DHCFP Regulations
DHCFP regulations are available as both PDF and Word files for easy viewing, downloading, and printing.
Regulations (as well as any proposed regulations, bulletins, and notices) are listed in:
- Alphabetical Order (by name and service type)
- Numerical Order (by CMR number)
Alphabetical Order (by name and service type)
Numerical Order (by CMR number)
| Regulation Name (Effective Date) | Format | |
| ||
| Requirement for the Submission of Hospital Case Mix and Charge Data (October 1, 2006) | Word | |
| Update for Present on Admission (November 19, 2007) | Word | |
| Case Mix Submissions- FAQ (February 2, 2007) | Word | |
| Submission Update (December 19, 2006) | Word | |
| Data Specifications: | ---- | ---- |
| Hospital Inpatient Discharge: Data Specifications (October 2008) | Word | |
| Hospital Emergency Department: Data Specifications (September 2006) | Word | |
| Hospital Emergency Department: Summary of Changes (June 2006) | Word | |
| Hospital Outpatient Observation: Data Specifications (September 2006) | Word | |
| Hospital Outpatient Observation: Summary of Changes (June 2006) | Word | |
| Previous Information/Submission Updates: | ---- | ---- |
| Hospital Inpatient Discharge: Data Specifications (September 2006) | Word (1.5 MB) | |
| Hospital Inpatient Discharge: Summary of Changes (June 2006) | Word | |
| Submission Update (September 14, 2006) | Word | |
| Hierarchy for Mapping Ethnicity (September 14, 2006) | Word | |
| Summary of Adopted Changes (July 20, 2006) | Word | |
| Summary of Proposed Changes (May 11, 2006) | Word | |
| ||
| Proposed Regulation Rate and Charge Determination for Certain Intermediate Care Facilities for the Mentally Retarded Operated by the Department of Mental Retardation (January 1, 2009) | Word | |
| Current Regulation Rate and Charge Determination for Certain Intermediate Care Facilities for the Mentally Retarded Operated by the Department of Mental Retardation (January 1, 2007) | Word | |
| ||
| Acute Care Hospital Charges and Rates of Payment for Certain Publicly Assisted Individuals (December 1, 2007) | Word | |
| ||
| Rates of Payment for Services Provided to Industrial Accident Patients by Hospital (January 1, 2004) | Word | |
| Bulletin: Application of the Payment on Account Factor (PAF) to Hospital Charges (September 18, 2008) | Word | |
| ||
| Hospital Financial Reports (November 15, 2006) | Word | |
| Bulletin: FY07 DHCFP-403 Revisions (November 29, 2007) | Word | |
| Bulletin: Coding Updates (November 10, 2005) | Word | |
| link to: DHCFP-INET Online Reporting System Information | ---- | ---- |
| ||
| Resident Care Facilites: Rest Homes (December 1, 2007) | Word | |
| Notice: Proposed Amendments to Resident Care Facilities: Rest Homes (October 20, 2008) | Word | |
| ||
| Standard Payments to Nursing Facilities (October 1, 2008) | Word | |
| Nursing Home Rates (July 1, 2008) | Excel | |
| Bulletin: Nursing Facility Direct Care Add-On Compliance (July 13, 2007) | Word | |
| link to: Nursing Facilty Reports | ---- | ---- |
| ||
| see 114.3 CMR 50.00 | ---- | ---- |
| ||
| Rates for Community Health Centers (October 1, 2007) | Word | |
| Bulletin: Coding Updates (October 1, 2006) | Word | |
| Rates for Community Health Centers (November 1, 2004) | Word | |
| ||
| Rates of Payment for Mental Health Services Provided in Community Health Centers and Mental Health Centers (September 1, 2008) | Word | |
| ||
| Psychiatric Day Treatment Center Services (January 1, 2008) | Word | |
| ||
| Outpatient Tuberculosis Control Services (August 1, 2007) | Word | |
| ||
| Independent Living Services for the Personal Care Attendant Program (January 1, 2008) | Word | |
| Bulletin: Update to the Employer Expense Component Rates (April 6, 2008) | Word | |
| ||
| Adult Day Health Services (November 1, 2007) | Word | |
| Bulletin: Revisions to Cost Report Due Dates (November 1, 2008) | Word | |
| ||
| Family Planning Services (January 1, 2008) | Word | |
| ||
| Rates for Freestanding Clinics Providing Abortion and Steralization Services (August 1, 2007) | Word | |
