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HHS/CMS RIN: 0938-AT38 Publication ID: Spring 2023 
Title: Administrative Simplification: Adoption of Standards for Health Care Attachment Transactions and Electronic Signatures, and Modification to Referral Certification and Authorization Standard (CMS-0053) 
Abstract:

This rule finalizes 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 adopts a modification to the standard for the referral certification and authorization transaction.  Additionally, this rule finalizes a regulatory change that implements 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).

 
Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Final Rule Stage 
Major: Yes  Unfunded Mandates: State, local, or tribal governments; Private Sector 
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  12/21/2022  87 FR 78438   
NPRM Comment Period End  03/21/2023 
NPRM Comment Period Extended  03/24/2023  88 FR 17780   
NPRM Comment Period Extended End  04/21/2023 
Final Action  04/00/2024 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: Federal, State 
Federalism: Yes 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Daniel Kalwa
Deputy Director, National Standards Group
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Office of Burden Reduction and Health Informatics, MS: C3-09-27, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-1352
Email: daniel.kalwa@cms.hhs.gov