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[Federal Register: August 17, 2000 (Volume 65, Number 160)]
[Notice]
[Page 50373]
[DOCID:fr17au00-145]
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[HCFA-0149-N]
RIN 0938-AI58
Health Insurance Reform: Announcement of Designated Standard Maintenance
Organizations
AGENCY: Office of the Secretary, HHS
ACTION: Notice.
SUMMARY: This notice announces the organizations that the
Secretary designates as Designated Standard Maintenance Organizations
(DSMOs). These organizations maintain standards for health care
transactions adopted by the Secretary, and receive and process requests
for adopting a new standard or modifying an adopted standard.
This notice is published in accordance with our final rule titled
Standards for Electronic Transactions, published elsewhere in this
Federal Register, which implements section 262 of the Health
Insurance Portability and Accountability Act, which added sections
1171 through 1179 to the Social Security Act.
EFFECTIVE DATE: October 16, 2000.
FOR FURTHER INFORMATION CONTACT: Stanley Nachimson, (410)
786-6153.
SUPPLEMENTARY INFORMATION:
Background
Section 262 of the Health Insurance Portability and Accountability
Act (HIPAA) added sections 1171 through 1179 to the Social Security
Act (the “Act”). Section 1173(a) of the Act requires the
Secretary to adopt standards for health care transactions to enable
electronic exchange of health information. In addition, section
1172 of the Act requires consultation prior to the adoption of a
standard with the following Data Content Committees (DCCs): National
Uniform Billing Committee (NUBC), the National Uniform Claim Committee
(NUCC), the Workgroup for Electronic Data Interchange (WEDI), and
the American Dental Association prior to the adoption of a standard.
In the case of a standard that has been developed, adopted, or modified
by a standard setting organization (SSO), the SSO is to consult
with the above-named groups during such development, adoption, or
modification. In the case of any other standard, the Secretary is
required to consult with each of the above-named groups before adopting
the standard and must also comply with the provisions of section
1172(f) of the Act regarding consultation with the National Committee
on Vital and Health Statistics.
The final rule titled “Standards for Electronic Transactions,”
published elsewhere in this Federal Register, establishes
a new category of organization, the “Designated Standard Maintenance
Organization (DSMO).” Section 162.910 of this final regulation
provides that the Secretary may designate as DSMOs those organizations
that agree to maintain the standards adopted by the Secretary. Section
162.910 also establishes criteria for the processes to be used in
such maintenance. Several DCCs and SSOs have agreed to maintain
those standards designated as national standards in the final rule
“Standards for Electronic Transactions” according to the
criteria established by the Secretary.
Provisions of the Notice
Pursuant to §162.910, the Secretary designates the following
organizations as DSMOs:
- Accredited Standards Committee X12.
- Dental Content Committee of the American Dental Association.
- Health Level Seven.
- National Council for Prescription Drug Programs.
- National Uniform Billing Committee.
- National Uniform Claim Committee.
Authority: Section 1172 of the Social Security Act (42 U.S.C.
1320d-1)
(Catalog of Federal Domestic Assistance Program No. 93.778, Medical
Assistance Program; No. 93.773 Medicare--Hospital Insurance Program;
and No. 93.774, Medicare-- Supplementary Medical Insurance Program)
Dated:
Donna Shalala,
Secretary
BILLING CODE 4120-01-P
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