2429 lines
232 KiB
Text
2429 lines
232 KiB
Text
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<html lang="en" dir="ltr">
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<meta name="description" content="Learn about HIPAA Administrative Simplification by accessing resources and FAQs regarding HIPAA transactions, CMS's enforcement, and subregulatory guidance." />
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<meta name="keywords" content="HIPAA Administrative Simplification FAQs, HIPAA Administrative Simplification transactions resources, HIPAA Administrative Simplification enforcement resources, HIPAA Administrative Simplification subregulatory guidance resources" />
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<title>HIPAA Administrative Simplification Resources and FAQs | CMS</title>
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<p class="ds-c-usa-banner__header-text">An official website of the United States government</p>
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<strong>Official websites use .gov</strong><br>A
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<strong>
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.gov
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</strong>website belongs to an official government organization in the United States.</p>
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<strong>Secure .gov websites use HTTPS</strong><br>A
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<strong>lock
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</svg>)<span>
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or</span>
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<strong>
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https://
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</strong>means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.</p>
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</div>
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</div>
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</div>
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</div>
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</div>
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</section>
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<div class="ds-l-container cms-tracker--header-top">
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<div class="ds-l-row">
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<div class="header-top-wrapper ds-l-md-col--12">
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<i class="fal fa-bars" focusable="false"></i>
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</button>
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<div class="region region-cms-header-primary">
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<div id="block-cms-evo-sitebranding" data-block-plugin-id="system_branding_block" class="block block-system block-system-branding-block">
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<div class="site-logo">
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<a href="/" rel="home">
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<img src="/themes/custom/cms_evo/logo.svg" alt="CMS.gov" />
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</a>
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</div>
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<div class="ds-u-lg-display--block ds-u-display--none site-slogan">
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Centers for Medicare & Medicaid Services
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</div>
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<div class="newsroom-branding">
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<h2 class="ds-u-lg-font-size--xl ds-u-color--white ds-u-margin--0 ds-u-font-weight--semibold">
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<a href="/about-cms/contact/newsroom" rel="home" class="ds-u-color--white ds-u-text-decoration--none">CMS Newsroom</a>
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</h2>
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</div>
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<div class="region region-cms-header-secondary ds-u-display--none ds-u-lg-display--flex">
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<nav aria-label=Secondary id="block-cmsglobalsecondarymenu2" data-block-plugin-id="system_menu_block:cms-global-secondary-menu-2" class="ds-u-display--none ds-u-lg-display--block header-menu--secondary" >
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<span class="visually-hidden" id="block-cmsglobalsecondarymenu2-menu">Header</span>
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<ul region="cms_header_secondary" class="menu cms-evo-unstyled-list ds-u-display--flex">
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<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926">About CMS</a>
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<li class="menu-item">
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<a href="/about-cms/contact/newsroom" class="menu-item-link" data-drupal-link-system-path="node/43871">Newsroom</a>
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</li>
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<li class="menu-item">
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<a href="/data-research" class="menu-item-link" data-drupal-link-system-path="node/132891">Data & Research</a>
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</nav>
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<div class="search-block-form block block-search block-search-form-block header-search-block" data-drupal-selector="search-block-form" id="block-cms-evo-searchform" data-block-plugin-id="search_form_block" role="search" aria-label="header site search">
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<div class="content">
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<h2 class="ds-u-margin-top--0 ds-u-lg-display--none ds-u-border-bottom--0 ds-u-margin-bottom--2 ds-u-padding-bottom--0">Search CMS.gov</h2>
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<label for="edit-keys" class="ds-c-label visually-hidden">Search</label>
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<label class="ds-u-visibility--screen-reader" for="header-search-input">Search</label>
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<input title="Enter the terms you wish to search for." data-drupal-selector="edit-keys" class="form-autocomplete form-search ds-c-field ds-u-lg-display--none" data-autocomplete-path="/suggestion/autocomplete" data-region="cms_header_secondary" data-twig-suggestion="cms_header_secondary--search-form-block" type="search" id="header-search-input" name="keys" value="" size="15" maxlength="128" placeholder="Search for keywords, topics or resources" autocomplete="off"/>
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<div class="cms-popular-search-terms ds-u-display--block ds-u-lg-display--none" id="hidden-header-list-wrapper">
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<span id="list-header" class="cms-list-header">Popular terms</span>
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<ul aria-labelledby="list-header">
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<li><span class="term">Physician Fee Schedule</span><i class="far fa-long-arrow-right" focusable="false"></i></li> <li><span class="term">Local Coverage Determination</span><i class="far fa-long-arrow-right" focusable="false"></i></li> <li><span class="term">Medically Unlikely Edits</span><i class="far fa-long-arrow-right" focusable="false"></i></li> <li><span class="term">Telehealth</span><i class="far fa-long-arrow-right" focusable="false"></i></li> <li><span class="term">Covid-19</span><i class="far fa-long-arrow-right" focusable="false"></i></li> </ul>
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</div>
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</div>
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<div data-drupal-selector="edit-actions" class="form-actions js-form-wrapper form-wrapper" id="edit-actions--IF4ZucrjGyU"><div class="header-search-bar">
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<input data-drupal-selector="edit-submit" data-twig-suggestion="cms_header_secondary--search-submit" type="submit" id="edit-submit--j5_08rb2dws" value="Search" class="button js-form-submit form-submit ds-c-button ds-c-button--solid" />
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<i class="fas fa-search" focusable="false"></i>
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</div></div>
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</form>
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</div>
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</div>
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</div>
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<button id="js-searchbar-toggle" class="searchbar-toggle ds-u-lg-display--none" aria-expanded="false" aria-label="Open Site Search" aria-haspopup="true">
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<i class="fal fa-search" focusable="false"></i>
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</button>
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</div>
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</div>
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</div>
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<div class="header-main-menu-wrapper cms-tracker--header-main-menu">
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<div class="ds-l-container">
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<div class="ds-l-row">
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<div class="ds-l-col--12">
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<div class="region region-cms-header-navigation ds-u-display--none ds-u-lg-display--block">
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<nav aria-label="CMS.gov main menu" id="block-cmsglobalprimarymenu2" data-block-plugin-id="system_menu_block:cms-global-primary-menu-2" class="cms-tracker--menu-block">
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<h2 class="mobile-heading">CMS.gov main menu</h2>
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<ul region="cms_header_navigation" class="menu menu-level--one cms-evo-unstyled-list">
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<li class="menu-item menu-item--l1 menu-item--expanded">
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<span class="menu-item-element" aria-current="false">Medicare</span>
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<div class="subnav-wrapper--1 ds-u-display--none">
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<div class="subnav-header">
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<span class="back-to-main ds-u-lg-display--none">Back to main menu</span>
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<h2 class="subnav-title-h2" style="position:relative;text-align:left;width:auto;height:auto;">section title h2</h2>
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</div>
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<ul class="menu">
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<li class="menu-item menu-item--l2 menu-item--expanded">
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<span class="menu-item-element" aria-current="false">Enrollment & renewal</span>
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<div class="subnav-wrapper--2 ds-u-display--none">
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<div class="subnav-header">
