From J. David Greenberg, Senior Health Insurance Specialist, Centers for Medicare and Medicaid Services on 6/6/03: "Covered entities under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) are required to conduct covered transactions in standard form as of October 16, 2003 if they submitted a compliance plan by October 15, 2002. This has previously been interpreted to mean that State Medicaid agencies and State Child Health Insurance Programs (SCHIP) must use national Healthcare Common Procedure Coding System (HCPCS) Level I and Level II codes in lieu of local codes as of October 16, 2003.
Section 532 of the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA) authorizes the Secretary of Health and Human Services to allow the public to continue using HCPCS Level III codes through December 31, 2003. The BIPA defines "HCPCS Level III codes" as "the alphanumeric codes for local use under the Health Care Financing Administration [now Healthcare] Common Procedure Coding System (HCPCS)".
The Centers for Medicare & Medicaid Services has determined that the term, HCPCS Level III codes, as used in this BIPA provision, applies both to the codes that Medicare has approved for local contractor use and to the local codes that state Medicaid agencies and SCHIP programs have developed and used for their own purposes. Therefore, local codes developed by state Medicaid and SCHIP programs may be used through December 31, 2003. We recognize that many states may benefit from additional time beyond October 15, 2003 to continue using local codes while they take the actions necessary to convert to standard national HCPCS codes."
Andrea L. Hirsch
Senior Project Manager, HIPAA
617-210-5178
Email: [EMAIL PROTECTED]
--------Original Message-----
From: Miriam Paramore [mailto:[EMAIL PROTECTED]
Sent: Monday, July 07, 2003 12:42 PM
To: WEDI SNIP Testing Subworkgroup List
Cc: Bob Carver
Subject: Extension for the use of local codes in IndianaI have heard a rumor that the State of Indiana, Indiana Medicaid, and EDS have agreed to the use of local codes through the end of 2003, and that CMS has approved this extension. Can anyone verify this rumor? Have you heard anything similar in other states or on a national basis?Thanks, of course, to all responsers.Best Regards,
Miriam J. Paramore (Co-Founder and President of HAWK)
President & CEO
PCI: e-commerce for healthcare
9001 Shelbyville Road
iTRC Building
Louisville, KY 40222
502-429-8555
www.hipaasurvival.com
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