for Community Health Centers
(July 1, 2009)
PDF pdf format of    114-3-4.pdf  Word doc format of    114-3-4.doc
Previous Regulation
Rates for Community Health Centers
(February 7, 2009)
PDF pdf format of    114-3-4-emerg-2-7-09.pdf  Word doc format of    114-3-4-emerg-2-7-09.doc


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 pdf format of    114-3-6.pdf  Word doc format of    114-3-6.doc


114.3 CMR 7.00

Psychiatric Day Treatment Center Services
(January 1, 2008)
PDF pdf format of    114-3-7.pdf  Word doc format of    114-3-7.doc


114.3 CMR 8.00

Outpatient Tuberculosis Control Services
(November 1, 2011)
PDF pdf format of    114-3-8.pdf  Word doc format of    114-3-8.doc


114.3 CMR 9.00

Independent Living Services for the Personal Care Attendant Program
(January 1, 2008)
PDF pdf format of    114-3-9.pdf  Word doc format of    114-3-9.doc
Administrative Bulletin:
Update to the Personal Care Attendant Wage and Employer Expense Component Rates
(July 1, 2008)
PDF pdf format of    0814.pdf  Word doc format of    0814.doc
Administrative Bulletin:
Update to the Employer Expense Component Rates
(April 6, 2008)
PDF pdf format of    0801.pdf  Word doc format of    0801.doc


114.3 CMR 10.00

Adult Day Health Services
(November 1, 2007)
PDF pdf format of    114-3-10.pdf  Word doc format of    114-3-10.doc
Administrative Bulletin:
Supplemental Codes
(November 15, 2009)
PDF pdf format of    0918.pdf  Word doc format of    0918.doc
Administrative Bulletin:
Revisions to Cost Report Due Dates
(November 1, 2008)
PDF pdf format of    0813.pdf  Word doc format of    0813.doc


114.3 CMR 12.00

Family Planning Services
(January 1, 2008)
PDF pdf format of    114-3-12.pdf  Word doc format of    114-3-12.doc


114.3 CMR 13.00

Rates for Freestanding Clinics Providing Abortion and Sterilization Services
(April 1, 2010)
PDF pdf format of    114-3-13.pdf  Word doc format of    114-3-13.doc


114.3 CMR 14.00

Dental Services
(January 22, 2011)
PDF pdf format of    114-3-14.pdf  Word doc format of    114-3-14.doc


114.3 CMR 15.00

Vision Care Services and Ophthalmic Materials
(March 1, 2008)
PDF pdf format of    114-3-15.pdf  Word doc format of    114-3-15.doc
Administrative Bulletin:
CPT/HCPCS 2009 Coding Updates
(January 1, 2009)
PDF pdf format of    0903.pdf  Word doc format of    0903.doc


114.3 CMR 16.00

Surgery and Anesthesia Services
(January 1, 2011)
 
PDF pdf format of    114-3-16.pdf  file size 1MB
 
Word doc format of    114-3-16.doc  file size 10MB
 
Administrative Bulletin 12-11:
CPT/HCPCS 2012 Coding Update Rate Correction
PDF pdf format of    1211.pdf  Word doc format of    1211.doc
Administrative Bulletin 12-04:
CPT/HCPCS 2012 Coding Updates
PDF pdf format of    12-04.pdf  Word doc format of    12-04.doc
Administrative Bulletin: 11-19
Anesthesia Services
PDF pdf format of    11-19.pdf  Word doc format of    11-19.doc
Administrative Bulletin:
CPT/HCPCS 2011 Coding Updates
PDF pdf format of    1101.pdf  Word doc format of    1101.doc


114.3 CMR 17.00

Medicine
(January 1, 2011)
PDF pdf format of    114-3-17.pdf  Word doc format of    114-3-17.doc  file size 2MB
Administrative Bulletin 12-04:
CPT/HCPCS 2012 Coding Updates
PDF pdf format of    12-04.pdf  Word doc format of    12-04.doc
Administrative Bulletin: 11-19
Anesthesia Services
PDF pdf format of    11-19.pdf  Word doc format of    11-19.doc
Administrative Bulletin:
CPT/HCPCS 2011 Coding Updates
PDF pdf format of    1101.pdf  Word doc format of    1101.doc