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
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</div>
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<div class="menu-wrapper">
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<ul class="menu">
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<li class="menu-item menu-item--l3 menu-item--collapsed">
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<a href="/medicare/enrollment-renewal/original-part-a-b" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171311">Original Medicare (Part A and B) Eligibility and Enrollment</a>
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</li>
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<li class="menu-item menu-item--l3">
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<a href="/medicare-participation" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1569911">Annual Medicare Participation Announcement</a>
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</li>
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<li class="menu-item menu-item--l3 menu-item--collapsed">
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<a href="/medicare/enrollment-renewal/providers-suppliers" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1316821">Providers & suppliers</a>
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</li>
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<li class="menu-item menu-item--l3">
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<a href="/medicare/enrollment-renewal/managed-care-eligibility-enrollment" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171286">Medicare Managed Care Eligibility and Enrollment</a>
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</li>
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<li class="menu-item menu-item--l3 menu-item--collapsed">
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<a href="/medicare/enrollment-renewal/part-d-enrollment-eligibility" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171306">Part D Eligibility and Enrollment</a>
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</li>
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<li class="menu-item menu-item--l3 menu-item--collapsed">
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||
<a href="/medicare/enrollment-renewal/health-plans" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170951">Health plans</a>
|
||
</li>
|
||
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|
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</div>
|
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</div>
|
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|
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|
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<li class="menu-item menu-item--l2 menu-item--expanded">
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<span class="menu-item-element" aria-current="false">Coverage</span>
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
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|
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<div class="menu-wrapper">
|
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<ul class="menu">
|
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|
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|
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<li class="menu-item menu-item--l3 menu-item--collapsed">
|
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<a href="/medicare/coverage/determination-process" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/169996">Coverage Determination Process</a>
|
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|
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<li class="menu-item menu-item--l3">
|
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<a href="https://www.cms.gov/medicare-coverage-database/search.aspx" class="menu-item-element" aria-current="false">Medicare Coverage Database</a>
|
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<a href="/medicare/coverage/approved-facilities-trials-registries" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170086">Approved facilities, trials, & registries</a>
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<a href="/medicare/coverage/summary-notice" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/174996">Medicare Summary Notice</a>
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<a href="/medicare/coverage/ambulances-services-center" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193416">Ambulances Services Center</a>
|
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|
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|
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|
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|
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|
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|
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<a href="/medicare/regulations-guidance/office-attorney-advisor" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172636">Office of the Attorney Advisor (OAA)</a>
|
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|
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|
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|
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</li>
|
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|
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<a href="/medicare/regulations-guidance/geographic-classification-review-board" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172611">Medicare Geographic Classification Review Board (MGCRB)</a>
|
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|
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|
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<a href="/medicare/regulations-guidance/physician-self-referral" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170671">Physician Self-Referral</a>
|
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</li>
|
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<li class="menu-item menu-item--l3">
|
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<a href="/files/document/medqtrlycompnlarchive072019003pdf" class="menu-item-element" aria-current="false" data-drupal-link-system-path="media/276891">Quarterly provider updates</a>
|
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</li>
|
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|
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<a href="/medicare/regulations-guidance/electronic-prescribing" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171181">E-Prescribing</a>
|
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</li>
|
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</ul>
|
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</div>
|
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</div>
|
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</li>
|
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<li class="menu-item menu-item--l2 menu-item--expanded">
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<span class="menu-item-element" aria-current="false">Coding & billing</span>
|
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
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<ul class="menu">
|
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<li class="menu-item menu-item--l3 menu-item--collapsed">
|
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<a href="/medicare/coding-billing/place-of-service-codes" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171996">Place of service codes</a>
|
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</li>
|
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<li class="menu-item menu-item--l3 menu-item--collapsed">
|
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<a href="/medicare/coding-billing/icd-10-codes" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171421">ICD-10 codes</a>
|
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</li>
|
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<li class="menu-item menu-item--l3 menu-item--collapsed">
|
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<a href="/medicare/coding-billing/healthcare-common-procedure-system" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171561">Healthcare Common Procedure Coding System (HCPCS)</a>
|
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|
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|
||
<a href="/medicare/coding-billing/outpatient-code-editor" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171341">Integrated Outpatient Code Editor</a>
|
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</li>
|
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|
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<a href="/medicare/coding-billing/ncci-medicare" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1617246">National Correct Coding Initiative (NCCI) edits</a>
|
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|
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|
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<a href="/medicare/coding-billing/ncci-medicaid" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1617251">NCCI for Medicaid</a>
|
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|
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<a href="/medicare/coding-billing/electronic-billing" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170371">Electronic billing</a>
|
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</li>
|
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|
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<a href="/medicare/coding-billing/medicare-administrative-contractors-macs" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/177546">Medicare Administrative Contractors (MACs)</a>
|
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</li>
|
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|
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<a href="/medicare/coding-billing/provider-customer-service-program" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/176031">Provider Customer Service Program</a>
|
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</li>
|
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<li class="menu-item menu-item--l3 menu-item--collapsed">
|
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<a href="/medicare/coding-billing/skilled-nursing-facility-snf-consolidated-billing" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170676">Skilled Nursing Facility (SNF) consolidated billing</a>
|
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</li>
|
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<li class="menu-item menu-item--l3">
|
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<a href="/roster-billing" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1612841">Roster billing</a>
|
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</li>
|
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<li class="menu-item menu-item--l3 menu-item--collapsed">
|
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<a href="/medicare/coding-billing/therapy-services" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170641">Therapy services</a>
|
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|
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|
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<a href="/medicare/coding-billing/claims-public-health-emergencies" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1620676">Medicare claims & public health emergencies</a>
