HIPAA Administrative Simplification Requirements Change Management Process Evolutionary NOT Revolutionary HIPAA Requirements will continue to evolve !

Change Request Coordination ? 3 ANSI Standards Organizations 3 Data Content Committees DHHS / NCVHS Memorandum of Understanding X12 HL7 NCPDP NUCC NUBC DeCC DHHS NCVHS

MOU Guiding Principals 1.Public Access – Single Point of Entry 2.Timely Review of Change Requests 3.Cooperation and Communications 4.Consider All Viewpoints 5.Evaluate Impact of Change Requests 6.Maintain a National Perspective 7.Conform to Legislation

Implementation Guide / Data Content Change Requests Change Request System (CRS) NCPDPNUBCNUCCADAX12HL7 90 Days to develop organizational Recommendation (1 – 45 day extension if needed) HL7NCPDPX12 Web Request Form Web Request Form Work Request Tracking System NCPDPNUBCNUCCADAX12HL7 10 Business Days to Express Interest Approved Changes Approved Changes Approved Changes

Next Steps… Annually, DSMO Steering Committee will provide NCVHS with a change summary & Recommendations. NCVHS Reviews & Provides Recommendations to HHS HHS – Initiate the HIPAA rule modifications accordingly – Federal Rulemaking process if required NPRM 60 Day Public Comment Period Response to Comments Publish Final Rule –Include a compliance date for changes to standards –Cannot be less than 180 days

Web Site Information HIPAA Change Request System – Accredited Standards Committee X12 – Dental Content Committee of the ADA –(tbd) Health Level Seven – National Council for Prescription Drug Programs – National Uniform Billing Committee – National Uniform Claim Committee – US Department of Health and Human Services – National Committee on Vital and Health Statistics –