0938-AT38 202204 Unified Agenda of Federal Regulatory and Deregulatory Actions 0938 Centers for Medicare & Medicaid Services CMS 0900 Department of Health and Human Services HHS Administrative Simplification: Adoption of Standards for Health Care Attachment Transactions and Electronic Signatures, and Modification to Referral Certification and Authorization Standard (CMS-0053)

This rule proposes new standards for health plans and providers to support both health care claims and prior authorization transactions, and standards for electronic signatures to be used in conjunction with health care attachments transactions.  This rule also proposes to adopt a modification to the standard for the referral certification and authorization transaction.  Additionally, this rule proposes a regulatory change that would implement requirements of the Administrative Simplification subtitle of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and the Patient Protection and Affordable Care Act (Pub. L. 111-148), as amended by the Health Care and Education Reconciliation Act of 2010 (Pub. L. 111-152), enacted on March 30, 2010, (collectively, the ACA).

]]> Economically Significant Previously Published in The Unified Agenda Long-Term Actions Yes State, local, or tribal governments Private Sector 45 CFR 160 45 CFR 162 42 U.S.C. 1320d-1 to 1320d-4 No NPRM 12/00/2023 No Federal State Yes 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