|
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|
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|
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<a href="/medicare/coding-billing/guide-medical-technology-companies-other-interested-parties" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1899941">Guide for Medical Technology Companies and Other Interested Parties</a>
|
||
</li>
|
||
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|
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</div>
|
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</div>
|
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<li class="menu-item menu-item--l2 menu-item--expanded">
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<span class="menu-item-element" aria-current="false">Payment</span>
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<div class="subnav-wrapper--2 ds-u-display--none">
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<div class="subnav-header">
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
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</div>
|
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<div class="menu-wrapper">
|
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<ul class="menu">
|
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|
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|
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<li class="menu-item menu-item--l3 menu-item--collapsed">
|
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<a href="/medicare/payment/fee-for-service-providers/part-b-drugs/average-drug-sales-price" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170451">Medicare Part B Drug Average Sales Price</a>
|
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|
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<a href="/medicare/payment/fee-for-service-providers" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193361">All Fee-For-Service-Providers</a>
|
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<a href="/medicare/payment/fee-schedules" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170661">Fee schedules</a>
|
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|
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|
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<a href="/medicare/payment/prospective-payment-systems" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170741">Prospective Payment Systems</a>
|
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|
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|
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<a href="/medicare/payment/opioid-treatment-program" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1289826">Opioid Treatment Programs (OTP)</a>
|
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|
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|
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<a href="/covidvax-provider" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1483486">Covid-19 Vaccine Toolkit</a>
|
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|
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|
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<a href="/medicare/payment/bankruptcy" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/185906">Bankruptcy</a>
|
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|
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<li class="menu-item menu-item--l3">
|
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<a href="/medicare/payment/sustainable-growth-rates-conversion-factors" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/169931">Sustainable Growth Rates & Conversion Factors</a>
|
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<a href="/medicare/payment/medicare-advantage-rates-statistics" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/169841">Medicare Advantage Rates & Statistics</a>
|
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</li>
|
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</div>
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|
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<li class="menu-item menu-item--l2 menu-item--expanded">
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<span class="menu-item-element" aria-current="false">Medicare-Medicaid coordination</span>
|
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
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<ul class="menu">
|
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<a href="/medicare/medicaid-coordination/about" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/174821">Qualified Medicare beneficiary program</a>
|
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|
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<a href="/medicare/medicaid-coordination/center-program-integrity/resources" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/674936">Resources</a>
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<a href="/medicare/medicaid-coordination/about/qualified-medicare-beneficiary-program" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/184631">Qualified Medicare beneficiary program</a>
|
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|
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<a href="/medicare/medicaid-coordination/center-program-integrity/spotlight" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/674941">Spotlight</a>
|
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<a href="/medicare/medicaid-coordination/center-program-integrity/events" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/674946">Events</a>
|
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|
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<a href="/medicaid-chip/medicare-coordination/financial-alignment" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/178246">Financial alignment initiative</a>
|
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|
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|
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<a href="/medicaid-chip/medicare-coordination/avoidable-hospitalizations" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/181236">Initiative to reduce avoidable hospitalizations </a>
|
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<a href="/medicare/medicaid-coordination/center-program-integrity/reports-guidance" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/674951">Reports & Guidance</a>
|
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<a href="/medicare/medicaid-coordination/pace" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/175651">Program of All-Inclusive Care for the Elderly (PACE)</a>
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|
||
<a href="/medicare/medicaid-coordination/center-program-integrity/reporting-fraud" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/674956">Reporting Fraud</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/medicaid-coordination/plans" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/178296">Resources for Medicare-Medicaid plans</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/medicaid-coordination/states" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1355341">Resources for state Medicaid agencies</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/medicaid-coordination/healthcare-fraud-prevention-partnership" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1313131">Healthcare Fraud Prevention Partnership</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/about-cms/information-systems/clinical-templates" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/189991">Clinical Templates</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Appeals & grievances</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/appeals-grievances/fee-for-service" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171221">Original Medicare appeals</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/appeals-grievances/managed-care" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/169961">Managed Care appeals & grievances</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/appeals-grievances/prescription-drug" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171101">Medicare Prescription drug appeals & grievances</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/appeals-grievances/ombudsman-center" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193386">Ombudsman Center</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/appeals-grievances/appeals-decision-search-part-c-d" class="menu-item-element" aria-current="false" data-drupal-link-system-path="qic-decision-search">Appeals Decision Search (Part C & Part D)</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Quality</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/quality/value-based-programs" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/188566">Value-based programs</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/quality/initiatives/hospital-quality-initiative/person-family-engagement" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/182996">Person & Family Engagement</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/quality/quality-improvement-organizations" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/169871">Quality improvement organizations</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/quality/nursing-home-improvement" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171236">Nursing home quality improvement</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/quality/inpatient-rehabilitation-facility" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/175616">Inpatient Rehabilitation Facility (IRF) Quality Reporting Program (QRP)</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/quality/home-health" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170541">Home Health Quality Reporting Program</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/quality/end-stage-renal-disease-esrd-quality-incentive-program" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/176126">ESRD Quality Incentive Program</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/quality/meaningful-measures-initiative/cms-quality-strategy" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/178276">CMS National Quality Strategy</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/quality/hospice" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/175556">Hospice Quality Reporting Program</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/quality/long-term-care-hospital" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/175511">Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP)</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/quality/appropriate-use-criteria-program" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/180421">Appropriate Use Criteria Program</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/quality/measures" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172001">Quality measures</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/advantage-quality-improvement-program" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/177561">Medicare Advantage quality improvement program</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/quality/physician-compare-initiative" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/175221">Physician compare initiative</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/quality/initiatives" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/169636">Quality