Public Hearings
Email Notifications
Regulations
Public Hearings
Links to Public Hearing Notice | Public Hearing Date, Time, and Location | Period to |
| 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 | 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)
- Data Collection and Disclosure
- DHCFP Programs
- Surcharges and Assessments
Numerical Order (by CMR number)
| 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 |
| Hospital Emergency Department: Data Specifications (December 2010) |
PDF |
Word |
| 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 |
| Hospital Inpatient Discharge: Data Specifications (September 2006) |
PDF |
Word |
| 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 |
| ||
| Rate and Charge Determination for Certain Intermediate Care Facilities Operated by the Department of Developmental Services (July 1, 2011) |
PDF |
Word |
| ||
| Rates of Payment for Services Provided to Industrial Accident Patients by Hospital (April 1, 2009) |
PDF |
Word |
| Administrative Bulletin: Publication of Payment on Account Factors for Hospital Services (July 1, 2011) |
PDF |
Word |
| Acute and Non-Acute Hospital Payment on Account Factors (PAFs) (Updated: July 2011) |
PDF |
Excel |
| ||
| 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 |
| New Hospital Cost Reporting Requirements (due on February 1, 2012) | ||
| - The Hospital Costs Data Specification Manual |
PDF |
Word |
| - Hospital Cost Reporting FAQs |
PDF |
Word |
| - Hospital Cost filing template |
Excel | |
| - Webinar Presentation |
PPT | |
| Administrative Bulletin: FY2010 Hospital Licensed Health Center Cost Reports |
PDF |
Word |
| INET Web Application User Guide - Uploading and Downloading Non-Confidential Submission Reports 114.1 CMR 42.00: Hospital Financial Reporting |
PDF |
Word |
| link to: DHCFP-INET Online Reporting System Information | ---- | ---- |
| ||
| Resident Care Facilities: Rest Homes (December 1, 2007) |
PDF |
Word |
| Administrative Bulletin 12-01: Extension of Cost Report Due Dates (January 6, 2012) |
PDF |
Word |
| Link to: Resident Care Facility Reports | ---- | ---- |
| ||
| Standard Payments to Nursing Facilities September 1, 2011 |
PDF |
Word |
| Certified Nursing Facility Rates - 2011 |
PDF |
Excel |
| Administrative Bulletin 12-01: Extension of Cost Report Due Dates (January 6, 2012) |
PDF |
Word |
| Link to: Nursing Facility Reporting | ---- | ---- |
| ||
| Current Regulation Rates for Community Health Centers (July 1, 2009) |
PDF |
Word |
| Previous Regulation Rates for Community Health Centers (February 7, 2009) |
PDF |
Word |
| ||
| Rates of Payment for Mental Health Services Provided in Community Health Centers and Mental Health Centers (July 1, 2009) |
PDF |
Word |
| ||
| Psychiatric Day Treatment Center Services (January 1, 2008) |
PDF |
Word |
| ||
| Outpatient Tuberculosis Control Services (November 1, 2011) |
PDF |
Word |
| ||
| Independent Living Services for the Personal Care Attendant Program (January 1, 2008) |
PDF |
Word |
| Administrative Bulletin: Update to the Personal Care Attendant Wage and Employer Expense Component Rates (July 1, 2008) |
PDF |
Word |
| Administrative Bulletin: Update to the Employer Expense Component Rates (April 6, 2008) |
PDF |
Word |
| ||
| Adult Day Health Services (November 1, 2007) |
PDF |
Word |
| Administrative Bulletin: Supplemental Codes (November 15, 2009) |
