Code of Massachusetts Regulations
114 CMR - DIVISION OF HEALTH CARE FINANCE AND POLICY
Title 114.1 CMR 41.00 - RATES OF PAYMENT FOR SERVICES PROVIDED TO INDUSTRIAL ACCIDENT PATIENTS BY HOSPITALS
Section 41.05 - Other Provisions

Current through Register 1531, September 27, 2024

(1) Administrative Bulletins. The Division may issue Administrative Bulletins to clarify its policies on and understanding of substantive provisions of 114.1 CMR 41.00, or to publish Hospital PAFs, Hospital Uniform Assessment Percentages or procedure code updates and corrections. For coding updates and corrections, the bulletin will list:

(a) new code numbers for existing codes, with the corresponding cross references between existing and new code numbers;

(b) deleted codes for which there are no corresponding new codes; and

(c) codes for entirely new services that require pricing. The Division will designate these codes to be paid by individual consideration (I.C.) under 114.1 CMR 41.04(1)(c) until appropriate rates are developed.

(2) Administrative Adjustment. The Division may correct the calculation of a Hospital's PAF if it determines there is an error in the calculation. A hospital may request that the Division correct an arithmetic, mechanical or clerical error. A Hospital may not request an Administrative Adjustment to reverse a substantive determination pursuant to 114.1 CMR 41.00. The request for an Administrative Adjustment must be received by the Division within 20 business days of the notification date of the Division's determination. The request must be in writing and contain a precise explanation of the perceived error as well as any documentation to support the request.

(3) Hospital PAFs. The Division will publish the Hospital PAFs on or by July 1st of the calendar year following the Base Year by an Administrative Bulletin.

(4) Hospital Uniform Assessment Percentage. The Division will publish the Hospital Uniform Assessment Percentage on or by October 1st of each year by an Administrative Bulletin.

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