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 8.06 - Other Provisions

Universal Citation: 957 MA Code of Regs 957.8

Current through Register 1531, September 27, 2024

(1) Administrative Bulletins. CHIA may issue Administrative Bulletins to clarify its policies and procedures under 957 CMR 8.00. CHIA may also issue Administrative Bulletins to specify or amend data and information required to be submitted; to specify or amend the procedures for submitting data and information; and to specify or amend the time frames for submitting data and information.

(2) Data Submission Guide. CHIA may prepare a Data Submission Guide which specifies data submission requirements including, but not limited to, required fields, file layouts, file components, edit specifications, instructions and other technical specifications.

(3) Penalties. CHIA will provide written notice to Payers and Hospitals that fail to comply with the reporting deadlines established in 957 CMR 8.00.

(a) CHIA will notify Payers and Hospitals that failure to respond within two weeks of the written notice, without just cause, may result in penalties. In accordance with M.G.L. c. 12C, §11, Payers and Hospitals may be subject to a penalty of up to $1,000 per week for each week that they fail to provide the required health care data and information, up to an annual maximum of $50,000.

(b) Any remedy available under 957 CMR 8.07(3) is in addition to other sanctions and penalties that may apply under the provisions of other statutes and regulations.

(c) Payers and Hospitals that fail to comply with the requirements of 957 CMR 8.00 will be subject to all penalties and remedies allowed by law and CHIA will take all necessary steps to enforce 957 CMR 8.07(3) including a petition to the Superior Court for an order enforcing the same.

(d) Voluntary submitters pursuant to 957 CMR 8.03(2)(c) shall not be subject to penalties.

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