HIPAA 5010 and NCPDP D.0 Compliance Date - January 1, 2012

HIPAA 5010 and NCPDP D.0 Compliance Date - January 1, 2012

As announced in the Centers for Medicare & Medicaid Services (CMS) statement posted November 17, 2011, the compliance date for the use of the Accredited Standards Committee (ASC) X12 Version 5010 and National Council for Prescription Drug Programs (NCPDP) D.0 transactions remains January 1, 2012. All trading partners exchanging electronic transactions with Indiana Medicaid are expected to be compliant with Health Insurance Portability and Accountability Act (HIPAA) 5010 and NCPDP D.0 by January 1, 2012.

Indiana Medicaid will implement all HIPAA 5010 and NCPDP D.0 transactions on or before January 1, 2012. Claims and Remittance Advice transactions (837P, 837I, 837D and 835) will be implemented in early December 2011 for trading partners that have completed testing. Eligibility, claims status, and pharmacy claims transactions will implement on January 1, 2012.

Send any questions regarding the HIPPA compliance implementation date to INXIXTradingPartner@hp.com or contact the HP Electronic Data Interchange (EDI) Solutions service desk at (317) 488-5160 or 1-877-877-5182.