Code of Massachusetts Regulations
957 CMR - CENTER FOR HEALTH INFORMATION AND ANALYSIS
Title 957 CMR 8.00 - All Payer Claims Database (apcd) And Case Mix And Charge Data Submission
Section 8.04 - Data Submission Procedures
Current through Register 1531, September 27, 2024
(1) General. Payers and Hospitals shall submit data and information to CHIA in accordance with the procedures provided in 957 CMR 8.00, a Data Submission Guide, or an Administrative Bulletin.
(2) Data Submission Guide. CHIA will issue a Data Submission Guide which sets forth the required data file format, record specifications, data elements, definitions, code tables and edit specifications for health care data and information submitted by Payers and Hospitals.
(3) Data Submission Administrative Bulletins. CHIA may issue an Administrative Bulletin which specifies filing requirements and data specifications for data and information submitted by Payers and Hospitals. CHIA also may amend the filing requirements and data specifications, including filing deadlines, by Administrative Bulletin.
(4) Amended Data Submissions. Payers and Hospitals may amend data submissions subject to the approval of CHIA upon notice of the proposed changes and the reasons for such changes. Amended data submissions shall be made in accordance with the procedures provided in a Data Submission Guide, or an Administrative Bulletin.
(5) Data Review and Verification. If necessary, Payers and Hospitals may be required to review and verify certain data and information previously submitted. CHIA will notify Payers and Hospitals of when such data and information must be reviewed and verified and will provide to applicable Payers and Hospitals such health care data and information, or summary reports of such data and information, for review and verification.
(6) Mergers. Payers and Hospitals must submit data for newly merged facilities in accordance with Data Submission Guides. CHIA must approve organizational reporting structure changes prior to implementation. The Payers and Hospital must notify CHIA in writing as to any organization ID change, for approval, prior to a data submission.
