Filed a compliance plan with the U'S' Department of Health and Human Services, Centers for Medicare - PowerPoint PPT Presentation

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Filed a compliance plan with the U'S' Department of Health and Human Services, Centers for Medicare

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A new First Health system that is HIPAA compliant will be implemented ... Nebraska Medicaid Program HIPAA status, testing schedules and other information ... – PowerPoint PPT presentation

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Title: Filed a compliance plan with the U'S' Department of Health and Human Services, Centers for Medicare


1
Nebraska Medicaid Program HIPAA Implementation
Plans
  • Filed a compliance plan with the U.S. Department
    of Health and Human Services, Centers for
    Medicare and Medicaid Services (CMS) to allow for
    an October 16, 2003 compliance
  • A Request For Proposal (RFP) for an EDI
    translator was issued and the Sybase EDI Server
    and HIPAA Toolkit products have been selected
  • Implementation plans are in progress and testing
    will begin as soon as the technical architecture
    is completed

2
Nebraska Medicaid Program HIPAA Implementation
Plans (cont.)
  • Initial testing with trading partners is
    anticipated to begin in early 2003
  • When the test environment has been established,
    current trading partners will be contacted to
    make arrangements for testing and training
  • The agency plans to follow the Strategic National
    Implementation Process (SNIP) schedule in
    implementing the transaction and code sets

3
Nebraska Medicaid Program HIPAA Implementation
Plans (cont.)
  • Nebraska Medicaid Program companion guides for
    all electronic submitters will be published prior
    to implementation
  • Pharmacy drug point of sale claims processing
    will remain with First Health Services
    Corporation
  • A new First Health system that is HIPAA compliant
    will be implemented
  • Pharmacy provider training is included in the
    implementation plans for the new system

4
Nebraska Medicaid Program HIPAA Implementation
Plans (cont.)
  • Nebraska Medicaid program staff are in the
    process of identifying national code replacements
    for local HCPCS procedure codes (e.g. W codes)
  • In many cases, national replacements are not yet
    available
  • CMS progress in establishing new codes is being
    monitored
  • Once national codes are adopted, providers will
    be notified
  • The agency efforts to comply with the privacy
    regulations are under way
  • Nebraska Medicaid Program HIPAA status, testing
    schedules and other information will be published
    on the web
  • The website is currently under construction.
    Providers will be notified of the website address
    when it is available

5
Regional HIPAA-Related Resources State Specific
Information
  • Medicare
  • CMS Regional Office VII Kansas City MO
  • 1- 816-426-5783
  • 1- 816-426-6369 Office for Civil Rights
  • NE Part A Services
  • Blue Cross and Blue Shield of Nebraska
  • http//www.bcbsneprovider.com/
  • Mutual of Omaha Insurance Company
  • http//www.mutualmedicare.com/
  • NE Part B Services
  • Blue Cross and Blue Shield of Kansas
  • http//www.nebraskamedicare.com/

6
Regional HIPAA-Related Resources State Specific
Information
  • Nebraska SNIP NE Regional HIPAA Effort
  • http//www.nesnip.org/index.htm
  • Medicaid NE Dept of Health and Human Services
  • http//www.hhs.state.ne.us/med/medindex.htm
  • NE Hospital Association
  • http//www.nhanet.org/hipaa/
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