1. HIPAA Administrative Simplification Requirements Change Management Process Evolutionary NOT Revolutionary HIPAA Requirements will continue to evolve !

2. Change Request Coordination ? 3 ANSI Standards Organizations 3 Data Content Committees DHHS / NCVHS Memorandum of Understanding X12 HL7 NCPDP NUCC NUBC DeCC DHHS NCVHS

3. MOU Guiding Principals 1.Public Access – Single Point of Entry 2.Timely Review of Change Requests 3.Cooperation and Communications 4.Consider All Viewpoints 5.Evaluate Impact of Change Requests 6.Maintain a National Perspective 7.Conform to Legislation

4. Implementation Guide / Data Content Change Requests Change Request System (CRS) NCPDPNUBCNUCCADAX12HL7 90 Days to develop organizational Recommendation (1 – 45 day extension if needed) HL7NCPDPX12 Web Request Form Web Request Form Work Request Tracking System http://www.hipaa-dsmo.org NCPDPNUBCNUCCADAX12HL7 10 Business Days to Express Interest Approved Changes Approved Changes Approved Changes

5. Next Steps… Annually, DSMO Steering Committee will provide NCVHS with a change summary & Recommendations. NCVHS Reviews & Provides Recommendations to HHS HHS – Initiate the HIPAA rule modifications accordingly – Federal Rulemaking process if required NPRM 60 Day Public Comment Period Response to Comments Publish Final Rule –Include a compliance date for changes to standards –Cannot be less than 180 days

6. Web Site Information HIPAA Change Request System –http://hipaa-dsmo.org Accredited Standards Committee X12 –http://www.x12.org Dental Content Committee of the ADA –(tbd) Health Level Seven –http://www.hl7.org National Council for Prescription Drug Programs –http://www.ncpdp.org National Uniform Billing Committee –http://www.nubc.org National Uniform Claim Committee –http://www.nucc.org US Department of Health and Human Services –http://aspe.hhs.gov/admnsimp National Committee on Vital and Health Statistics –http://ncvhs.hhs.gov