MedicaidAdministrativeMedium impact
All Provider Bulletin 404: Administrative and Billing Regulations – Reinforcing Sanctioning Process for ”Past Due” Cost Reports
MassHealth·MA · Geriatrics, Physical Therapy, Occupational Therapy·Claims & Billing
Effective date
Jul 1, 2025
We identified it
Jun 18, 2026
Summary
MassHealth has implemented a new sanctioning process for providers who fail to submit required annual cost reports on time. Providers will face fines of $100 per day (up to $5,000 maximum) for late submissions of cost reports for specific long-term care services.
Action Required
Immediately: Providers offering Continuous Skilled Nursing, Home Health, Adult Day Health, Adult Foster Care, or Group Adult Foster Care services must ensure timely submission of annual cost reports to CHIA by assigned due dates. Set up calendar reminders and tracking system to avoid $100/day penalties (up to $5,000). Contact CHIA at Costreports.Pricing@chiamass.gov for cost report questions and timelines.