Information for Data Submitters: Ambulance and Wheelchair Van Cost Reports

The Center for Health Information and Analysis (CHIA) is now collecting the fiscal year (FY) 2024 Ambulance and Wheelchair Van Cost Report from ambulance and wheelchair van providers. CHIA collects cost reports pursuant to regulation 957 CMR 6.00. The reports are used by CHIA and other public entities for monitoring costs and for health care payment policy development.

Reminders

• All non-municipal ground ambulance providers providing services in Massachusetts in FY 2024 are required to submit either the partial or full FY 2024 Ambulance Cost Report no later than July 9th, 2025.
  
  
• Tab 7. Revenue: All Massachusetts ground ambulance revenue should be reported in this section, split out by advanced life support (ALS) emergency and non-emergency revenue and basic life support (BLS) emergency and non-emergency revenue. All revenue should be reported net of bad debt, charity care, and payer discounts.
  
  

Non-municipal ambulance and wheelchair van providers are required to submit the FY 2024 Ambulance and Wheelchair Van Cost Report. Providers that earned more than $100,000 from MassHealth for services provided in FY 2024 are required to submit the full cost report via CHIA Submissions as well as submit financial statements by email to data@chiamass.gov.

Providers that earned less than $100,000 from MassHealth for services provided in FY 2024 are only required to submit a partial cost report via CHIA Submissions. Please see the Cost Report Instructions for more information.

A complete submission includes the following:

• Completed FY 2024 Ambulance and Wheelchair Van Cost Report
• FY 2024 Financial Statements
  
  

Municipal providers are exempt from filing the cost report.

To be considered exempt from completing the full cost report, a provider must claim an exemption using the FY 2024 Ambulance Cost Report Exemption Request Form, available as a Word document in the resources box above. Email the completed form to data@chiamass.gov.

The cost report and financial statements, if applicable, are due no later than July 9, 2025.

Links to instruction documents are posted at the top of this webpage. Please read all instructions carefully.

If you have questions, please email the Pricing Cost Reports Help Desk at CostReports.Pricing@chiamass.gov with the following information in the subject line of your email:

1. Name of the agency with MassHealth ID#
2. Name of the report you are asking about
3. Cost Report reporting year

Subject Line example: Question on FY 2024 Ambulance Cost Report – ABC agency, ID# 123456789A