MAKING HIPAA HAPPEN

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• MAKING HIPAA HAPPEN
• A State Viewpoint
• CMHS/CSAT TA Initiative
• December 12, 2001

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Other Unimportant Places
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A Personal History

• 1987 Medicaid Coverage
• 1989 PASRR
• 1998 HIPAA
• and other duties to be assigned by the
  director.

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HIPAA

• MHRH and Medicaid sound the alarm
• GACH concludes WIDESPREAD impact
• IMMEDIATELY establish top level statewide office
  to oversee all
• Bring players together, supply money, get
  consultants, get it DONE!
• YES!!

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Well, Actually NO

• State effort on hold
• Medicaid agency has money but consumed with their
  own interests
• Other state agencies waiting for state level
  action while fervently praying that HIPAA goes
  away
• MHRH trying to cobble something together but
  still searching for answers.

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And the simple fact, as youve heard over the
last day or so, is that in many cases there ARE
no answers to be found.
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• At your servicebut no one wants to hear about
  it!!

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• REGISTERED NURSE
•   
• Assessment (minimum 1 1/2 hours)
• X0117 119 per assessment
• Individual minimum 40-50 minute X0118 60 per
  visit
• Individual minimum 15-20 minute X0119 24 per
  visit
• Group minimum 40-50 minute
• X0120 24 per client per visit
• Medication Group 90 min.
• X0345 24 per client per visit
•  

• RN-CNS w/PRESCRIBING PRIVILEGES 
•  
• Assessment (minimum 1 1/2 hours)
• X0416 198 per assessment
• Individual minimum 40-50 minute X0417 99 per
  visit
• Individual minimum 15-20 minute X0418 38 per
  visit
• Group minimum 40-50 minute
• X0419 39 per client per visit
• Medication Group 90 min.
• X0421 39 per client per visit
•  

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• Duhhhhhhhh

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Security

• XIX agency does enterprise assessment and plans
  for remediation..for THEMSELVES.
• No locks on anything, fax machines in public
  places, clients wandering around
• My secret password repmert

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• The Bad News
• Youve got some problems.
• The Worse News
• Youre on your own!!

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The HIPAA Hippo
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Still Not TOO bad..
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Think Titanic
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Hope to be found

• HIPAA is NOT going away, although it has been
  pushed back a bit.
• It carries some REAL negative consequences if you
  dont play ball.
• And THAT is where theres some hope.

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And someday THIS guy
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Is going to turn into this guy!
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What Do States Need From The Feds?

• Simple answers to tough questions like Are we
  covered entities or arent we? Or at least a way
  to GET simple answers.
• Tools Checklists like those in the notebooks.
• Validation. How do we make the people believe?
• A way to tap Federal like XIX can.

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• CMHS, CSAT, CSAP, DS200, Block Grants,
  Infrastructure Process, TEDS, MHSIP, HIPAA need
• Clarity
• Coordination
• Cooperation

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• Questions?
• Ron Tremper
• RI Dept MHRH
• rtremper_at_mhrh.state.ri.us