114.3 CMR 18.00

Radiology
(January 1, 2011)
PDF pdf format of    114-3-18.pdf  Word doc format of    114-3-18.doc
Administrative Bulletin 12-11:
CPT/HCPCS 2012 Coding Update Rate Correction
PDF pdf format of    1211.pdf  Word doc format of    1211.doc
Administrative Bulletin 12-04:
CPT/HCPCS 2012 Coding Updates
PDF pdf format of    12-04.pdf  Word doc format of    12-04.doc
Administrative Bulletin: 11-19
Anesthesia Services
PDF pdf format of    11-19.pdf  Word doc format of    11-19.doc
Administrative Bulletin:
CPT/HCPCS 2011 Coding Updates
PDF pdf format of    1101.pdf  Word doc format of    1101.doc


114.3 CMR 20.00

Clinical Laboratory Services
(December 1, 2011)
PDF pdf format of    114-3-20.pdf  Word doc format of    114-3-20.doc  file size 1MB
Administrative Bulletin 12-10
Coding Updates
(Effective April 1, 2012)
PDF pdf format of    1210.pdf  Word doc format of    1210.doc
Administrative Bulletin 12-09
CPT/HCPCS 2012 Coding Updates
(January 26, 2012)
PDF pdf format of    12-09.pdf  Word doc format of    12-09.doc
Administrative Bulletin 12-05:
Updates and Corrections
(January 13, 2012)
PDF pdf format of    12-05.pdf  Word doc format of    12-05.doc


114.3 CMR 22.00

Durable Medical Equipment, Oxygen, and Respiratory Therapy Equipment
(April 1, 2010)
PDF pdf format of    114-3-22.pdf  Word doc format of    114-3-22.doc  file size 4MB
(3.7 MB)
Administrative Bulletin 12-06
HCPCS Updates and Corrections
(January 19, 2012)
PDF pdf format of    12-06.pdf  Word doc format of    12-06.doc
Administrative Bulletin 11-18
- HCPCS Updates
(December 15, 2011)
PDF pdf format of    1118.pdf  Word doc format of    1118.doc
Administrative Bulletin:
HCPCS Updates and Corrections
(October 28, 2011)
PDF pdf format of    1116.pdf    Word doc format of    1116.doc


114.3 CMR 23.00

Hearing Aid Dispensers
(January 1, 2007)
PDF pdf format of    114-3-23-p.pdf  Word doc format of    114-3-23-p.doc


114.3 CMR 27.00

Ambulance Services
(May 1, 2008)
PDF pdf format of    114-3-27.pdf  Word doc format of    114-3-27.doc
Administrative Bulletin:
Clarification of Air Ambulance Rates for Worker's Compensation Payments
(September 25, 2008)
PDF pdf format of    admin-1143-27.pdf  Word doc format of    admin-1143-27.doc


114.3 CMR 28.00

Notice of Public Hearing
- Wednesday, May 30, 2012 at 10:00 AM

PDF pdf format of    114-3-28-nph.pdf  Word doc format of    114-3-28-nph.doc

Proposed Regulation
Chiropractic Services
(June 1, 2012)

PDF pdf format of    114-3-28-p.pdf  Word doc format of    114-3-28-p.doc
Chiropractic Services
(July 1, 2005)
PDF pdf format of    114-3-28.pdf  Word doc format of    114-3-28.doc


114.3 CMR 29.00

Psychological Services
(January 1, 2008)
PDF pdf format of    114-3-29.pdf  Word doc format of    114-3-29.doc
Administrative Bulletin:
Coding Updates
(January 1, 2006)
PDF pdf format of    0513.pdf  Word doc format of    0513.doc


114.3 CMR 30.00

TEAM Evaluation Services
(July 1, 2004)
PDF pdf format of    114-3-30.pdf  Word doc format of    114-3-30.doc


