Health Insurance Reform; Modifications to the Health Insurance Portability and Accountability Act (HIPAA) Electronic Transaction Standards
medicaid · Centers for Medicare and Medicaid Services · Rule · Published 2009-01-16 · Effective 2009-03-17 · 74 FR 3296
Document
Document number
E9-740
Federal Register citation
74 FR 3296
CFR reference
45 CFR 162
Type
Rule
Action
Final rule.
Category
medicaid
Sub-agency
Centers for Medicare and Medicaid Services
Publication date
2009-01-16
Effective date
2009-03-17
HHS docket
CMS-0009-F
Abstract
This final rule adopts updated versions of the standards for electronic transactions originally adopted under the Administrative Simplification subtitle of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). This final rule also adopts a transaction standard for Medicaid pharmacy subrogation. In addition, this final rule adopts two standards for billing retail pharmacy supplies and professional services, and clarifies who the "senders" and "receivers" are in the descriptions of certain transactions.