| ||
| Proposed Regulation Dental Services (January 1, 2009) | Word | |
| Notice of Public Hearing Tuesday, January 6, 2009 at 10:00 a.m. | Word | |
| Current Regulation Dental Services (October 1, 2007) | Word | |
| Bulletin: Additions to Eligible Provider List for Fluoride Varnish Service (October 1, 2008) | Word | |
| ||
| Vision Care Services and Ophthalmic Materials (March 1, 2008) | Word | |
| ||
| Emergency Adopted Regulation Surgery and Anesthesia Services (December 1, 2008) | PDF (1.7 MB) | Word (4.6 MB) |
| Notice of Public Hearing Tuesday, January 13, 2009 at 10:00 a.m. | Word | |
| Previous Regulation Surgery and Anesthesia Services (July 1, 2008) | PDF (1.7 MB) | Word (4.5 MB) |
| ||
| Emergency Adopted Regulation Medicine (December 1, 2008) | Word (2.5 MB) | |
| Notice of Public Hearing Tuesday, January 13, 2009 at 10:00 a.m. | Word | |
| Previous Regulation Medicine (July 1, 2008) | Word (1 MB) | |
| ||
| Emergency Adopted Regulation Radiology | Word | |
| Notice of Public Hearing Tuesday, January 13, 2009 at 10:00 a.m. | Word | |
| Previous Regulation Radiology (July 1, 2008) | Word | |
| ||
| Clinical Laboratory Services (October 1, 2007) | Word | |
| Bulletin: Procedure Code Update (January 1, 2008) | Word | |
| Bulletin: Coding Updates (January 1, 2006) | Word | |
| Bulletin: Coding Updates (January 1, 2005) | Word | |
| ||
| Durable Medical Equipment, Oxygen, and Respiratory Therapy Equipment (July 1, 2007) | Word (1.1MB) | |
| Bulletin: HCPCS Updates and Corrections (June 1, 2008) | Word | |
| Bulletin: HCPCS Updates and Corrections (November 1, 2007) | Word | |
| Bulletin: HCPCS Updates and Corrections (October 1, 2007) | Word | |
| ||
| Hearing Aid Dispensers (January 1, 2007) | Word | |
| Hearing Aid Dispensers (October 1, 2003) | Word | |
| Bulletin: Coding Updates (January 1, 2006) | Word | |
| Bulletin: Coding Updates (January 21, 2005) | Word | |
| ||
| Podiatric Care - Effective May 15, 2005, Podiatrists are eligible providers under regulation 114.3 CMR 17.00. Please refer to that regulation now, as this regulation is in the process of being rescinded. | ||
| ||
| Ambulance Services (May 1, 2008) | Word | |
Bulletin: Clarification of Air Ambulance Rates for Worker’s Compensation Payments | Word | |
| ||
| Chiropractic Services (July 1, 2005) | Word | |
| ||
| Psychological Services (January 1, 2008) | Word | |
| Bulletin: Coding Updates (January 1, 2006) | Word | |
| ||
| TEAM Evaluation Services (July 1, 2004) | Word | |
| ||
| Prescribed Drugs (August 1, 2008) | Word | |
| Bulletin: Massachusetts Upper Limit (November 1, 2007) | Word | |
| ||
| Prostheses, Prosthetic Devices, and Orthotic Devices (June 1, 2007) | Word | |
| Bulletin: Coding Updates (June 1, 2008) | Word | |
| Bulletin: Coding Updates (June 1, 2007) | Word | |
| ||
| Chronic Maintenance Dialysis Treatments and Home Dialysis Supplies (June 1, 2007) | | Word |
| ||
| Rehabilitation Clinic Services, Audiological Services, Restorative Services (August 1, 2008) | Word | |
| ||
| Rates for Service Under M.G.L. c. 152, Worker's Compensation Act (September 1, 2004) [To download the Word file, save it to your hard drive before opening.] | PDF (3.6MB) | Word (17.4MB) |
Bulletin: Clarification of Air Ambulance Rates for Worker’s Compensation Payments | Word | |
| Bulletin: Coding Updates (November 19, 2004) | Word | |
| Acupuncture (Word) | ||
| Anesthesia Services (Word) | ||
| Chiropractic Services (Word) | ||
| Clinical Laboratory Services (Word) | ||
| Dental Services (Word) | ||
| Durable Medical Equipment, Prosthetics/Orthotics, and Supplies (DMEPOS) (Word) | ||
| Freestanding Diagnostic Facilities/Radiology (Word) | ||
| Freestanding Surgical Services/Surgery (Word) | ||
| Homemaker (Word) | ||
| Medicine (Word) | ||
| Psychology (Word) | ||
| Radiology (Word) | ||
| Rehabilitation Clinical Services, Audiological Services, Restorative Services (Word) | ||
| Surgery (Word) | ||
| ||
| Hospice Services (October 1, 2006) | Word | |
| Bulletin: Rate Update (October 1, 2007) | Word | |
| ||