initiatives</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/health-drug-plans/part-c-d-performance-data" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171491">Part C and D Performance Data</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/quality/snf-quality-reporting-program" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/180061"> Skilled Nursing Facility (SNF) Quality Reporting Program (QRP)</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Health & safety standards</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/quality/clinical-laboratory-improvement-amendments" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172651">Clinical Laboratory Improvement Amendments (CLIA)</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/health-safety-standards/quality-safety-oversight-group-qsog" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2085911">Quality, Safety & Oversight Group (QSOG)</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/health-safety-standards/quality-safety-oversight-general-information" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/169631">Quality, safety & oversight general information</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/health-safety-standards/accreditation-programs" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171481">Accreditation programs</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/health-safety-standards/quality-safety-oversight-emergency-preparedness" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172346">Emergency preparedness</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/health-safety-standards/certification-compliance" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171241">Certification & compliance</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/health-safety-standards/enforcement" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/169811">Enforcement</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/health-safety-standards/guidance-for-laws-regulations" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170071">Regulations, Certification, & Compliance</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/health-safety-standards/conditions-coverage-participation" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172616">Conditions for coverage & participation</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Employers & plan sponsors</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/employers-plan-sponsors/creditable-coverage" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171701">Creditable coverage</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2">
|
||
<span class="menu-item-element" aria-current="false">IC-Placeholder-1</span>
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Audits & Compliance</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/audits-compliance/part-a-cost-report" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/185256">Part A cost report audit</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/audits-compliance/part-c-d" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/175921">Part C/Part D compliance & audits</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Forms & notices</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/forms-notices/cms-forms" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170166">CMS forms</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/forms-notices/cms-forms-list" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/174306">CMS forms list</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/forms-notices/beneficiary-notices-initiative" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170686">Beneficiary Notices Initiative (BNI)</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Health & drug plans</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/health-drug-plans/plan-payment" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171981">Plan payment</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/health-drug-plans/plan-payment-data" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/175081">Plan payment data</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/health-drug-plans/medical-loss-ratio" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/180161">Medical loss ratio</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/health-drug-plans/coverage-gap-discount-program" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/175906">Coverage Gap Discount Program</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/health-drug-plans/managed-care-marketing" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170611">Managed care marketing</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/health-drug-plans/medicare-advantage-application" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170651">Medicare Advantage application</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/health-drug-plans/medigap" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170466">Medigap (Medicare supplement health insurance)</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/health-drug-plans/medical-savings-account" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172066">Medical Savings Account (MSA)</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/health-drug-plans/private-fee-for-service-plans" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170301">Private Fee-for-Service Plans</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/enrollment-renewal/health-plans/prepayment" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170521">Health Care Prepayment Plans (HCPPs)</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/enrollment-renewal/health-plans/cost" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170656">Cost plans</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/enrollment-renewal/special-needs-plans" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171676">Special needs plans</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/health-drug-plans/network-adequacy" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171301">Network adequacy</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Coordination of benefits & recovery</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/coordination-benefits-recovery/overview" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/177001">Overview</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/coordination-benefits-recovery/mandatory-insurer-reporting-group-health-plans" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/176856">Mandatory Insurer Reporting for Group Health Plans (GHP)</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/coordination-benefits-recovery/mandatory-insurer-reporting" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/176951">Mandatory insurer reporting (NGHP)</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/coordination-benefits-recovery/workers-comp-set-aside-arrangements" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/176641">Workers' comp Medicare set aside arrangements</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/coordination-benefits-recovery/attorney-services" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/177026">Attorney services</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/coordination-benefits-recovery/beneficiary-services" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/177036">Beneficiary services</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/coordination-benefits-recovery/coba-trading-partners" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/176761">COBA Trading Partners</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/coordination-benefits-recovery/employer-services" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170361">Employer services</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/coordination-benefits-recovery/insurer-services" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170846">Insurer services</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/coordination-benefits-recovery/prescription-drug-assistance-programs" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/176791">Prescription drug assistance programs</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/coordination-benefits-recovery/provider-services" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170406">Provider services</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Settlements</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/settlements/jimmo" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193381">Jimmo Settlement</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/settlements/ryan" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193486">Ryan Settlement</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l1 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Medicaid/CHIP</span>
|
||
<div class="subnav-wrapper--1 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-main ds-u-lg-display--none">Back to main menu</span>
|
||
<h2 class="subnav-title-h2" style="position:relative;text-align:left;width:auto;height:auto;">section title h2</h2>
|
||
</div>
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">What is Medicaid?</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://www.medicaid.gov" class="menu-item-element" aria-current="false">Visit Medicaid.gov</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://www.medicaid.gov/about-us/beneficiary-resources/index.html#statemenu" class="menu-item-element" aria-current="false">View Medicaid maps</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="http://www.medicaid.gov/chip/index.html" class="menu-item-element" aria-current="false">Visit CHIP.gov</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Medicare-Medicaid Coordination</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicaid-chip/medicare-coordination/integrated-care-resources" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/174926">Integrated care resources</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicaid-chip/medicare-coordination/avoidable-hospitalizations" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/181236">Initiative to reduce avoidable hospitalizations</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicaid-chip/medicare-coordination/financial-alignment" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/178246">Financial alignment initiative</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicaid-chip/medicare-coordination/integrity-institute" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1315141">Medicaid Integrity Institute</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2">
|
||
<span class="menu-item-element" aria-current="false">RG-Placeholder-1</span>
|
||
</li>
|
||
<li class="menu-item menu-item--l2">
|
||
<span class="menu-item-element" aria-current="false">IC-Placeholder-2</span>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l1 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Marketplace & Private Insurance</span>
|
||
<div class="subnav-wrapper--1 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-main ds-u-lg-display--none">Back to main menu</span>
|
||
<h2 class="subnav-title-h2" style="position:relative;text-align:left;width:auto;height:auto;">section title h2</h2>
|
||
</div>
