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HHS/CMS RIN: 0938-AQ85 Publication ID: Fall 2013 
Title: Administrative Simplification: Compliance: Health Plan Certification (CMS-0037-P) 
Abstract: This proposed rule would implement provisions of the Affordable Care Act of 2010 under Administrative Simplification to certify that data and information systems are in compliance with any applicable standards and associated operating rules for electronic funds transfers, eligibility for a health plan, health claim status, and health care payment and remittance advice. 
Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: No  Unfunded Mandates: No 
CFR Citation: Not Yet Determined (To search for a specific CFR, visit the Code of Federal Regulations.
Legal Authority: PL 111-148, sec 1104 
Legal Deadline:
Action Source Description Date
Final  Statutory    12/31/2013 
Timetable:
Action Date FR Cite
NPRM  12/00/2013   
Regulatory Flexibility Analysis Required: No  Government Levels Affected: None 
Small Entities Affected: Businesses  Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Geanelle Herring
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Administrative Simplification Group, Office of E-Health Standards and Services, Mail Stop S2-26-17, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-4466
Email: geanelle.herring@cms.hhs.gov

 
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