HIPAA 5010 and NCPDP D.0 Testing To Begin January 2011

The Centers for Medicare & Medicaid Services (CMS) has published its final rule adopting updated versions of the standards for electronic healthcare and pharmacy transactions originally adopted under the Administrative Simplification subtitle of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The mandatory compliance date for American National Standards Institute (ANSI) version 5010 and the National Council for Prescription Drug Programs (NCPDP) version D.0 for all covered entities is January 1, 2012.

The Indiana Health Coverage Programs (IHCP) will begin testing 5010 transactions in the first quarter of 2011. Testing with trading partners will be on a scheduled basis. To learn more about what providers need to do to be ready for testing, read the HIPAA 5010 and NCPDP D.0 FAQs and the September IHCP Provider Newsletter. Additional information will be published in provider communications in the coming months.