Section 590-50-3 - CLINICAL DATA SET PRICESA.MaineHospital Data Sets. The price schedules and data availability for individual record level data sets derived from data submitted by all Maine-licensed hospitals are as follows: 1. Unrestricted Data Sets. | Entity Requesting Data |
| Commercial | Assessed | Non-Profit/Educational | Redistributor |
| First Year | Per | Per | Per | Per | Per | Per | Per | Per |
| Data Set | Available | Quarter | Year | Quarter | Year | Quarter | Year | Quarter | Year |
| Inpatient | 1980 | $375 | $1,300 | $202 | $697 | $185 | $650 | $1,250 | $4,325 |
| Outpatient | 1998 | $750 | $2,600 | $337 | $1,170 | $310 | $1,100 | $2,065 | $7,140 |
| Emergency Dept. | 2000 | $750 | $2,600 | $337 | $1,170 | $310 | $1,100 | $2,065 | $7,140 |
2. Restricted Data Sets. | Entity Requesting Data |
| Commercial | Assessed | Non-Profit/Educational | Redistributor |
| First Year | Per | Per | Per | Per | Per | Per | Per | Per |
| Data Set | Available | Quarter | Year | Quarter | Year | Quarter | Year | Quarter | Year |
| Inpatient | 1980 | $430 | $1,500 | $234 | $810 | $215 | $750 | $1,445 | $5,000 |
| Outpatient | 1998 | $860 | $3,000 | $387 | $1,350 | $360 | $1,250 | $2,385 | $8,250 |
| Emergency Dept. | 2000 | $860 | $3,000 | $387 | $1,350 | $360 | $1,250 | $2,385 | $8,250 |
| Practitioner Identifiers | 2000 | - | $1,500 | - | $675 | - | $625 | - | $4,125 |
B.Health Care Claims Data Set. The price schedules and data availability for individual record level data files derived from data submitted by all Maine-licensed commercial and major governmental payers related to claims paid for Maine residents are as follows: 1. Unrestricted Data Set. | Entity Requesting Data |
| Commercial | Assessed | Non-Profit/Educational | Redistributor |
| First Year | Per | Per | Per | Per | Per | Per | Per | Per |
| Data Set | Available | Quarter | Year | Quarter | Year | Quarter | Year | Quarter | Year |
| Member Eligibility | 2003 | $1,450 | $5,000 | $652 | $2,250 | $575 | $2,000 | $2,400 | $8,280 |
| Medical Claims | 2003 | $2,300 | $8,000 | $1,035 | $3,600 | $1,000 | $3,500 | $3,750 | $12,975 |
| Pharmacy Claims | 2003 | $1,000 | $3,500 | $450 | $1,575 | $360 | $1,250 | $1,600 | $5,515 |
| Dental Claims | 2003 | $1,000 | $3,500 | $450 | $1,575 | $360 | $1,250 | $1,600 | $5,515 |
2. Restricted Data Set. | Entity Requesting Data |
| Commercial | Assessed | Non-Profit/Educational | Redistributor |
| First Year | Per | Per | Per | Per | Per | Per | Per | Per |
| Data Set | Available | Quarter | Year | Quarter | Year | Quarter | Year | Quarter | Year |
| Member Eligibility | 2003 | $1,870 | $6,500 | $841 | $2,925 | $720 | $2,500 | $2,820 | $9,750 |
| Medical Claims | 2003 | $2,875 | $10,000 | $1,296 | $4,500 | $1,150 | $4,000 | $4,335 | $15,000 |
| Pharmacy Claims | 2003 | $1,220 | $4,250 | $549 | $1,912 | $500 | $1,750 | $1,850 | $6,375 |
| Dental Claims | 2003 | $1,220 | $4,250 | $549 | $1,912 | $500 | $1,750 | $1,850 | $6,375 |
| Practitioner Identifiers | 2003 | - | $3,500 | - | $1,530 | - | $1,400 | - | $5,000 |
C.Non-Hospital Ambulatory Services Data Set. The price schedules and data availability for individual record level data sets derived from data submitted by Maine-licensed non-hospital health care facilities performing specific ambulatory services: 1. Unrestricted Data Set. | Entity Requesting Data |
| Commercial | Assessed | Non-Profit/Educational | Redistributor |
| Years | Per | Per | Per | Per | Per | Per | Per | Per |
| Data Set | Available | Quarter | Year | Quarter | Year | Quarter | Year | Quarter | Year |
| Non-Hosp. Ambul. | 1990-2002 | $285 | $1,000 | $126 | $450 | $115 | $400 | $430 | $1,500 |
2. Restricted Data Set. | Entity Requesting Data |
| Commercial | Assessed | Non-Profit/Educational | Redistributor |
| Years | Per | Per | Per | Per | Per | Per | Per | Per |
| Data Set | Available | Quarter | Year | Quarter | Year | Quarter | Year | Quarter | Year |
| Non-Hosp. Ambul. | 1990-2002 | $360 | $1,250 | $162 | $562 | $140 | $500 | $540 | $1,825 |
D.Quality Data Sets. The price schedule and data availability for data sets derived from data submitted by all Maine-licensed hospitals are as follows: | Entity Requesting Data |
| Commercial | Assessed | Non-Profit/Educational | Redistributor |
| First Year | Per | Per | Per | Per | Per | Per | Per | Per |
| Data Set | Available | Quarter | Year | Quarter | Year | Quarter | Year | Quarter | Year |
| Hospital Healthcare Quality Data (CMS Measures) | 3rd Qtr 2005 | $100 | $200 | $54 | $108 | $50 | $100 | $150 | $300 |
| Nursing Sensitive Indicator Data | 2006 | $150 | $300 | $81 | $135 | $75 | $125 | $225 | $450 |
| Healthcare Associated Infection Data | 2007 | $120 | $240 | $54 | $108 | $50 | $100 | $180 | $360 |
| Care Transition Measure Data | 2008 | $120 | $240 | $54 | $108 | $50 | $100 | $180 | $360 |
E.Financial Data Sets. The price schedule and data availability for data sets derived from data submitted by all Maine-licensed hospitals are as follows: | Entity Requesting Data |
| Commercial | Assessed | Non-Profit/Educational | Redistributor |
| First Year | Per | Per | Per | Per |
| Data Set | Available | Year | Year | Year | Year |
| Hospital Standardized Template | 2004-2005 | $1950 | $877 | $819 | $6435 |
F.Price Limitations. An entity receiving any of the listed clinical data sets shall be charged the appropriate price for the data set requested. If the same entity submits an amended or new request utilizing a data set identical to a data set previously provided the entity by the MHDO within a twelve month period of time, the requesting entity shall not be required to repurchase the data set.90-590 C.M.R. ch. 50, § 3