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You are Here: Home Page > Health Care Reform Act > Public Goods Pool Reporting Forms and Instructions  

Public Goods Pool Reporting Forms and Instructions

Archived Reporting Forms and Instructions (1997-2005)

• Payor/TPA
  • Annual - for electing payors designated as annual filers and electing third party administrators filing reports on behalf of such payors.
  • Monthly - for electing payors designated as monthly filers and electing third party administrators filing reports on behalf of such payors.
• Hospital
• 1% Statewide Assessment Reporting Forms and Instructions
• Comprehensive Diagnostic and Treatment Centers
• D & TC - Ambulatory Surgery Services
• Freestanding Clinical Laboratories