114.3 CMR 31.00

Prescribed Drugs
(August 1, 2009)
PDF pdf format of    114-3-31.pdf  Word doc format of    114-3-31.doc
Administrative Bulletin:
Massachusetts Upper Limit
(November 1, 2007)
PDF pdf format of    0713.pdf  Word doc format of    0713.doc


114.3 CMR 34.00

Prostheses, Prosthetic Devices, and Orthotic Devices
(June 1, 2007)
PDF pdf format of    114-3-34.pdf  Word doc format of    114-3-34.doc  file size 1MB
 
Administrative Bulletin 12-07
HCPCS Updates and Corrections
(January 19, 2012)
PDF pdf format of    12-07.pdf  Word doc format of    12-07.doc
Administrative Bulletin:
Updated Code
(April 28, 2011)
PDF pdf format of    1110.pdf  Word doc format of    1110.doc
Administrative Bulletin:
Updated Codes
(January 21, 2011)
PDF pdf format of    1103.pdf  Word doc format of    1103.doc
Administrative Bulletin:
Updated Codes
(January 1, 2010)
PDF pdf format of    0920.pdf  Word doc format of    0920.doc
Administrative Bulletin:
Updated Codes
(May 1, 2009)
PDF pdf format of    0909.pdf  Word doc format of    0909.doc
Administrative Bulletin:
Updated Codes
(May 1, 2009)
PDF pdf format of    0905.pdf  Word doc format of    0905.doc
Administrative Bulletin:
Updated Codes
(June 1, 2008)
PDF pdf format of    0308.pdf  Word doc format of    0308.doc
Administrative Bulletin:
Updated Codes
(June 1, 2007)
PDF pdf format of    0703.pdf  Word doc format of    0703.doc


114.3 CMR 37.00

Chronic Maintenance Dialysis Treatments and
Home Dialysis Supplies
(December 1, 2011)

PDF pdf format of    114-3-37.pdf

Word doc format of    114-3-37.doc


114.3 CMR 39.00

Rehabilitation Centers Services, Audiological Services, Restorative Services
(June 1, 2011)
PDF pdf format of    114-3-39.pdf  Word doc format of    114-3-39.doc


114.3 CMR 40.00

Current Regulation
Rates for Service Under M.G.L. c. 152,
Worker's Compensation Act
(April 1, 2009)
PDF pdf format of    114-3-40.pdf  file size 3MB
(6MB)
 
Word doc format of    114-3-40.doc  file size 16MB
(16MB)
Previous Regulation
Rates for Service Under M.G.L. c. 152,
Worker's Compensation Act
(September 1, 2004)
PDF pdf format of    114-3-40-09-01-04.pdf  file size 11MB
(12MB)
Word doc format of    114-3-40-09-01-04.doc  file size 15MB
(16MB)
Administrative Bulletin:
Rates for Prescribed Drugs Under M.G.L. c. 152, Worker's Compensation Act
(November 19, 2004)
PDF pdf format of    0411.pdf  Word doc format of    0411.doc
Administrative Bulletin:
Clarification of the Computation of Partial Services Units for Restorative Services
(January 7, 2010)
PDF pdf format of    1002.pdf  Word doc format of    1002.doc


114.3 CMR 43.00

Administrative Bulletin:
Hospice Services Rate Update
Effective October 1, 2011
PDF pdf format of    1115.pdf  Word doc format of    1115.doc  file size 1MB
Hospice Services
(October 1, 2010)
PDF pdf format of    114-3-43.pdf  Word doc format of    114-3-43.doc


114.3 CMR 45.00

Temporary Nursing Services
(October 1, 2011)
PDF pdf format of    114-3-45-2011-10-01.pdf  Word doc format of    114-3-45-2011-10-01.doc
Temporary Nursing Services
(April 22, 2010)
PDF pdf format of    114-3-45.pdf  Word doc format of    114-3-45.doc


