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HHS/CMS RIN: 0938-AS01 Publication ID: Fall 2013 
Title: ●Adoption of Operating Rules for HIPAA Transactions(CMS-0036-IFC) 
Abstract: Under the Affordable Care Act, this interim final rule adopts operating rules for HIPAA transactions for health care claims or equivalent encounter information, enrollment and disenrollment of a health plan, health plan premium payments, and referral certification and authorization. 
Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: First time published in the Unified Agenda Agenda Stage of Rulemaking: Final Rule Stage 
Major: Yes  Unfunded Mandates: No 
CFR Citation: 42 CFR 160    42 CFR 162   
Legal Authority: PL 104-191, sec 1104   
Legal Deadline:
Action Source Description Date
Final  Statutory  Statute requires operating rules be adopted by July 1, 2014 and effective January 1, 2016.  07/01/2014 
Timetable:
Action Date FR Cite
Interim Final Rule  06/00/2014 
Regulatory Flexibility Analysis Required: Yes  Government Levels Affected: State 
Small Entities Affected: Businesses  Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: Yes 
Agency Contact:
Geanelle Herring
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Office of Burden Reduction and Health Informatics, MS: S2-26-17, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-4466
Email: geanelle.herring@cms.hhs.gov