PDF |
Word |
| Administrative Bulletin: Revisions to Cost Report Due Dates (November 1, 2008) |
PDF |
Word |
| ||
| Family Planning Services (January 1, 2008) |
PDF |
Word |
| ||
| Rates for Freestanding Clinics Providing Abortion and Sterilization Services (April 1, 2010) |
PDF |
Word |
| ||
| Dental Services (January 22, 2011) |
PDF |
Word |
| ||
| Vision Care Services and Ophthalmic Materials (March 1, 2008) |
PDF |
Word |
| Administrative Bulletin: CPT/HCPCS 2009 Coding Updates (January 1, 2009) |
PDF |
Word |
| ||
| Surgery and Anesthesia Services (January 1, 2011) |
PDF |
Word |
| Administrative Bulletin 12-11: CPT/HCPCS 2012 Coding Update Rate Correction |
PDF |
Word |
| Administrative Bulletin 12-04: CPT/HCPCS 2012 Coding Updates |
PDF |
Word |
| Administrative Bulletin: 11-19 Anesthesia Services |
PDF |
Word |
| Administrative Bulletin: CPT/HCPCS 2011 Coding Updates |
PDF |
Word |
| ||
| Medicine (January 1, 2011) |
PDF |
Word |
| Administrative Bulletin 12-04: CPT/HCPCS 2012 Coding Updates |
PDF |
Word |
| Administrative Bulletin: 11-19 Anesthesia Services |
PDF |
Word |
| Administrative Bulletin: CPT/HCPCS 2011 Coding Updates |
PDF |
Word |
| ||
| Radiology (January 1, 2011) |
PDF |
Word |
| Administrative Bulletin 12-11: CPT/HCPCS 2012 Coding Update Rate Correction |
PDF |
Word |
| Administrative Bulletin 12-04: CPT/HCPCS 2012 Coding Updates |
PDF |
Word |
| Administrative Bulletin: 11-19 Anesthesia Services |
PDF |
Word |
| Administrative Bulletin: CPT/HCPCS 2011 Coding Updates |
PDF |
Word |
| ||
| Clinical Laboratory Services (December 1, 2011) |
PDF |
Word |
| Administrative Bulletin 12-10 Coding Updates (Effective April 1, 2012) |
PDF |
Word |
| Administrative Bulletin 12-09 CPT/HCPCS 2012 Coding Updates (January 26, 2012) |
PDF |
Word |
| Administrative Bulletin 12-05: Updates and Corrections (January 13, 2012) |
PDF |
Word |
| ||
| Durable Medical Equipment, Oxygen, and Respiratory Therapy Equipment (April 1, 2010) |
PDF |
Word (3.7 MB) |
| Administrative Bulletin 12-06 HCPCS Updates and Corrections (January 19, 2012) |
PDF |
Word |
| Administrative Bulletin 11-18 - HCPCS Updates (December 15, 2011) |
PDF |
Word |
| Administrative Bulletin: HCPCS Updates and Corrections (October 28, 2011) |
PDF |
Word |
| ||
| Hearing Aid Dispensers (January 1, 2007) |
PDF |
Word |
| ||
| Ambulance Services (May 1, 2008) |
PDF |
Word |
| Administrative Bulletin: Clarification of Air Ambulance Rates for Worker's Compensation Payments (September 25, 2008) |
PDF |
Word |
| ||
Notice of Public Hearing |
PDF |
Word |
Proposed Regulation |
PDF |
Word |
| Chiropractic Services (July 1, 2005) |
PDF |
Word |
| ||
| Psychological Services (January 1, 2008) |
PDF |
Word |
| Administrative Bulletin: Coding Updates (January 1, 2006) |
PDF |
Word |
| ||
| TEAM Evaluation Services (July 1, 2004) |
PDF |
Word |
| ||
| Prescribed Drugs (August 1, 2009) |
PDF |
Word |
| Administrative Bulletin: Massachusetts Upper Limit (November 1, 2007) |
PDF |
Word |
| ||
| Prostheses, Prosthetic Devices, and Orthotic Devices (June 1, 2007) |
PDF |
Word |
| Administrative Bulletin 12-07 HCPCS Updates and Corrections (January 19, 2012) |
PDF |
Word |
| Administrative Bulletin: Updated Code (April 28, 2011) |
PDF |
Word |
| Administrative Bulletin: Updated Codes (January 21, 2011) |
PDF |
Word |
| Administrative Bulletin: Updated Codes (January 1, 2010) |