114.3 CMR 46.00

Rates for Certain Substance Abuse Programs
(effective November 1, 2011)
PDF pdf format of    114-3-46.pdf  Word doc format of    114-3-46.doc


114.3 CMR 47.00

Freestanding Ambulatory Surgical Facilities
(January 1, 2010)
PDF pdf format of    114-3-47.pdf  Word doc format of    114-3-47.doc  file size 4MB
 
Administrative Bulletin 12-08
CPT/HCPCS 2012 Coding Updates
PDF pdf format of    12-08.pdf  Word doc format of    12-08.doc
Administrative Bulletin:
CPT/HCPCS 2011 Coding Updates (January 1, 2011)
PDF pdf format of    1104.pdf  Word doc format of    1104.doc
Administrative Bulletin:
Freestanding Ambulatory Surgical Facilities procedure codes to reflect CMS changes
(January 1, 2010)
PDF pdf format of    1005.pdf  Word doc format of    1005.doc


114.3 CMR 48.00

Day Habilitation Program Services
(February 15, 2008)
PDF pdf format of    114-3-48.pdf  Word doc format of    114-3-48.doc
Administrative Bulletin:
Reporting Requirements
(August 19, 2005)
PDF pdf format of    0508.pdf  Word doc format of    0508.doc


114.3 CMR 49.00

Rates for Early Intervention Program Services
(April 1, 2012)
PDF pdf format of    114-3-49.pdf  Word doc format of    114-3-49.doc


114.3 CMR 50.00

Home Health Services
(December 1, 2008)
PDF pdf format of    114-3-50.pdf  Word doc format of    114-3-50.doc


114.3 CMR 51.00

Notice of Public Hearing
- Tuesday, February 21, 2011 at 10:00 A.M.
PDF pdf format of    114-3-51-nph.pdf  Word doc format of    114-3-51-nph.doc
Proposed Regulation
Adult Foster Care
Note: The proposed changes for the above regulation will not become effective as of Tuesday March 15, 2011, the original proposed effective date. The Division of Health Care Finance and Policy is still reviewing all comments and feedback received from stakeholders during the public comment period. The Division will issue additional updates after the review has been completed.
PDF pdf format of    114-3-51-p.pdf  Word doc format of    114-3-51-p.doc
Adult Foster Care
(May 1, 2008)
PDF pdf format of    114-3-51.pdf  Word doc format of    114-3-51.doc


114.3 CMR 52.00

Rates of Payment for Certain Children's Behavioral Health Services
(April 1, 2012)
PDF pdf format of    114-3-52.pdf  Word doc format of    114-3-52.doc


114.3 CMR 53.00

Rates of Payment for Primary Care Clinician Plan Services Including Pay for Performance Program
(October 1, 2009)
PDF pdf format of    114-3-53.pdf  Word doc format of    114-3-53.doc

114.3 CMR 54.00

Rates for Acquired Brain Injury Waiver and Related Services
(October 1, 2010)
 
PDF pdf format of    114-3-54.pdf  Word doc format of    114-3-54.doc

114.3 CMR 55.00

Freestanding Birth Center Services
(October 5, 2011)
PDF pdf format of    114_3_55.pdf  Word doc format of    114_3_55.doc


114.4 CMR 10.00

Rates for Competitive Integrated Employment Services
(July 1, 2009)
PDF pdf format of    114-4-10.pdf  Word doc format of    114-4-10.doc
Administrative Bulletin:
Extension of Transitional Payment Method
(March 25, 2011)
PDF pdf format of    1107.pdf  Word doc format of    1107.doc
Rate Development Worksheet
(April 2, 2009)
PDF pdf format of    114-4-10-rate-dev-spreadsheet.pdf  Excel xls format of    114-4-10-rate-dev-spreadsheet.xls


114.4 CMR 11.00

Rates for Certain Placement and Support Services
(October 1, 2009)
PDF pdf format of    114-4-11.pdf  Word doc format of    114-4-11.doc


114.4 CMR 12.00

Rates for Family Transitional Support Services
(July 1, 2010)
PDF pdf format of    114-4-12.pdf  Word doc format of    114-4-12.doc
 