| Temporary Nursing Services (May 5, 2008) | Word | |
| Temporary Nursing Services (March 1, 2008) | Word | |
| ||
| Rates for Certain Substance Abuse Programs (July 1, 2008) | Word | |
| ||
| Freestanding Ambulatory Surgical Facilities (May 1, 2006) | Word (1.5MB) | |
Bulletin: Coding Updates (February 2, 2007) | Word | |
| ||
| Day Habilitation Program Services (February 15, 2008) | Word | |
| Bulletin: Reporting Requirements (August 19, 2005) | Word | |
| ||
| Rates for Early Intervention Program Services (November 1, 2006) | Word | |
| Early Intervention Program Services (January 1, 2005) | Word | |
| ||
| Emergency Adopted Regulation Home Health Services (December 1, 2008) | Word | |
| Notice of Public Hearing Thursday January 22, 2009 at 10:00 a.m. | Word | |
| Previous Regulation Home Health Services (January 1, 2007) | Word | |
| Bulletin: Minimum Compensation Review (October 4, 2007) | Word | |
| Bulletin: Minimum Nursing Compensation Values (June 1, 2007) | Word | |
| Bulletin: Coding Updates (July 22, 2005) | Word | |
| ||
| Adult Foster Care (May 1, 2008) | Word | |
| ||
| Proposed Regulation Rates of Payment for Certain Children's Behavioral Health Services (November 1, 2008) | Word | |
| ||
| Disclosure of Hospital Case Mix and Charge Data (November 15, 2006) | Word | |
| ||
| Rates for Certain Social, Rehabilitation, and Health Care Consultant Services (January 1, 1999) | Word | |
| ||
| Criteria and Procedures for Awarding One-time Grants for Community Health Centers (January 9, 2004) | Word | |
| ||
| Criteria and Procedures for Awarding One-time Grants to Non-profit Providers of Elder Care Service (March 15, 2001) | Word | |
| ||
| Criteria and Procedures for The Submission of Health Plan Data (April 8, 2005) | Word | |
| ||
| Nursing Facility User Fee (July 1, 2006) | Word | |
| Bulletin: Nursing Facility User Fee Update (July 1, 2008) | Word | |
| link to: Nursing Facilty Reports | ---- | ---- |
| link to: DHCFP-INET Online Reporting System | ---- | ---- |
| ||
| Administration of Grants to Certain Community Health Centers (June 3, 2003) | Word | |
| ||
| Determination of the Employer Fair Share Contribution (Adopted October 1, 2008) | Word | |
| Determination of the Employer Fair Share Contribution (Effective October 1, 2006) | Word | |
| Executive Office of Labor and Workforce Development, includes an update on the Fair Share Contribution (FSC) Program and further information on and how it impacts employers. | ||
| ||
| Employer Surcharge for State-funded Health Costs (July 1, 2007) | Word | |
| Commonwealth Connector, includes a key resources section highlighting the authority's final regulations and the "Employer Handbook," a downloadable brochure for employers concerning health care reform. | ||
| ||
| Health Insurance Responsibility Disclosure (HIRD) (September 21, 2007) | Word | |
| Employer HIRD Forms | ||
| Employee HIRD Form | ||
| ||
| Proposed Regulation: Student Health Insurance (October 1, 2008) | Word | |
| Current Regulation: Student Health Insurance (August 1, 2006) | Word | |
| Bulletin: Student Health Insurance Requirement for Students Enrolled only in Short-term Courses (August 13, 2008) | Word | |
| Bulletin: Student Health Insurance Program Waiver Documentation Requirement (July 1, 2008) | Word | |
| link to: Student Health Insurance Information | ---- | ---- |
| ||
| Health Safety Net Eligible Services (October 1, 2008) | Word | |
| Bulletin: Health Safety Net Eligible Services Credit and Collection Policy Cross Reference Index (October 1, 2008) -- Cross Reference Index (PDF) | Excel | Word | |
| Bulletin: Deadline Extended for Submission of Acute Hospital and Community Health Center Credit and Collection Policies (August 5, 2008) | Word | |
| Bulletin: Refunding Health Safety Net Copayments for Medical Services (July 7, 2008) | Word | |
| Bulletin: Patient Copayment Effective Date Change (December 11, 2007) | Word | |
| ||
| Health Safety Net Payments and Funding (October 1, 2008) | Word | |
This information is provided by the Division of Health Care Finance and Policy.