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">About the Marketplace</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/marketplace/about/oversight" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191061">Marketplace oversight</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/marketplace/about/affordable-care-act" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191416">Affordable Care Act</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/marketplace/about/overview-exchanges" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/190921">Overview of the exchanges</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/about/exchange-coverage-maps" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193086">Exchange coverage maps</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/about/medicare" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/179351">Medicare and the Marketplace</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Private Health Insurance</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/private-health-insurance/patient-bill-of-rights" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192591">Patient’s Bill of Rights</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/private-health-insurance/medical-loss-ratio" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/190956">Medical loss ratio</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/private-health-insurance/annual-limits" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191976">Annual limits</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/private-health-insurance/review-insurance-rates" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192716">Review of insurance rates</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/private-health-insurance/market-rating-reforms" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191816">Market rating</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/private-health-insurance/self-funded-non-federal-governmental-plans" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191111">Self-funded, non-federal governmental plans</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/private-health-insurance/grandfathered-plans" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191456">Grandfathered plans</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/private-health-insurance/health-reimbursement-arrangements" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193216">Health Reimbursement Arrangements</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/private-health-insurance/coverage-young-adults" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/190931">Coverage for young adults</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/private-health-insurance/student-health-plans" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/190946">Student health plans</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/private-health-insurance/mental-health-parity-addiction-equity" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192601">Mental health parity and addiction equity</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/private-health-insurance/prevention" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191071">Prevention</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/private-health-insurance/consumer-protections-enforcement" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192701">Consumer protections & enforcement</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/private-health-insurance/pre-existing-condition-plan" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191056">Pre-existing condition insurance plan</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://www.healthcare.gov/glossary/qualifying-health-coverage" class="menu-item-element" aria-current="false">Qualifying Health Coverage (QHC)</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2">
|
||
<span class="menu-item-element" aria-current="false">RG-Placeholder-2</span>
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">In-person assisters</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/in-person-assisters/information-partners" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2078851">Information for Partners</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/marketplace/in-person-assisters/outreach-education" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2073436">Assister outreach & education</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/marketplace/in-person-assisters/applications-forms-notices" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2073441">Applications, forms, & notices</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/marketplace/in-person-assisters/programs-procedures" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2073446">Assister programs & procedures</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/marketplace/in-person-assisters/technical-resources" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2073231">Assister technical resources</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/marketplace/in-person-assisters/training-webinars" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2073451">Assister training & webinars</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Agents & Brokers</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/agents-brokers/resources" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192876">Resources for Agent & Brokers</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/agents-brokers/registration-training" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1290426">Registration & training</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/agents-brokers/open-enrollment" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193226">Open enrollment</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/agents-brokers/direct-enrollment-partners" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1550226">Direct enrollment partners</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/agents-brokers/general-resources" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/185021">General resources</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://www.youtube.com/playlist?list=PLaV7m2-zFKpgUK9AqdbnOdW69-WwodvRj" class="menu-item-element" aria-current="false">Video Learning Center</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://www.agentbrokerfaq.cms.gov/s/" class="menu-item-element" aria-current="false">Agent & Broker FAQ</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/files/document/agent/broker-help-desks.pdf" class="menu-item-element" aria-current="false" data-drupal-link-system-path="media/112386">Marketplace help desk & call centers</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://data.healthcare.gov/ffm_ab_registration_lists" class="menu-item-element" aria-current="false">Registration Completion List</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://data.healthcare.gov/ab-registration-tracker/" class="menu-item-element" aria-current="false">Marketplace Registration Tracker</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://data.healthcare.gov/ab-suspension-and-termination-list" class="menu-item-element" aria-current="false">AB Suspension & Termination List</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://localhelp.healthcare.gov/" class="menu-item-element" aria-current="false">Find local help</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://data.healthcare.gov/issuer-partner-lookup" class="menu-item-element" aria-current="false">Issuer and direct enrollment partner directory</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/agents-brokers/help-on-demand" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193196">Help on demand</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/agents-brokers/shop-resources" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193096">SHOP Resources</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Health Plans & Issuers</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/health-plans-issuers/qualified-health-plan-certification" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191371">Qualified health plan certification </a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/health-plans-issuers/summary-benefits-coverage" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191461">Summary of benefits & coverage</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/marketplace/health-plans-issuers/insurance-programs" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192101">Insurance programs</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/marketplace/health-plans-issuers/premium-stabilization-programs" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191326">Premium stabilization programs</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/health-plans-issuers/insurance-market-reforms" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191421">Health insurance market reforms</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/health-plans-issuers/minimum-essential-coverage" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192891">Minimum essential coverage</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace-private-insurance/health-plans-issuers/pbm-drug-pricing-review" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2088761">Drug pricing & rebate review</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Employers & sponsors</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://www.healthcare.gov/small-businesses/other-coverage" class="menu-item-element" aria-current="false">Coverage</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://www.healthcare.gov/small-businesses/choose-and-enroll/shop-marketplace-overview" class="menu-item-element" aria-current="false">Regulation & guidance</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://www.healthcare.gov/small-businesses/choose-and-enroll/qualify-for-shop-marketplace" class="menu-item-element" aria-current="false">Small business tax credit & premium assistance</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://www.healthcare.gov/small-businesses/choose-and-enroll/appeal-a-shop-decision" class="menu-item-element" aria-current="false">Appeals</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/employers-sponsors/small-business-health-options-program-shop" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192901">Small Business Health Options Program (SHOP)</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/employers-sponsors/early-retiree-reinsurance-program" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191651">Early retiree reinsurance program</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/employer-initiatives" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192916">Employer initiatives</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">States</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/states/state-marketplace-resources" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/190916">Planning & establishing a Marketplace</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/states/territory-cooperative-agreements" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/190926">Territory cooperative agreements</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/states/early-innovator-program" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191691">Early innovator program</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/states/state-flexibility-stabilize-market" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193246">State flexibility to stabilize the Market </a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/states/creating-competitive-marketplace" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192231">Exchange establishment grants</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://www.healthcare.gov/coverage/pre-existing-conditions" class="menu-item-element" aria-current="false">Pre-existing condition insurance plan</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Resources</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/resources/about-us" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192721">About Us</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/marketplace/resources/data" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191741">Data resources</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/resources/letters" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191646">Letters</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/resources/regulations-guidance" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191366">Regulations & Guidance</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/resources/training" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191466">Training resources</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace-private-insurance/resources/marketplace-coverage-transitions" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2100621">Marketplace Coverage Transitions</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l1 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Initiatives</span>
