MA APCD Application Documents

APCD Fee Schedule

• Administrative Bulletin 17-06 - All-Payer Claims Data Fee Schedule (PDF) | Word
  (Effective January 1, 2018) 

Data Use Agreement for All Protect Health Information (PHI)

• Data Use Agreement (PDF) | Word
• Please watch a short video, Data Use Obligations of Recipients of CHIA Data, intended for researchers holding and using CHIA confidential data.

Data Management Plan for Use of CHIA Data

• Data Management Plan (PDF) | Word

Application Materials for Government Entities Requesting APCD Data:

• APCD Request Form: Governmental Entity (PDF) | Word
• APCD Government Data Specification Workbook (Excel)
• Medicare Request Form (Excel)
• Medicare Addendum to Data Use Agreement (PDF) | Word
• Medicaid Acknowledgement of Conditions (PDF) | Word

Application Materials for Non-Government Entities Requesting APCD Data:

• Non-Government Request Form (PDF) | Word
• APCD Non-Government Data Specification Workbook (Excel)
• Fee Remittance or Fee Waiver Request Form (PDF) | Word
• Non-Governmental Application for Re-Use APCD Data (PDF) | Word
• Medicaid Acknowledgement of Conditions (PDF) | Word

Please Note:

CHIA accepts applications from providers, payers, researchers and other government entities for use of the APCD in public policy research. Although infrequent, CHIA has received several applications from market participants requesting the payment data of their competitors.  

CHIA is currently developing a transparency agenda that, as envisioned, would make publicly available without application unprecedented levels of procedure pricing data. While developing this transparency agenda in consultation with providers, payers, researchers, and other government agencies, CHIA has acknowledged an open question around how much pricing information can be released without deleterious effects on the Massachusetts health care market.

CHIA will, therefore, temporarily suspend approval of applications for APCD data from market participants requesting the payment data of their competitors while this question is being considered.  CHIA will notify the applicant community once a final determination has been made.

Note: Case Mix application documents are located here.