Medicare and Medicaid Programs; Patient Protection and Affordable Care Act; Interoperability and Patient Access for Medicare Advantage Organization and Medicaid Managed Care Plans, State Medicaid Agencies, CHIP Agencies and CHIP Managed Care Entities, Issuers of Qualified Health Plans on the Federally-Facilitated Exchanges, and Health Care Providers — Federal Register 2020-05050

Abstract

This final rule is intended to move the health care ecosystem in the direction of interoperability, and to signal our commitment to the vision set out in the 21st Century Cures Act and Executive Order 13813 to improve the quality and accessibility of information that Americans need to make informed health care decisions, including data about health care prices and outcomes, while minimizing reporting burdens on affected health care providers and payers.

Action & Dates

Action: Final rule.
Dates: These regulations are effective on June 30, 2020.
Effective Date: 2020-06-30

CFR References

42 CFR Part 406 42 CFR Part 407 42 CFR Part 422 42 CFR Part 423 42 CFR Part 431 42 CFR Part 438 42 CFR Part 457 42 CFR Part 482 42 CFR Part 485 45 CFR Part 156

Topics

Administrative practice and procedureAdvertisingAdvisory committeesBrokersConsumer protectionDiseasesEmergency medical servicesGrant programs-healthGrants administrationHealth careHealth facilitiesHealth insuranceHealth maintenance organizations (HMO)Health recordsHospitalsIndiansIndividuals with disabilitiesLoan programs-healthMedicaidMedicareOrganization and functions (Government agencies)PenaltiesPrivacyPublic assistance programsReporting and recordkeeping requirementsState and local governmentsSunshine ActTechnical assistanceWomenYouth

Document Excerpt

Document Headings Document headings vary by document type but may contain the following: the agency or agencies that issued and signed a document the number of the CFR title and the number of each part the document amends, proposes to amend, or is directly related to the agency docket number / agency internal file number the RIN which identifies each regulatory action listed in the Unified Agenda of Federal Regulatory and Deregulatory Actions See the Document Drafting Handbook for more details. Department of Health and Human Services Centers for Medicare & Medicaid Services Office of the Secretary 42 CFR Parts 406, 407, 422, 423, 431, 438, 457, 482, and 485 45 CFR Part 156 [CMS-9115-F] RIN 0938-AT79 AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Final rule. SUMMARY: This final rule is intended to move the health care ecosystem in the direction of interoperability, and to signal our commitment to the vision set out in the 21st Century Cures Act and Executive Order 13813 to improve the quality and accessibility of information that Americans need to make informed health care decisions, including data about health care prices and outcomes, while minimizing reporting burdens on affected health care providers and payers. DATES: These regulations are effective on June 30, 2020. FOR FURTHER INFORMATION CONTACT: Alexandra Mugge, (410) 786-4457, for issues related to interoperability, CMS health IT strategy, and technical standards. Denise St. Clair, (410) 786-4599, for issues related API policies and related standards. Natalie Albright, (410) 786-1671, for issues related to Medicare Advantage. Laura Snyder, (410) 786-3198, for issues related to Medicaid. Rebecca Zimmermann, (301) 492-4396, for issues related to Qualified Health Plans. Meg Barry, (410) 786-1536, for issues related to CHIP. Thomas Novak, (202) 322-7235, for issues related to trust exchange networks and payer to payer coordination. Sharon Donovan, (410) 786-9187, for issues related…

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Citation: 85 FR 25510