|
||
<div class="subnav-wrapper--1 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-main ds-u-lg-display--none">Back to main menu</span>
|
||
<h2 class="subnav-title-h2" style="position:relative;text-align:left;width:auto;height:auto;">section title h2</h2>
|
||
</div>
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Burden Reduction</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/priorities/key-initiatives/burden-reduction" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2085596">Overview</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">E-health</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/priorities/key-initiatives/e-health" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171276">Overview</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Flu</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/priorities/key-initiativess/flu" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1399001">Overview</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Health Equity</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/priorities/health-equity/c2c" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1974361">Coverage to Care</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/priorities/health-equity/minority-health" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1620916">Minority health</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/priorities/health-equity/c2c/es" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2072591">Cobertura de atención</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/priorities/health-equity/grants-awards" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1612961">Grants & awards</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Healthplan price transparency</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/priorities/key-initiatives/healthplan-price-transparency" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1567426">Overview</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Hospital price transparency</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/priorities/key-initiatives/hospital-price-transparency" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1417856">Overview</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Innovation Center</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/priorities/innovation/overview" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2090631">Overview</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/priorities/innovation/about" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2074091">About</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/priorities/innovation/key-concepts" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2072461">Key Concepts</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/priorities/innovation-center/model-data" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2087691">Model Data</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/priorities/innovation-center/value-based-care-spotlight" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2082926">Value-Based Care Spotlight</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/priorities/innovation/models" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2072436">Innovation Models</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/priorities/innovation/where-innovation-happening" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2072451">Where Innovation is Happening</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/priorities/innovation/evaluation-research-reports" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2072446">Evaluations & Research Reports</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Lookup tools</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
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<div class="subnav-header">
|
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
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</div>
|
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<div class="menu-wrapper">
|
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<ul class="menu">
|
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|
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|
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<li class="menu-item menu-item--l3">
|
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<a href="/medicare/quality/value-based-programs/quality-payment-program/lookup-tools" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/189536">Overview</a>
|
||
</li>
|
||
</ul>
|
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</div>
|
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</div>
|
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|
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</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Marketplace Open Enrollment</span>
|
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<div class="subnav-wrapper--2 ds-u-display--none">
|
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<div class="subnav-header">
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
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</div>
|
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<div class="menu-wrapper">
|
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<ul class="menu">
|
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|
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|
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<li class="menu-item menu-item--l3">
|
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<a href="https://www.healthcare.gov/quick-guide/dates-and-deadlines" class="menu-item-element" aria-current="false">Overview</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
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</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
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<span class="menu-item-element" aria-current="false">Maternal Health</span>
|
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<div class="subnav-wrapper--2 ds-u-display--none">
|
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<div class="subnav-header">
|
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
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</div>
|
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<div class="menu-wrapper">
|
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<ul class="menu">
|
||
|
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|
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<li class="menu-item menu-item--l3">
|
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<a href="/maternal-health" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2089266">Overview</a>
|
||
</li>
|
||
</ul>
|
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</div>
|
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</div>
|
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|
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</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
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<span class="menu-item-element" aria-current="false">Medicare OE partner resources</span>
|
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<div class="subnav-wrapper--2 ds-u-display--none">
|
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<div class="subnav-header">
|
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
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</div>
|
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<div class="menu-wrapper">
|
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<ul class="menu">
|
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<li class="menu-item menu-item--l3">
|
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<a href="/outreach-and-education/reach-out/find-tools-to-help-you-help-others/open-enrollment-outreach-and-media-materials" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/180386">Overview</a>
|
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</li>
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</ul>
|
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</div>
|
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</div>
|
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|
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</li>
|
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<li class="menu-item menu-item--l2 menu-item--expanded">
|
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<span class="menu-item-element" aria-current="false">Medicare Open Enrollment</span>
|
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<div class="subnav-wrapper--2 ds-u-display--none">
|
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<div class="subnav-header">
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
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</div>
|
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<div class="menu-wrapper">
|
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<ul class="menu">
|
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|
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|
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<li class="menu-item menu-item--l3">
|
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<a href="/priorities/key-initiatives/medicare-open-enrollment-partner-resources" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/180361">Overview</a>
|
||
</li>
|
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</ul>
|
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</div>
|
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</div>
|
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|
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</li>
|
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<li class="menu-item menu-item--l2 menu-item--expanded">
|
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<span class="menu-item-element" aria-current="false">Nursing Home Careers</span>
|
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<div class="subnav-wrapper--2 ds-u-display--none">
|
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
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</div>
|
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<div class="menu-wrapper">
|
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<ul class="menu">
|
