CMS Delays HPID Deadline

The Centers for Medicare & Medicaid Services (CMS) issued a delay, until further notice, in enforcement of regulations pertaining to health plan enumeration and use of the Health Plan Identifier (HPID).

The HPID is a standard, unique health plan identifier required by HIPAA. Deadlines for plan compliance are as follows:

  • Controlling Health plans (except small health plans) are required to obtain HPIDs by November 5, 2014
  • Small controlling health plans, not to be confused with sub-health plans (SHPs), are required to obtain HPIDs by November 5, 2015

This enforcement delay applies to all HIPAA covered entities, including healthcare providers, health plans, and healthcare clearinghouses.

On September 23, 2014, the National Committee on Vital and Health Statistics (NCVHS), an advisory body to HHS, recommended that HHS rectify in rule making that all covered entities (health plans, healthcare providers and clearinghouses, and their business associates) not use the HPID in the HIPAA transactions. This enforcement discretion will allow HHS to review the NCVHS’s recommendation and consider any appropriate next steps.

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About Christopher Johnson

Christopher manages the consulting services department of J.W.Terrill providing regulatory, analytical, technical and wellness support to clients.

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