View Rule

View EO 12866 Meetings Printer-Friendly Version     Download RIN Data in XML

HHS/CMS RIN: 0938-AT38 Publication ID: Spring 2020 
Title: Adoption of Standards for Health Care Attachments Transactions, Acknowledgments Transactions, Electronic Signatures, and Modification to Referral Certification and Authorization Standard (CMS-0053) 
Abstract:

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

 
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: Undetermined 
EO 13771 Designation: Regulatory 
CFR Citation: 45 CFR 160    45 CFR 162   
Legal Authority: 42 U.S.C. 1320d-1 to 1320d-4   
Legal Deadline:  None
Timetable:
Action Date FR Cite
NPRM  09/00/2020 
Regulatory Flexibility Analysis Required: Undetermined  Government Levels Affected: Federal, State 
Small Entities Affected: Businesses, Governmental Jurisdictions  Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Daniel Kalwa
Policy Advisor
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Office of Information Technology, MS: C3-09-27, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-1352
Email: daniel.kalwa@cms.hhs.gov