HIPAA reports, publications and news

• Business Decisions
• CMS Updates
• HIPAA Monthly Messages and Quarterly EDI Exchange
• Reports (Transactions, general reports and service continuation plan)
• EDI Bulletins
• MMIS Insider - Focus on EDI

See also Companion Guides and Manuals

Contact the EDI support team: DHS.EDIsupport@state.or.us or 1-888-690-9888

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DHS Business Decisions

DHS faces some unique requirements with the systems that it operates. Review the DHS Business Rules and Decisions adopted with provider input. 

CMS Updates

• CMS adopts National Provider Identifier (NPI)  - January 22, 2004

• National provider identifier (NPI) activities begin in 2005. See the CMS letter to providers (PDF). To apply for an NPI, click here.

• HIPAA Administrative Simplification Compliance Deadlines from CMS

• Frequently asked questions and answers from CMS

• Medicare announces plan to accept HIPAA non-compliant electronic transactions after Oct. 16 deadline (pdf) - Sept. 23, 2003

• HIPAA Good Faith Policy and Trading Partner Agreement (TPA) submission due date letter (pdf) - August 28, 2003
• Guidance and compliance with HIPAA transaction & code sets (pdf) from the Centers for Medicare & Medicaid Services (CMS) - July 24, 2003
  
  

DHS HIPAA Monthly Messages and Quarterly EDI Exchange

• 2006
• 2005
• 2004
• 2003 

Reports

• Transaction Progress Reports

  
  

  - Eligibility and Claim Status (270 and 276) (PDF)
  - DHS Transaction Status Reports for HIPAA Task Force
  - Trading Partner Reports

• General Reports

  
  

  - Transaction and Code Sets Implementation Schedule (pdf) - April 20, 2005
  - HIPAA Status Report (pdf) - May 2005
  - Task Force Requested Q&A (pdf)

• Service Continuation Plan

  
  

  - Version 2.2, March 2005 (pdf)

EDI Bulletins

• EDI System Alerts
  

   

• EDI Bulletins:
  • EDI Bulletin 20 (7/14/2008) (PDF)
  • EDI Bulletin 19 (4/23/08) (PDF)
  • EDI Bulletin 18 (1/30/08) (PDF)
  • EDI Bulletin 17 (12/31/07) (PDF)
  • EDI Bulletin 16 (8/21/07) (PDF)
  • EDI Bulletin 15 (7/2/07) (PDF)
  • EDI Bulletin 14 (12/12/06) (PDF)
  • EDI Bulletin 13 (8/28/06) (PDF)
  • EDI Bulletin 12 (7/18/06) (PDF)
  • EDI Bulletin 11 (5/5/06) (PDF)
  • EDI Bulletin 10 (4/28/06) (PDF)
  • EDI Bulletin 9 (3/23/06) (PDF)
  • EDI Bulletin 8 (2/22/06) (PDF)
  • HIPAA Bulletin 7 (12/5/05) PDF
  • HIPAA Bulletin 6 (9/23/05) PDF
  • HIPAA Bulletin 5 (8/22/05) PDF 
  • HIPAA Bulletin 4 (8/11/05) PDF
  • HIPAA Bulletin 3 (7/15/05) PDF
  • HIPAA Bulletin 2 (5/12/05) PDF
  • HIPAA Bulletin 1 (3/14/05) PDF 
• Questions to ask vendors (PDF)

• MMIS Insider - Focus on EDI: This newsletter focuses on the changes DHS trading partners will experience with the replacement MMIS, and how they can prepare for the change.
  • June 2008 (PDF) - Testing and registration in current system ends June 30, 2008; timelines for EDI testing; MMIS connectivity testing; Companion Guide updates
  • December 2007 (PDF) - Replacement MMIS Companion Guides posted; EDI re-testing to begin in March
  • October 2007 (PDF) - Transaction changes; MMIS implementation timeline

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