Delay in ICD-10 Code Set and Meaningful Use Rules

CMS issued a final rule delaying until October 1, 2014 the date when health care providers and health plans must use the ICD-10 code set for classifying health care diagnoses and procedures. Also, all health plans and other organizations performing health plan functions, including third-party administrators and clearinghouses, must use a unique health plan identifier (HPID) by November 5, 2014 (except small plans which have a November 7, 2015 effective date). In addition, CMS issued a final rule delaying until 2014 the start of Stage 2 of the $15 billion Medicare and Medicaid electronic health record incentive program. A companion rule was also released by the Office of the National Coordinator for Health Information Technology which defines the standards and certification criteria that EHR technology eligible professionals and hospitals must use to meet the “meaningful use” criteria

Dual-Eligible DEMO

CMS announced that Massachusetts is the first state to participate in a “Financial Alignment Initiative” demonstration project under which the state and CMS is to contract with a designated integrated-care organization to coordinate care for 110,000 Medicare/Medicaid dual eligibles

September 4, 2012: | Page 1 Page 2



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