October 2, 2014
On October 31, 2014, the Centers for Medicare & Medicaid Services (CMS) announced that it was delaying, until further notice, enforcement of the regulations requiring health plans to obtain a Health Plan Identifier (HPID), and for HIPAA covered entities, including health plans and health care providers, to use HPIDs. The agency’s statement is on the CMS website.
In September 2014, the Centers for Medicare & Medicaid Services (CMS) published answers to frequently asked questions (FAQs) relating to health plan identifiers (HPIDs)* that provide the following guidance:
These FAQs can be found by typing “HPID” or a particular FAQ number into the search boxes found at https://questions.cms.gov.
CMS also issued a “Quick Reference Guide to Obtaining a Controlling Health Plan HPID.”
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As with all issues involving the interpretation or application of laws, health plan sponsors should rely on their legal counsel for authoritative advice on HPIDs. As details of the process become clearer, Sibson Consulting will communicate the news. Sibson can be retained to work with plan sponsors and their attorneys on compliance issues related to HPIDs.
* Most self-insured group health plans, except for small ones, must obtain a new 10-digit health plan identifier (HPID) by November 5, 2014. For more information about this requirement, see Sibson’s July 25, 2014 Capital Checkup. (Return to the Capital Checkup.)