Registration of Provider Organizations

Program Overview

The Massachusetts Registration of Provider Organizations (MA-RPO) Program is a first-in-the-nation program that increases transparency of provider structure and performance, tracks changes in the healthcare market over time, and provides researchers, policymakers, market participants, and the public with access to the resulting dataset.

The MA-RPO Program is guided by the following principles: administrative simplification, avoiding duplicative data requests through ongoing coordination with other state agencies, balancing the importance of collecting data elements with the potential burden to Provider Organizations, and phasing in the types of information that Provider Organizations must report over time.

The MA-RPO Program was established through Chapter 224 of the Acts of 2012, An Act Improving the Quality of Health Care and Reducing Costs Through Increased Transparency, Efficiency and Innovation. The law directed the HPC to develop and administer a registration program for Provider Organizations, through which entities would submit information on their organizational and operational structure and governance. The law also required Provider Organizations to complete an annual filing with the Center for Health Information and Analysis (CHIA). To streamline the administration of the program, in 2017 the HPC and CHIA created a single program that incorporates the required data elements for both the HPC and CHIA. Under the MA-RPO Program, a Provider Organization will submit an annual filing to the Commonwealth, which will satisfy its obligations under the law.  

Provider Organizations interested in receiving program updates and notifications about the MA-RPO Program can use this link to be added to our mailing list.

MA-RPO Program Regulations

The MA-RPO Program is governed by two regulations: one issued by the HPC and one issued by CHIA.

The HPC’s regulation implements M.G.L. c. 6D §11 and §12 and creates the framework for Provider Organization registration, including applicability, registration and reporting processes, and specifies the type of information that will be collected by the Commission upon registration. The HPC’s regulation took effect on July 18, 2014.

Final Registration of Provider Organization Regulation    

CHIA’s regulation implements M.G.L. c. 12C § 9 and describes the annual reporting requirements for Provider Organizations. The regulation, effective March 10, 2017, is available here.

2018 Filing

To complete the 2018 filing, Provider Organizations must review and update the data that they submitted in the 2017 filing to reflect their structures and relationships as of January 1, 2018. Provider Organizations will also submit updated Financial Statements and Physician Roster files as file attachments to their materials. Templates for each of these files are available in the Forms section of the 2018 Filing page. There are no new files as part of the 2018 filing.

Program staff will email Provider Organizations when the 2018 online submission platform is live. The 2017 online submission platform is still live and can be accessed at the following link: https://chiasubmissions.chia.state.ma.us.

2018 filing materials are due by Tuesday, July 31, 2018 at 5:00 PM. For more information on the 2018 filing requirements, please see the 2018 Filing tab on the left hand side of the page.

 

Public Comments on Proposed Updates to the 2018 Filing Requirements

In Fall 2017, the MA-RPO program proposed replacing a data element in the Facilities file to better capture information about facility fees paid to the provider organization, and adding Nurse Practitioners (NP), Physician Assistants (PA), and Certified Nurse Midwives (CNM) to the Provider Roster. The full description of the Proposed 2018 Updates is available here.

The MA-RPO Program received comments from nine organizations during the public comment period regarding the 2018 DSM. Each comment is available in full at the links below.

 

Based on the comments received and subsequent discussions with end users, no new categories of information are required to be reported for the 2018 filing. However, the MA-RPO Program expects to require additional information regarding facility fees and advance practice providers in the future.

 

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