Notice Regarding Publication of Proposed Rule: Administrative Simplification: Adoption of Standards for Health Care Attachments Transactions, Acknowledgment Transactions, and Electronic Signatures, and Operating Rules for Acknowledgment Transactions, and Modification to Referral Certification and Authorization Transaction Standards (CMS 0053-P)
The National Standards Group (NSG), on behalf of the Department of Health and Human Services (HHS), has released a new Information Bulletin on the Notice of Proposed Rulemaking (NPRM) CMS-0053-P that was recently displayed in the Federal Register. The proposed rule, if finalized, would make a regulatory change that would implement requirements of the Administrative Simplification subtitle of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and the Patient Protection and Affordable Care Act (Pub. L. 111-148), as amended by the Health Care and Education Reconciliation Act of 2010 (Pub. L. 111-152), enacted on March 30, 2010 (collectively, the ACA).
The public comment period for this rule is extended to 5 p.m. ET on April 21, 2023.
For more information on the proposed rule, read the Information Bulletin, fact sheet, and press release.
Materials from the February session are available here:
- Listening Session Slides (PDF) – presentation slides from the February 2023 national call about the Adoption of Standards for Health Care Attachments Transactions, Acknowledgment Transactions, and Electronic Signatures, and Operating Rules for Acknowledgment Transactions, and Modification to Referral Certification and Authorization Transaction Standards NPRM (CMS 0053-P)
- Listening Session Transcript (PDF) – a transcript of the February 2023 listening session about the Adoption of Standards for Health Care Attachments Transactions, Acknowledgment Transactions, and Electronic Signatures, and Operating Rules for Acknowledgment Transactions, and Modification to Referral Certification and Authorization Transaction Standards NPRM (CMS 0053-P)
Materials from the January session are available here:
- Listening Session Slides (PDF) – presentation slides from the January 2023 national call about the Adoption of Standards for Health Care Attachments Transactions, Acknowledgment Transactions, and Electronic Signatures, and Operating Rules for Acknowledgment Transactions, and Modification to Referral Certification and Authorization Transaction Standards NPRM (CMS 0053-P)
- Listening Session Transcript (PDF) – a transcript of the January 2023 listening session about the Adoption of Standards for Health Care Attachments Transactions, Acknowledgment Transactions, and Electronic Signatures, and Operating Rules for Acknowledgment Transactions, and Modification to Referral Certification and Authorization Transaction Standards NPRM (CMS 0053-P)
Notice Regarding Publication of Proposed Rule: Administrative Simplification: Modification to the National Council for Prescription Drug Programs Retail Pharmacy Standards and Adoption of a New Pharmacy Subrogation Standard (CMS-0056 P)
The Department of Health and Human Services (HHS) announces the Notice of Proposed Rulemaking (NPRM) CMS-0056-P that was recently published in the Federal Register. This NPRM proposes to adopt updated Versions of the retail pharmacy standards for electronic transactions adopted under the Administrative Simplification subtitle of the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
For more information, read the Information Bulletin (PDF) or fact sheet (PDF).
Modification to NCPDP Retail Pharmacy Standards NPRM (CMS-0056 P) Listening Session
Listening Session Slides (PDF) – presentation slides from the November 2022 listening session about the Modification to NCPDP Retail Pharmacy Standards NPRM (CMS-0056 P)
Listening Session Transcript (PDF) – a transcript of the November 2022 listening session about the Modification to NCPDP Retail Pharmacy Standards NPRM (CMS-0056 P)
Administrative Simplification Basics Fact Sheets
The Centers for Medicare & Medicaid Services (CMS) National Standards Group (NSG) announces the release of a series of fact sheets explaining the basics of HIPAA Administrative Simplification transactions and code sets. The fact sheets are designed to help the health care industry understand the purpose of HIPAA adopted transactions and to explain which standards and operating rules govern each transaction.
August 2021 Enforcement Webinar
Enforcement Webinar Slides (PDF) – slides from an overview of Administrative Simplification enforcement and the tools available to help the health care industry be compliant.
Enforcement Webinar Transcript (PDF) – a transcript of the August 2021 Administrative Simplification enforcement webinar.
Enforcement Webinar Q&A (PDF) – questions and answers from the Q&A portion of the Administrative Simplification enforcement webinar.
D.0 Final Rule
The Department of Health & Human Services (HHS) announces the January 24, 2020, Federal Register publication of the Final Rule (FR) CMS-0055-F, which modifies the requirements for use of the National Council for Prescription Drug Programs (NCPDP) Telecommunication Standard Implementation Guide, Version D, Release 0, August 2007, by requiring the use of the Quantity Prescribed (460-ET) field to identify partial fills for Schedule II drugs.
For more information, read the full information bulletin on the Go-to-Info page.