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|
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<li class="menu-item menu-item--l3 menu-item--collapsed">
|
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<a href="/priorities/key-initiatives/nursing-home-careers" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2089791">Overview</a>
|
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</li>
|
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</ul>
|
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</div>
|
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</div>
|
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|
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</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
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<span title="Open Payments landing page" class="menu-item-element" aria-current="false">Open Payments</span>
|
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<div class="subnav-wrapper--2 ds-u-display--none">
|
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<div class="subnav-header">
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
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</div>
|
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<div class="menu-wrapper">
|
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<ul class="menu">
|
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|
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|
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<li class="menu-item menu-item--l3 menu-item--collapsed">
|
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<a href="/priorities/key-initiatives/open-payments" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/188426">Overview</a>
|
||
</li>
|
||
</ul>
|
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</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
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<span class="menu-item-element" aria-current="false">Opioids</span>
|
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<div class="subnav-wrapper--2 ds-u-display--none">
|
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<div class="subnav-header">
|
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
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|
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</div>
|
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<div class="menu-wrapper">
|
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<ul class="menu">
|
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|
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|
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<li class="menu-item menu-item--l3">
|
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<a href="/priorities/key-initiatives/opioids" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1620416">Overview</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Your Patient Rights</span>
|
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<div class="subnav-wrapper--2 ds-u-display--none">
|
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<div class="subnav-header">
|
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
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</div>
|
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<div class="menu-wrapper">
|
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<ul class="menu">
|
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|
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|
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<li class="menu-item menu-item--l3 menu-item--collapsed">
|
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<a href="/priorities/your-patient-rights/emergency-room-rights" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2083831">Emergency Room Rights</a>
|
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</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medical-bill-rights" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1912576">Medical bill rights</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l1 menu-item--expanded menu-item--active-trail">
|
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<span class="menu-item-element" aria-current="false">Training & Education</span>
|
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<div class="subnav-wrapper--1 ds-u-display--none">
|
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<div class="subnav-header">
|
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<span class="back-to-main ds-u-lg-display--none">Back to main menu</span>
|
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<h2 class="subnav-title-h2" style="position:relative;text-align:left;width:auto;height:auto;">section title h2</h2>
|
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</div>
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">CMS National Training Program</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
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</div>
|
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<div class="menu-wrapper">
|
||
<ul class="menu">
|
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|
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|
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<li class="menu-item menu-item--l3">
|
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<a href="https://cmsnationaltrainingprogram.cms.gov/resources" class="menu-item-element" aria-current="false">National Training Program resources</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://cmsnationaltrainingprogram.cms.gov/?q=global-search&combine=classroom%20modules" class="menu-item-element" aria-current="false">Class modules</a>
|
||
</li>
|
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</ul>
|
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</div>
|
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</div>
|
||
|
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</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
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<span class="menu-item-element" aria-current="false">Partner outreach resources</span>
|
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<div class="subnav-wrapper--2 ds-u-display--none">
|
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<div class="subnav-header">
|
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
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</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/training-education/partner-outreach-resources/partner-with-cms" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172236">Partner with CMS</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/training-education/partner-outreach-resources/national-medicare-education-program-nmep" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/180046">National Medicare Education Program (NMEP)</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/training-education/partner-outreach-resources/low-income-subsidy-lis" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171051">Low-Income Subsidy (LIS) outreach</a>
|
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|
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<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/assisters-navigators/enrollment/champion" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2073456">Become a champion for coverage</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/training-education/partner-outreach-resources/faith-based" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/182296">Faith-Based Partners</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/training-education/partner-outreach-resources/rural-health" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/185591">Rural Health Partners</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/training-education/partner-outreach-resources/american-indian-alaska-native" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172176">American Indian/Alaska Native</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/training-education/partner-outreach-resources/center" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193436">Partnering with CMS Center</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Medicare Learning Network® (MLN)</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
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</div>
|
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<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/training-education/medicare-learning-network/resources-training" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/188581">Resources & training</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/training-education/medicare-learning-network/newsletter" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/181061">Newsletter</a>
|
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</li>
|
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<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/training-education/medicare-learning-network/compliance" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/181006">Compliance</a>
|
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</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/training-education/medicare-learning-network/partnerships" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/177061">Partnerships</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">CMS Open Door Forums</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
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</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
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<a href="/training-education/open-door-forums/about" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172171">About Open Door Forums</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
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<a href="/training-education/open-door-forums/ambulance" title="The Ambulance Open Door Forum (ODF) addresses issues related to the payment, billing, coverage and delivery of services in the ambulance industry." class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172296">Ambulance</a>
|
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</li>
|
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<li class="menu-item menu-item--l3 menu-item--collapsed">
|
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<a href="/esrd" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172241">End-Stage Renal Disease (ESRD) Dialysis Facility Care Compare</a>
|
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</li>
|
||
<li class="menu-item menu-item--l3">
|
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<a href="/training-education/open-door-forums/home-health-hospice-durable-medical-equipment-dme" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/173651">Home Health, Hospice & Durable Medical Equipment (DME)</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/training-education/open-door-forums/hospitals" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172276">Hospital</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
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<a href="/training-education/open-door-forums/long-term-services-supports" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172251">Long-Term Services & Supports</a>
|
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</li>
|
||
<li class="menu-item menu-item--l3">
|