114.4 CMR 13.00

Proposed Regulation
Payments for Youth Intermediate-Term Stabilization Services
(July 1, 2012)
PDF pdf format of    114-4-13-p.pdf  Word doc format of    114-4-13-p.doc
Notice of Public Hearing
Tuesday, January 31, 2012 at 10:00 AM  
PDF pdf format of    114-4-13-nph.pdf  Word doc format of    114-4-13-nph.doc
Payments for Youth Intermediate-Term Stabilization Services
(July 1, 2010)
PDF pdf format of    114-4-13.pdf  Word doc format of    114-4-13.doc


114.4 CMR 14.00

Notice of Public Hearing
- Friday, June 29, 2012 at 10:00 AM
PDF pdf format of    114-4-14-nph.pdf  Word doc format of    114-4-14-nph.doc

Proposed Regulation
Rates for Family Stabilization Services
(effective date: October 1, 2012)

PDF pdf format of    114-4-14-p.pdf  Word doc format of    114-4-14-p.doc
Rates for Family Stabilization Services
(effective dates: July 1, 2011 and January 1, 2012)
PDF pdf format of    114-4-14.pdf  Word doc format of    114-4-14.doc

114.4 CMR 15.00

Community Based Day Support Services
(July 1, 2012)
PDF pdf format of    114-4-15.pdf  Word doc format of    114-4-15.doc
Administrative Bulletin:
Transition Period Rates for Community Based Day Support Services
(May 17, 2012)
PDF pdf format of    1212.pdf  Word doc format of    1212.doc
 

114.4 CMR 16.00

Rates for Clubhouse Services   
(July 1, 2012)
PDF pdf format of    114-4-16.pdf  Word doc format of    114-4-16.doc
 

114.4 CMR 17.00

Rates for Certain Elder Care Services
(January 1, 2012)
PDF pdf format of    114-4-17.pdf  Word doc format of    114-4-17.doc
 


114.4 CMR 18.00

Proposed Regulation
Payments for Youth Short-Term Stabilization and Emergency Placement Services
(effective July 1, 2012)
PDF pdf format of    114-4-18-p.pdf  Word doc format of    114-4-18-p.doc
Notice of Public Hearing
- Wednesday, December 21, 2011 at 10:00 AM
PDF pdf format of    114-4-18-nph.pdf  Word doc format of    114-4-18-nph.doc


114.5 CMR 2.00

Disclosure of Hospital Case Mix and Charge Data
(July 20, 2009)
PDF pdf format of    114-5-2.pdf  Word doc format of    114-5-2.doc


114.5 CMR 4.00

Rates for Certain Social, Rehabilitation,
and Health Care Services
(January 1, 1999)
PDF pdf format of    114-5-4.pdf  Word doc format of    114-5-4.doc


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 pdf format of    114-5-10.pdf  Word doc format of    114-5-10.doc


114.5 CMR 11.00

Criteria and Procedures for The Submission of
Health Plan Data
(April 8, 2005)
PDF pdf format of    114-5-11.pdf  Word doc format of    114-5-11.doc


114.5 CMR 12.00

Nursing Facility User Fee
(September 1, 2009)
PDF pdf format of    114-5-12.pdf  Word doc format of    114-5-12.doc
Administrative Bulletin:
Nursing Facility User Fee Update
(July 1, 2010)
PDF pdf format of    1011.pdf  Word doc format of    1011.doc
Nursing Facility Class and User Fee List
(July 1, 2010)
PDF pdf format of    nf-user-fee-jul-2010.pdf  Word doc format of    nf-user-fee-jul-2010.doc
link to:  Nursing Facility 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 pdf format of    114-5-14.pdf  Word doc format of    114-5-14.doc


114.5 CMR 16.00

Determination of the Employer Fair Share Contribution
(October 1, 2009)
PDF pdf format of    114-5-16.pdf  Word doc format of    114-5-16.doc
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 pdf format of    114-5-17.pdf  Word doc format of    114-5-17.doc


