I will be out of the office until July 8, 2002.  If you need assistance before I 
return, please contact one of the following individuals:

For general assistance, Leslie Long ([EMAIL PROTECTED]).

For Project Liberty, April Naturale ([EMAIL PROTECTED]) or Laura Payack 
([EMAIL PROTECTED]).

For the Bureau of Data Management, Analysis and Reporting, 
Kevin Conley ([EMAIL PROTECTED]).

For the Bureau of Evaluation and Targeted Studies, Blair Maddy 
([EMAIL PROTECTED]).

For the Bureau of Evidence Based Medicine, Molly Finnerty, ([EMAIL PROTECTED]).



>>> transactions 06/22/02 15:07 >>>

Greg,
 
In the scenario you describe, where the Medicaid agency gives the POS device to the 
provider, this is almost certainly DDE. This determination is not based on the kind of 
communication connection, it is based on the fact that your device operates as a 
"terminal" on the payer's network.
 
There is a lot of uncertainty about exactly what is DDE now, but if your POS system 
has a central controller on the provider's premises that stores and forwards 
transactions, or if the device does this itself, it would almost certainly not be DDE. 
If that were true you would be obligated to use the EDI standards unless your 
communication went through a clearinghouse to get to the payer. 
 
I have heard that some Medicaids are creating business associate agreements with other 
state agencies to serve as clearinghouses. If your device was employed in such a 
state, the requirement to use the EDI standard would be relieved, although you would 
still have to provide enough content that the clearinghouse can convert the data into 
standard format.
 
Wes Rishel 
Board Chair, Health Level 7 
Vice President, Research Director 
Gartner Research, Healthcare 
Alameda, CA 


 
-----Original Message-----
From: Greg McFaul [mailto:[EMAIL PROTECTED]]
Sent: Friday, June 21, 2002 9:55 AM
To: [EMAIL PROTECTED]
Subject: FW: Transaction Question




Hello.  

 Perhaps this is not the place to pose this question; however, could anyone advise. 

 I am a new subscriber to SNIPS.  And I apologize in advance if these questions have 
been raised prior, or outside this group domain.  But I do appreciate any and all 
comments regarding these questions.

 Our company manufactures Point of Sales (POS) that many clearinghouses and State 
Medicaids use to deliver Eligibility and other health care and non health care 
transactions.

 It seems that there are two ways a POS could deliver HIPAA X12 transactions:

 
1)  From  the POS device, deliver to the host HIPAA compliant transaction set as 
defined by X12
 
2) Since these devices utilize a Private Network (dial-up to a host or Clearinghouse), 
non HIPAA standard.  I understand this would constitute a DDE device.
 
Is this correct for?
 
 
2nd question:
 
Say I am a State Medicaid and I provide POS device to the Medicaid providers - either 
direct or through a MMIS prime contractor.  Do  the POS device, that are partially 
funded by the State and most like via the Feds, have to comply with HIPAA from the 
device to the host?  
Thanks, 


Greg R. McFaul
VeriFone, Inc.
* Office: (509) 458-5672




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represent the views of the individual participants, and do not necessarily represent 
the views of the WEDI Board of Directors nor WEDI SNIP.  If you wish to receive an 
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