# Administrative Simplification: Modifications of Health Insurance Portability and Accountability Act of 1996 (HIPAA) National Council for Prescription Drug Programs (NCPDP) Retail Pharmacy Standards; and Modification of the Medicaid Pharmacy Subrogation Standard; Delay of Effective Date
> **Centers for Medicare and Medicaid Services** · Final rule; delay of effective date. · Published 2025-02-11 · Effective 2025-04-14 · 90 FR 9289
## Document
- **Document number:** 2025-02511
- **Category:** medicaid
- **Sub-agency:** Centers for Medicare and Medicaid Services
- **Federal Register citation:** 90 FR 9289
- **CFR reference:** 45 CFR 162
- **Publication date:** 2025-02-11
- **Effective date:** 2025-04-14
- **HHS docket:** CMS-0056-F2
## Abstract

In accordance with the Presidential memorandum of January 20, 2025, titled "Regulatory Freeze Pending Review," the effective date of the final rule titled "Administrative Simplification: Modifications of Health Insurance Portability and Accountability Act of 1996 (HIPAA) National Council for Prescription Drug Programs (NCPDP) Retail Pharmacy Standards; and Modification of the Medicaid Pharmacy Subrogation Standard" is delayed until April 14, 2025. That final rule adopted updated versions of the retail pharmacy standards for electronic transactions adopted under the Administrative Simplification subtitle of HIPAA, which constitute modifications to the adopted standards for the following retail pharmacy transactions: health care claims or equivalent encounter information; eligibility for a health plan; referral certification and authorization; and coordination of benefits. It also adopted a modification to the standard for the Medicaid pharmacy subrogation transaction.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2025/02/11/2025-02511/administrative-simplification-modifications-of-health-insurance-portability-and-accountability-act)
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