PDF |
Word |
| Administrative Bulletin: Updated Codes (May 1, 2009) |
PDF |
Word |
| Administrative Bulletin: Updated Codes (May 1, 2009) |
PDF |
Word |
| Administrative Bulletin: Updated Codes (June 1, 2008) |
PDF |
Word |
| Administrative Bulletin: Updated Codes (June 1, 2007) |
PDF |
Word |
| ||
| Chronic Maintenance Dialysis Treatments and Home Dialysis Supplies (December 1, 2011) | Word | |
| ||
| Rehabilitation Centers Services, Audiological Services, Restorative Services (June 1, 2011) |
PDF |
Word |
| ||
| Current Regulation Rates for Service Under M.G.L. c. 152, Worker's Compensation Act (April 1, 2009) |
PDF (6MB) |
Word (16MB) |
| Previous Regulation Rates for Service Under M.G.L. c. 152, Worker's Compensation Act (September 1, 2004) |
PDF (12MB) |
Word (16MB) |
| Administrative Bulletin: Rates for Prescribed Drugs Under M.G.L. c. 152, Worker's Compensation Act (November 19, 2004) |
PDF |
Word |
| Administrative Bulletin: Clarification of the Computation of Partial Services Units for Restorative Services (January 7, 2010) |
PDF |
Word |
| ||
| Administrative Bulletin: Hospice Services Rate Update Effective October 1, 2011 |
PDF |
Word |
| Hospice Services (October 1, 2010) |
PDF |
Word |
| ||
| Temporary Nursing Services (October 1, 2011) |
PDF |
Word |
| Temporary Nursing Services (April 22, 2010) |
PDF |
Word |
| ||
| Rates for Certain Substance Abuse Programs (effective November 1, 2011) |
PDF |
Word |
| ||
| Freestanding Ambulatory Surgical Facilities (January 1, 2010) |
PDF |
Word |
| Administrative Bulletin 12-08 CPT/HCPCS 2012 Coding Updates |
PDF |
Word |
| Administrative Bulletin: CPT/HCPCS 2011 Coding Updates (January 1, 2011) |
PDF |
Word |
| Administrative Bulletin: Freestanding Ambulatory Surgical Facilities procedure codes to reflect CMS changes (January 1, 2010) |
PDF |
Word |
| ||
| Day Habilitation Program Services (February 15, 2008) |
PDF |
Word |
| Administrative Bulletin: Reporting Requirements (August 19, 2005) |
PDF |
Word |
| ||
| Rates for Early Intervention Program Services (April 1, 2012) |
PDF |
Word |
| ||
| Home Health Services (December 1, 2008) |
PDF |
Word |
| ||
| Notice of Public Hearing - Tuesday, February 21, 2011 at 10:00 A.M. |
PDF |
Word |
| 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 |
Word |
| Adult Foster Care (May 1, 2008) |
PDF |
Word |
| ||
| Rates of Payment for Certain Children's Behavioral Health Services (April 1, 2012) |
PDF |
Word |
| ||
| Rates of Payment for Primary Care Clinician Plan Services Including Pay for Performance Program (October 1, 2009) |
PDF |
Word |
114.3 CMR 54.00 | ||
| Rates for Acquired Brain Injury Waiver and Related Services (October 1, 2010) |
PDF |
Word |
114.3 CMR 55.00 | ||
| Freestanding Birth Center Services (October 5, 2011) |
PDF |
Word |
| ||
| Rates for Competitive Integrated Employment Services (July 1, 2009) |
PDF |
Word |
| Administrative Bulletin: Extension of Transitional Payment Method (March 25, 2011) |
PDF |
Word |
| Rate Development Worksheet (April 2, 2009) |
PDF |
Excel |
| ||
| Rates for Certain Placement and Support Services (October 1, 2009) |
PDF |
Word |
| ||
| Rates for Family Transitional Support Services (July 1, 2010) |
PDF |
Word |
| ||
| Proposed Regulation Payments for Youth Intermediate-Term Stabilization Services (July 1, 2012) |
PDF |
Word |
| Notice of Public Hearing Tuesday, January 31, 2012 at 10:00 AM |
