(b) Required Data Elements. The Center will delineate required data elements in the Data Specification Manual. (3) Due Dates (a) Annual Reports. Each year, Payers must submit (1) preliminary data for the prior Calendar Year; and (2) final data for the Calendar Year for which the payer submitted preliminary data during the last reporting cycle. Payers shall allow for a claims run-out period of at least 90 days after December 31st of the previous Calendar Year. Final data should reflect at least 15 months of claims run-out. Specific deadlines will be established in the Data Specification Manual. 2.08 Compliance and Penalties The Center will provide written notice to Payers that fail to comply with the reporting deadlines established in 957 CMR 2.00. (1) The Center will notify Payers that failure to respond within two weeks of the written notice, without just cause, may result in penalties. In accordance with M.G.L. c. 12C, § 11, Payers may be subject to a penalty of up to $1,000 per week for each week that they fail to provide the required health care data and information, up to an annual maximum of $50,000. (2) Any remedy available under 957 CMR 2.08 is in addition to other sanctions and penalties that may apply under the provisions of other statutes and regulations. (3) Payers that fail to comply with the requirements of 957 CMR 2.00 will be subject to all penalties and remedies allowed by law and the Center will take all necessary steps to enforce 957 CMR 2.08, including a petition to the Superior Court for an order enforcing the same. 2.09 Administrative and Technical Information Bulletins The Center may revise the specifications or other administrative requirements from time to time by notice or Administrative Bulletin. 2.10 Severability The provisions of 957 CMR 2.00 are severable. If any provision or the application of any provision is held to be invalid or unconstitutional, such invalidity shall not be construed to affect the validity or constitutionality of any remaining provisions of 957 CMR 2.00 or the application of such provisions. REGULATORY AUTHORITY 957 CMR 2.00: M.G.L. c. 12C.
(b) Required Data Elements. The Center will delineate required data elements in the Data Specification Manual. (3) Due Dates (a) Annual Reports. Each year, Payers must submit (1) preliminary data for the prior Calendar Year; and (2) final data for the Calendar Year for which the payer submitted preliminary data during the last reporting cycle. Payers shall allow for a claims run-out period of at least 90 days after December 31st of the previous Calendar Year. Final data should reflect at least 15 months of claims run-out. Specific deadlines will be established in the Data Specification Manual. 2.08 Compliance and Penalties The Center will provide written notice to Payers that fail to comply with the reporting deadlines established in 957 CMR 2.00. (1) The Center will notify Payers that failure to respond within two weeks of the written notice, without just cause, may result in penalties. In accordance with M.G.L. c. 12C, § 11, Payers may be subject to a penalty of up to $1,000 per week for each week that they fail to provide the required health care data and information, up to an annual maximum of $50,000. (2) Any remedy available under 957 CMR 2.08 is in addition to other sanctions and penalties that may apply under the provisions of other statutes and regulations. (3) Payers that fail to comply with the requirements of 957 CMR 2.00 will be subject to all penalties and remedies allowed by law and the Center will take all necessary steps to enforce 957 CMR 2.08, including a petition to the Superior Court for an order enforcing the same. 2.09 Administrative and Technical Information Bulletins The Center may revise the specifications or other administrative requirements from time to time by notice or Administrative Bulletin. 2.10 Severability The provisions of 957 CMR 2.00 are severable. If any provision or the application of any provision is held to be invalid or unconstitutional, such invalidity shall not be construed to affect the validity or constitutionality of any remaining provisions of 957 CMR 2.00 or the application of such provisions. REGULATORY AUTHORITY 957 CMR 2.00: M.G.L. c. 12C.
957-2-proposed-reg.docx