0938-AT38 201904 Unified Agenda of Federal Regulatory and Deregulatory Actions 0938 Centers for Medicare & Medicaid Services CMS 0900 Department of Health and Human Services HHS Adoption of Standards for Health Care Attachments Transactions, Acknowledgments Transactions, Electronic Signatures, and Modification to Referral Certification and Authorization Standard (CMS-0053-P)

This proposed rule would adopt standards for health care attachments transactions and electronic signatures to be used in conjunction with health care attachments transactions.  It would also adopt operating rules that require acknowledgments to be used for the eligibility for a health plan, health care claim status, and health care electronic funds transfers (EFT) and remittance advice transactions. In addition, it would adopt acknowledgments transactions standards for the health care claim status, enrollment and disenrollment in a health plan, health plan premium payments, coordination of benefits, referral certification and authorization, and health care attachments transactions.  Finally, this proposed rule would modify the standard for the referral certification and authorization transaction from ASC X12 version 5010 to ASC X12 version 6020.

]]> Economically Significant Previously Published in The Unified Agenda Proposed Rule Stage Yes Undetermined Other 45 CFR 160 45 CFR 162 42 U.S.C. 1320d-1 to 1320d-4 No NPRM 12/00/2019 Undetermined Businesses Governmental Jurisdictions Federal State No No No Daniel Kalwa Deputy Director, National Standards Group 0938 Centers for Medicare & Medicaid Services CMS 410 786-1352 daniel.kalwa@cms.hhs.gov Office of Burden Reduction and Health Informatics, MS: C3-09-27, 7500 Security Boulevard, Baltimore MD 21244