PDF |
Word |
| Payments for Youth Intermediate-Term Stabilization Services (July 1, 2010) |
PDF |
Word |
| ||
| Notice of Public Hearing - Friday, June 29, 2012 at 10:00 AM |
PDF |
Word |
Proposed Regulation |
PDF |
Word |
| Rates for Family Stabilization Services (effective dates: July 1, 2011 and January 1, 2012) |
PDF |
Word |
114.4 CMR 15.00 | ||
| Community Based Day Support Services (July 1, 2012) |
PDF |
Word |
| Administrative Bulletin: Transition Period Rates for Community Based Day Support Services (May 17, 2012) |
PDF |
Word |
114.4 CMR 16.00 | ||
| Rates for Clubhouse Services (July 1, 2012) |
PDF |
Word |
114.4 CMR 17.00 | ||
| Rates for Certain Elder Care Services (January 1, 2012) |
PDF |
Word |
| ||
| Proposed Regulation Payments for Youth Short-Term Stabilization and Emergency Placement Services (effective July 1, 2012) |
PDF |
Word |
| Notice of Public Hearing - Wednesday, December 21, 2011 at 10:00 AM |
PDF |
Word |
| ||
| Disclosure of Hospital Case Mix and Charge Data (July 20, 2009) |
PDF |
Word |
| ||
| Rates for Certain Social, Rehabilitation, and Health Care Services (January 1, 1999) |
PDF |
Word |
| ||
| Criteria and Procedures for Awarding One-time Grants to Non-profit Providers of Elder Care Service (March 15, 2001) |
PDF |
Word |
| ||
| Criteria and Procedures for The Submission of Health Plan Data (April 8, 2005) |
PDF |
Word |
| ||
| Nursing Facility User Fee (September 1, 2009) |
PDF |
Word |
| Administrative Bulletin: Nursing Facility User Fee Update (July 1, 2010) |
PDF |
Word |
| Nursing Facility Class and User Fee List (July 1, 2010) |
PDF |
Word |
| link to: Nursing Facility Reports | ---- | ---- |
| link to: DHCFP-INET Online Reporting System | ---- | ---- |
| ||
| Administration of Grants to Certain Community Health Centers (June 3, 2003) |
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 | ||
| ||
| Pediatric Immunization Program Assessment (February 1, 2012) |
PDF |
Word |
| Administrative Bulletin 12-03: Pediatric Immunization Program Assessment (January 13, 2012) |
PDF |
Word |
114.5 CMR 21.00 | ||
| Health Care Claims Data Submission (July 23, 2010) |
PDF |
Word |
| Administrative Bulletin: Health Care Payers Claims Data Submission |
PDF |
Word |
Administrative Bulletin: |
PDF |
Word |
Administrative Bulletin: |
PDF |
Word |
114.5 CMR 22.00 | ||
| Notice of Public Hearing Monday, May 17, 2010 (See Public Hearing Comments) |
PDF |
Word |
| Health Care Claims Data Release (July 23, 2010) |
PDF |
Word |
114.5 CMR 23.00 | ||
| 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 |
| ||
| Health Safety Net Eligible Services (October 1, 2011) |
PDF |
Word |
| Administrative Bulletin: Adult Dental Services - Island Hospitals (July 22, 2011) |
PDF |
Word |
| Administrative Bulletin: Submission of Acute Hospital and Community Health Center Credit and Collection Policies (December 16, 2010) |
PDF |
Word |
| 2010 - 2011 Credit and Collection (C&C) Policy Cross Reference Index |
PDF |
Excel |
| Administrative Bulletin: Health Safety Net Dental Services, MassHealth and Commonwealth Care Members (July 1, 2010) |
PDF |
Word |
| ||
| Health Safety Net Payments and Funding (October 1, 2011) |
PDF |
Word |
| Proposed Rates - FY12 |
Excel |
PDF |
| Health Safety Net Rates for Acute Hospitals | ||
This information is provided by the Division of Health Care Finance and Policy.