NPI Timeline.

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Presentation transcript:

NPI Timeline

NPI Solution Overview NPI Timeline Transition Plan Start Date End Date IHCP will only report existing IHCP legacy provider numbers on all outbound transactions IHCP will not accept an NPI on any Web interChange , 278, and 270 transactions IHCP will accept an existing IHCP legacy provider number or NPI on NCPDP. (These transactions do not allow for submission of multiple provider identifiers). IHCP will accept a NPI on all standard HIPAA transactions as long as an existing IHCP legacy provider number is available for processing. IHCP will accept an existing IHCP legacy provider number and/or an NPI on 837 (I & P) from COBC as long as an existing IHCP legacy provider number accompanies it. The IHCP legacy provider number will be used for processing. Web NPI Reporting tool available for providers to report their NPI to IHCP The dates on the timeline have yet to be approved. This timeline is being revised. This is just to give you a feel of how the transitions will occur. Our preliminary plans will be as follows: Current to 9/30/06 – We will only report existing legacy provider numbers on all outbound transactions. We will not accept an NPI on Web Interchange Transactions Current to 5/23/2007 (the compliance date) – We will accept an existing legacy provider number on NCPDP transactions 4/1/2006 to 9/30/2006 – NPI will be accepted as long as an existing legacy provider number is available for processing. It is still yet to be determined when the NPI web reporting tool will be available for providers to report their NPI to IHCP.

NPI Solution Overview NPI Timeline (cont.) Transition Plan Start Date End Date IHCP will accept an existing IHCP legacy Provider Number and/or a NPI on Web interChange and all EDI inbound transactions. When Both NPI and the IHCP legacy Provider Numbers submitted, IHCP will use the IHCP legacy Provider Number for processing. IHCP returns both NPI and the IHCP legacy Provider Number on all outbound transactions, as long as the NPI was previously reported to the IHCP (NPI cross-walk to IHCP legacy Provider Number is available). IHCP will only accept NPI on all inbound (including NCPDP ,EDI, and Web interchange) transactions. IHCP will only accept an NPI on 837 I, P from COBC. IHCP returns only NPI on all outbound transactions, as long as the NPI previously reported to the IHCP is available. IHCP returns only existing IHCP legacy Provider Number on outbound transactions, for Atypical providers, or when NPI previously not reported to the IHCP. 10/1/2006 to 5/23/2007 (the compliance date) – An existing legacy provider number AND/OR a NPI will be accepted on Web Interchange and all EDI inbound transactions. We will send both NPI and the legacy provider number on all outbound transactions as long as we have the NPI on file. 5/23/2007 and after – We will accept ONLY the NPI on all inbound transactions. We will return only the NPI on all outbound transactions as long as the NPI was previously report to us. IHCP returns only existing legacy provider number on outbound transactions for Atypical providers or when NPI previously not report to IHCP.