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Enforcement Discretion Regarding Compliance with Just Released HIPAA Standards

The Centers for Medicare & Medicaid Services (CMS) has announced today that it would not
initiate enforcement action with respect to any HIPAA covered entity non-compliant with the
ASC X12 Version 5010 (Version 5010), NCPDP Telecom D.0 (NCPDP D.0), and NCPDP
Medicaid Subrogation 3.0 (NCPDP 3.0) standards until 90 days after the January 1, 2012
compliance date. Notwithstanding CMS’ discretionary application of its enforcement authority,
the compliance date for use of these new standards remains January 1, 2012.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: November 17, 2011

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.