The HIPAA 5010 and NCPDP D.0 Compliance Date is Fast Approaching!

The HIPAA 5010 and NCPDP D.0 Compliance Date Is Fast Approaching!

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.

Version 5010

The Indiana Health Coverage Programs (IHCP) continues to test 5010 vendor transactions for transition readiness. All trading partners have been contacted and encouraged to complete testing by October 31, 2011. Providers must communicate with their software vendor or clearinghouse to make sure these entities are in the process of testing with the IHCP.

A list of software vendors and clearinghouses that have been approved for version 5010 is now available. This list will be updated weekly on Friday.

NCPDP D.0

The IHCP will begin NCPDP D.0 claims testing with switch vendors in November 2011. Pharmacy providers are not required to test; however, if they wish to test through their switch vendor, they should contact the NCPDP D.0 testing team at INXIXTradingPartner@hp.com.

Please review HIPAA 5010 and NCPDP D.0 FAQs and the 2011 IHCP Provider Newsletters for additional information.