Search Results for keywords:"Medicaid pharmacy subrogation"

The Department of Health and Human Services (HHS) has delayed the effective date of a final rule concerning updates to the Health Insurance Portability and Accountability Act (HIPAA) standards for retail pharmacy transactions and Medicaid pharmacy subrogation until April 14, 2025. This delay, following a Presidential memorandum on regulatory review, allows HHS more time to consider the new regulations. The compliance date for these standards is also extended to April 14, 2028. The immediate implementation of this delay is based on good cause exceptions, as it is impractical to seek public comment given the circumstances.

The Health and Human Services Department has issued a final rule updating the standards for electronic transactions in retail pharmacies under HIPAA. The rule adopts modifications to improve data exchange, enhance patient safety, and streamline processes, like replacing several free text fields with specific data fields. These changes include implementing the NCPDP Telecommunication Standard Implementation Guide, Version F6, and the NCPDP Batch Standard Subrogation Implementation Guide, Version 10, specifically for Medicaid agencies. The new standards are set to take effect beginning February 11, 2028, with compliance required 36 months after the final rule's publication, including an 8-month transition period to ease the changes.