Code of Massachusetts Regulations
114 CMR - DIVISION OF HEALTH CARE FINANCE AND POLICY
Title 114.1 CMR 39.00 - CHRONIC AND REHABILITATION PUBLICLY ASSISTED RATES OF PAYMENT AND THE FEE FOR RESIDENTIAL ALCOHOLISM TREATMENT PROGRAMS
Section 39.03 - Reporting Requirements

(a) Each hospital shall file with the Division , for each fiscal year, the following documents, within 120 of the close of its fiscal year. The RSC-403 report is to be completed in accordance with the instructions set forth therein and pursuant to requirements of 114. 1 CMR 4.00 and any pertinent administrative bulletins issued by the Division.

(b) Each hospital shall file with the Division the following documents at the beginning of each fiscal year and following each quarter that changes occur.

(c) Each hospital, when required, shall file full cost information as requested by the Division.

(d) Each hospital shall make available all books and records relating to its operation for audit, if requested by the Division.

(e) All reports, schedules, reporting forms, budget information, books and records which are filed with or made available to the Division shall be certified under pains and penalties of perjury as true, correct and accurate by the chief executive officer or financial officer of the hospital.

(f) The Division may, for cause documented in writing, extend the filing date for the submission of reports, schedules, reporting forms, budget information, books and records.

(a) All non-acute hospitals are required to submit to the Division of Health Care Finance and Policy (formerly the Rate Setting Commission) documents needed for the calculation of Medicaid rates of payment. These documents include but are not limited to the aforementioned RSC-403 cost reports and the audited financial statements. If a hospital does not submit this information in a timely fashion, as described above, such hospital may have a reduction applied to their per-diem payment rate on the day following the date the submission is due. Furthermore, this reduction shall continue to accrue in a cumulative manner of 5% for each month of non-compliance. For example, the first adjustment would equal 5%; if the requested documentation is not received for another month, the adjustment shall equal 10%. The adjustment shall not, in any case, exceed 50% of the per-diem rate. If a hospital is not in full compliance with the submission of the aforementioned information at such a time as the hospital's rate is subject to change (i.e., at the start of the new rate year, or upon commencement of an amendment that affects the per-diem rate), at no time can the new rate exceed the adjusted current rate. If, however, the new per-diem rate is less than the rate currently in effect, then the new rate will become effective and potentially subject to further adjustment.

(b) If a hospital fails to file any data, statistics or other information required under 114. 1 CMR 39.03, the Division may request the Attorney General of the Commonwealth to seek additional penalties under M.G.L. c. 118G.