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Special notices for acute hospitalsMass.gov 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering the Hospital Key Information. Fill in the hospital name, CEO name, street address, phone number, city, state/zip, fax, and email in the designated fields.
- Next, move to the Hospital Key Representatives section. Input the key quality contact's name and position/title along with their contact details including street address, phone number, city, state/zip, fax, and email.
- Continue to fill out the RFA Manager Contact section with similar details: name, position/title, and contact information.
- For Authorized MassQEX Data Contacts, provide names and titles for each contact along with their emails and phone numbers. Ensure all fields are completed accurately.
- Finally, sign in the Key Representative Signature section and include the date signed. Remember to follow mailing instructions for submission.
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Related links
In the delivery of our care, through our research and within our communities, Mass General is committed to the well-being of our patients locally and globally.Read more
This page contains Annual notices of proposed and final agency action which describe acute hospital methodologies and rates of payment