Revision History Date Version Description Author 12/1/2012 3.0 Administrative Bulletin 12-01; issued 11/8/2012 M. Prettenhofer 1/25/2013 3.1 Removed Resident’ section H. Hines ‘Non-Massachusetts Increased length of ICD-CM Procedure Code fields to varchar(7) MC241 (APCD Id Code): Added option 6) ICO – Integrated Care Organization Payment Arrangement: Added option for MassHealth 5/31/13 3.1 Updated HD009 to reflect reporting period change H. Hines 5/31/13 3.1 Updated Condition on Charge Amount, K. Hines MC107 ICD Indicator Updated element submission guideline for Delegated Benefit Adminstrator OrganizationID Updated code source on Procedure Code (MC055) 10/2014 4.0 Administrative Bulletin 14-08 K. 2/2016 5.0 Administrative Bulletin 16-03 K. 2/2016 5.0 Update APCD Version Number HD009 to 5.0 K. Hines – – 2/2016 5.0 change Format/Length from 2 to 3 K. Hines 2/2016 5.0 MC245 update for VNA/Home Care K. Hines 2/2016 5.0 Add clarifying language to fields K. 2/2016 5.0 Update Cover Sheet, CHIA website and address K. Hines 2/2016 5.0 Added Enhanced Ambulatory Patient Grouping K. Hines (EAPG) (MassHealth) to MC113 Payment Arrangement Type 2/2017 6.0 Initial Version 6.0 updates K. Hines Table of Contents
Revision History Date Version Description Author 12/1/2012 3.0 Administrative Bulletin 12-01; issued 11/8/2012 M. Prettenhofer 1/25/2013 3.1 Removed ‘Non-Massachusetts Resident’ section Increased length of ICD-CM Procedure Code fields to varchar(7) MC241 (APCD Id Code): Added option 6) ICO – Integrated Care Organization Payment Arrangement: Added option for MassHealth H. Hines 5/31/13 3.1 Updated HD009 to reflect reporting period change H. Hines 5/31/13 3.1 Updated Condition on Charge Amount, MC107 ICD Indicator Updated element submission guideline for Delegated Benefit Adminstrator OrganizationID Updated code source on Procedure Code (MC055) K. Hines 10/2014 4.0 Administrative Bulletin 14-08 K. 2/2016 5.0 Administrative Bulletin 16-03 K. 2/2016 5.0 Update APCD Version Number – HD009 – to 5.0 K. Hines 2/2016 5.0 change Format/Length from 2 to 3 K. Hines 2/2016 5.0 MC245 update for VNA/Home Care K. Hines 2/2016 5.0 Add clarifying language to fields K. 2/2016 5.0 Update Cover Sheet, CHIA website and address K. Hines 2/2016 5.0 Added Enhanced Ambulatory Patient Grouping (EAPG) (MassHealth) to MC113 Payment Arrangement Type K. Hines 2/2017 6.0 Initial Version 6.0 updates K. Hines Table of Contents
v6-apcd-medical-claim-file-submission-guide-FINAL.docx