114.5 CMR 18.00

Health Insurance Responsibility Disclosure (HIRD)
(April 1, 2009)
PDF pdf format of    114-5-18.pdf  Word doc format of    114-5-18.doc
HIRD Forms and Information


114.5 CMR 20.00

Pediatric Immunization Program Assessment
(February 1, 2012)
PDF pdf format of    114-5-20-emerg.pdf  Word doc format of    114-5-20-emerg.doc
Administrative Bulletin 12-03:
Pediatric Immunization Program Assessment
(January 13, 2012)
PDF pdf format of    12-03.pdf  Word doc format of    12-03.doc

 

114.5 CMR 21.00

Health Care Claims Data Submission
(July 23, 2010)
PDF pdf format of    114-5-21.pdf  Word doc format of    114-5-21.doc
Administrative Bulletin:
Health Care Payers Claims Data Submission
PDF pdf format of    1105.pdf  Word doc format of    1105.doc

Administrative Bulletin:
Health Care Claims Data Submission - claims data reporting requirements

PDF pdf format of    1015.pdf  Word doc format of    1015.doc

Administrative Bulletin:
Health Care Claims Data Submission

PDF pdf format of    1014.pdf  Word doc format of    1014.doc

 

114.5 CMR 22.00

Notice of Public Hearing
Monday, May 17, 2010
(See Public Hearing Comments)
PDF pdf format of    114-5-22-nph.pdf  Word doc format of    114-5-22-nph.doc
Health Care Claims Data Release
(July 23, 2010)
PDF pdf format of    114-5-22.pdf  Word doc format of    114-5-22.doc

 

114.5 CMR 23.00

Payer Reporting of Total Medical Expenses and Relative Prices
(effective April 1, 2011)  
PDF pdf format of    114-5-23.pdf  Word doc format of    114-5-23.doc
Additional information and materials regarding Total Medical Expenses and Relative Pricing----
link to: DHCFP-INET Online Reporting System Information----


114.6 CMR 3.00

Student Health Insurance
(June 1, 2009)
PDF pdf format of    114-6-3.pdf  Word doc format of    114-6-3.doc
Administrative Bulletin:
Consolidated Filings
(March 2011)
PDF pdf format of    1108.pdf  Word doc format of    1108.doc
Administrative Bulletin:
Mandatory Health Insurance Coverage
(July 2009)
PDF pdf format of    0912.pdf  Word doc format of    0912.doc
Outline of Changes to Student Health Insurance Regulation PPT ppt format of    114-6-3-outline-of-changes.ppt  Word doc format of    114-6-3-outline-of-changes.doc


114.6 CMR 13.00

Health Safety Net Eligible Services
(October 1, 2011)
PDF pdf format of    114-6-13.pdf  Word doc format of    114-6-13.doc
Administrative Bulletin:
Adult Dental Services - Island Hospitals
(July 22, 2011)
PDF pdf format of    1114.pdf  Word doc format of    1114.doc
Administrative Bulletin:
Submission of Acute Hospital and Community Health Center Credit and Collection Policies
(December 16, 2010)
PDF pdf format of    1017.pdf  Word doc format of    1017.doc
2010 - 2011 Credit and Collection (C&C) Policy
Cross Reference Index
PDF pdf format of    114-6-13-cross-reference-index.pdf  Excel xls format of    114-6-13-cross-reference-index.xls
Administrative Bulletin:
Health Safety Net Dental Services, MassHealth and Commonwealth Care Members
(July 1, 2010)
PDF pdf format of    hsn-dental-ab-07-01-10.pdf  Word doc format of    hsn-dental-ab-07-01-10.doc


114.6 CMR 14.00

Health Safety Net Payments and Funding
(October 1, 2011)
PDF pdf format of    114-6-14.pdf  Word doc format of    114-6-14.doc
Proposed Rates - FY12 Excel xls format of    proposedhsnfy12rates.xls  PDF pdf format of    proposedhsnfy12rates.pdf
Health Safety Net Rates for Acute Hospitals  

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