HIPAA: Medicaid Issues

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    CMS Releases HIPAA Enforcement Activities
    Federal law requires most health plans, clearing houses, and those providers that conduct certain transactions electronically to be compliant with the HIPAA transactions standards by Oct. 16, 2002, unless they file on or before Oct. 15 for a one-year extension. Those who are not compliant and have not filed for the extension may be subject to statutory penalties. (The law gives certain small health plans until Oct. 16, 2003 to comply).

    Enforcement activities will focus on obtaining voluntary compliance through technical assistance. The process will be primarily complaint driven and will consist of progressive steps that will provide opportunities to demonstrate compliance or submit a corrective action plan. U.S. Department of Health and Human Services, Oct. 15, 2002.

    CMS provides instructions for compliance plans that will get physicians an extension on HIPAA compliance requirements
    The Centers for Medicare & Medicaid Services posted on its Web site instructions for, and a model of, a compliance plan that can be used to request more time to comply with the standards for electronic transactions and code sets. (Action, May 2002)

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