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<a href="/training-education/open-door-forums/physicians-nurses-allied-health-professionals" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172306">Physicians, Nurses and Allied Health Professionals</a>
|
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</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/training-education/open-door-forums/rural-health" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172291">Rural Health</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/training-education/open-door-forums/skilled-nursing-facilities-snf" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172316">Skilled Nursing Facilities (SNFs)/Long-Term Care</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/training-education/open-door-forums/special" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/174026">Special Open Door forums</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded menu-item--active-trail">
|
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<span class="menu-item-element" aria-current="false">Look up topics</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
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<div class="subnav-header">
|
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
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</div>
|
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<div class="menu-wrapper">
|
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<ul class="menu">
|
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|
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|
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<li class="menu-item menu-item--l3">
|
||
<a href="/training-education/partner-outreach-resources/medicare" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/178086">Medicare</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
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HIPAA Administrative Simplification
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<h1 class="ds-u-visibility--screen-reader page-title"><span class="field field--name-title field--type-string field--label-visually_hidden">HIPAA Administrative Simplification Resources and FAQs
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</div><div class="ds-l-row"><div class="ds-l-col--12 ds-l-md-col--8 ds-u-md-padding-right--5"><div class="ds-l-row"><div class="ds-l-col--5 ds-l-lg-col--3"><article class="media media--type-image media--view-mode-embedded">
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<div mid="/files/image/cms2024adminsimpaboutusprovidersicon500pxpng.png" class="field field--name-image field--type-image field--label-hidden field__item"> <img loading="lazy" src="/sites/default/files/2024-05/cms_2024_adminsimp_aboutus_providers_icon_500px.png" width="500" height="551" alt="Graphic of a man with a stethoscope hanging around his neck">
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</article>
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</div><div class="ds-l-col--7 ds-l-lg-col--9 ds-u-display--flex ds-u-align-items--center ds-u-padding-left--1"><p class="ds-u-color--primary ds-u-font-weight--bold ds-u-font-size--2xl ds-u-padding-bottom--6"><span>What is Administrative Simplification?</span></p></div><div class="ds-l-col--12"><p class="ds-u-margin-top--3 ds-u-margin-bottom--4">It’s the idea that the health care industry can reduce burden and lower costs by standardizing how business is done. Administrative Simplification requirements, part of the Health Insurance Portability and Accountability Act (HIPAA) of 1996, govern how providers, health plans, and clearinghouses must conduct electronic, administrative transactions and set standards for transmitting electronic health information.</p></div></div></div><div class="ds-l-col--12 ds-l-md-col--4 ds-u-padding--0 ds-u-display--none ds-u-md-display--block"><div class="ds-l-col--12 ds-u-padding--0"><article class="media media--type-image media--view-mode-embedded">
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|
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<div mid="/files/image/cms2024adminsimphipaaresourcesandfaqkeepuptodateicon500pxpng.png" class="field field--name-image field--type-image field--label-hidden field__item"> <img loading="lazy" src="/sites/default/files/2024-06/cms_2024_adminsimp_hipaa_resources_and_faq_keepuptodate_icon_500px.png" width="499" height="550" alt="Graphic of an envelope">
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</div>
|
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|
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</article>
|
||
</div></div><div class="ds-l-col--6 ds-u-display--flex ds-u-align-items--center"><p class="ds-u-color--primary ds-u-font-weight--bold ds-u-font-size--2xl ds-u-padding-bottom--7 ds-u-md-padding-bottom--0 ds-u-lg-padding-bottom--7"><span>Keep Up to Date!</span></p></div></div><div class="ds-l-col--12"><p class="ds-u-margin-y--3"><span>Sign up for Administrative Simplification </span><a href="https://public.govdelivery.com/accounts/USCMS/subscriber/new?topic_id=USCMS_7834"><span>Email Updates</span></a><span> and follow us on </span><a href="https://x.com/CMSGov"><span>X (Twitter).</span></a></p></div></div></div></div><div class="ds-l-row ds-u-margin-bottom--5 ds-u-padding-x--2 ds-u-lg-padding--0"><div class="ds-l-col--12 ds-l-lg-col--8"><div class="ds-l-row"><div class="ds-l-col--5 ds-l-lg-col--3"><article class="media media--type-image media--view-mode-embedded">
|
||
<div mid="/files/image/cms2024adminsimphipaaresourcesandfaqwhowweareicon500pxpng.png" class="field field--name-image field--type-image field--label-hidden field__item"> <img loading="lazy" src="/sites/default/files/2024-06/cms_2024_adminsimp_hipaa_resources_and_faq_whowweare_icon_500px.png" width="499" height="550" alt="Graphic of three faceless human figures">
|
||
|
||
</div>
|
||
|
||
</article>
|
||
</div><div class="ds-l-col--7 ds-l-lg-col--9 ds-u-display--flex ds-u-align-items--center ds-u-padding-left--1"><p class="ds-u-color--primary ds-u-font-weight--bold ds-u-font-size--2xl ds-u-padding-bottom--6"><span>Who We Are</span></p></div></div></div><div class="ds-l-col--12"><p class="ds-u-margin-top--3">The National Standards Group (NSG) within the Office of Healthcare Experience and Interoperability (OHEI), administers HIPAA Administrative Simplification requirements related to the format and content of electronic, administrative health care transactions, such as claims and payment. The responsibility for administering HIPAA Administrative Simplification provisions related to privacy and security has been delegated to the <a href="https://www.hhs.gov/hipaa/index.html">Office for Civil Rights (OCR).</a></p></div></div><div class="ds-l-row ds-u-margin-bottom--1 ds-u-padding-x--2 ds-u-lg-padding--0"><div class="ds-l-col--12 ds-l-lg-col--8"><div class="ds-l-row"><div class="ds-l-col--5 ds-l-lg-col--3"><article class="media media--type-image media--view-mode-embedded">
|
||
<div mid="/files/image/cms2024adminsimphipaaresourcesandfaqwhatwedoicon500pxpng.png" class="field field--name-image field--type-image field--label-hidden field__item"> <img loading="lazy" src="/sites/default/files/2024-06/cms_2024_adminsimp_hipaa_resources_and_faq_whatwedo_icon_500px.png" width="499" height="550" alt="Graphic of a computer with a checkmark">
|
||
|
||
</div>
|
||
|
||
</article>
|
||
</div><div class="ds-l-col--7 ds-l-lg-col--9 ds-u-display--flex ds-u-align-items--center ds-u-padding-left--1"><p class="ds-u-color--primary ds-u-font-weight--bold ds-u-font-size--2xl ds-u-padding-bottom--6"><span>What We Do</span></p></div></div></div><div class="ds-l-col--12"><p class="ds-u-margin-y--3"><span dir="ltr">NSG uses recommendations from the industry to develop and enforce regulations that adopt standards, operating rules, unique</span><br><span dir="ltr">identifiers, and code sets, that all covered entities must follow when conducting administrative health care transactions, called HIPAA Standard Transactions.</span></p></div></div><div class="ds-l-col--12 ds-l-md-col--5 ds-l-lg-col--4 ds-u-padding--0 ds-u-display--block ds-u-md-display--none ds-u-padding-x--2 ds-u-lg-padding--0 ds-u-margin-bottom--5"><div class="ds-l-col--12 ds-u-padding--0"><div class="field field--name-image field--type-image field--label-hidden field__item"><img src="/sites/default/files/2024-06/border1_0.png" alt="blue border" width="584" height="9" loading="lazy"></div><div class="ds-l-col--12 ds-u-border-left--1 ds-u-border-right--1 ds-u-border-bottom--1 ds-u-border ds-u-padding-top--3 ds-u-padding-bottom--1 ds-u-padding-x--2"><div class="ds-l-row ds-l-col--12"><div class="ds-l-col--6"><div><div class="field field--name-image field--type-image field--label-hidden field__item"><img src="/sites/default/files/2024-06/cms_2024_adminsimp_hipaa_resources_and_faq_keepuptodate_icon_500px.png" alt="Graphic of an envelope" width="499" height="550" loading="lazy"></div></div></div><div class="ds-l-col--6 ds-u-display--flex ds-u-align-items--center"><p class="ds-u-color--primary ds-u-font-weight--bold ds-u-font-size--2xl ds-u-padding-bottom--7"><span>Keep Up to Date!</span></p></div></div><div class="ds-l-col--12"><p class="ds-u-margin-y--3"><span>Sign up for Administrative Simplification Email Updates and follow us on X (Twitter).</span></p></div></div></div></div><div class="ds-u-display--flex ds-u-flex-direction--column ds-u-padding-x--0 ds-l-col--12 ds-u-border ds-u-border-y--1 ds-u-padding-y--4 ds-u-padding-x--2 ds-u-lg-padding-x--0"><h3 class="ds-u-display--inline ds-u-margin-right--3">Resources</h3><p class="ds-u-margin-top--1 "><span>Jump to: </span><a href="#hipaa-and-administrative-simplification"><span>HIPAA and Administrative</span></a> | <a href="#transactions"><span>Transactions</span></a> | <a href="#enforcement"><span>Enforcement</span></a> | <a href="#subregulatory-guidance"><span>Subregulatory Guidance</span></a></p></div><div class="ds-l-row ds-u-padding-x--2 ds-u-margin-top--1 ds-u-lg-margin-top--3"><div class="ds-l-col-12 ds-u-border ds-u-border-bottom--1 ds-u-padding-bottom--6"><div class="ds-l-row ds-u-padding-x--1 ds-u-lg-padding-x--0"><div class="ds-l-col--12 ds-l-lg-col--5 ds-u-padding-x--0 ds-u-lg-padding-x--2 ds-u-lg-padding-right--2 ds-u-margin-top--3 "><article class="media media--type-image media--view-mode-embedded">
|
||
<div mid="/files/image/cms2024adminsimphipaaresourcesandfaqtoolkit1280pxpng.png" class="field field--name-image field--type-image field--label-hidden field__item"> <img loading="lazy" src="/sites/default/files/2024-06/cms_2024_adminsimp_hipaa_resources_and_faq_toolkit_1280px.png" width="1279" height="887" alt="Graphic of a man with many arms multi-tasking by having a different item in each hand.">
|
||
|
||
</div>
|
||
|
||
</article>
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</div><div class="ds-l-lg-col--7 ds-u-padding-x--3 ds-u-lg-padding-x--2 ds-u-padding-top--1 ds-u-lg-padding-top--0 ds-u-margin-top--3 "><h4>Spotlight</h4><h2 class="ds-u-color--primary ds-u-margin-top--1 ds-u-lg-margin-top--5"><a href="/files/zip/administrative-simplification-toolkit.zip" data-entity-type="media" data-entity-uuid="2c690873-220d-4021-adde-56751bebae19" data-entity-substitution="canonical" title="Administrative-Simplification-Toolkit">Administrative Simplification Resources Toolkit (ZIP)</a></h2><p>This toolkit features key Administrative Simplification resources, along with a table of contents outlining the information they contain. <a class="ds-u-margin-top--3 ds-c-button" href="/files/zip/administrative-simplification-toolkit.zip" data-entity-type="media" data-entity-uuid="2c690873-220d-4021-adde-56751bebae19" data-entity-substitution="canonical" title="Administrative-Simplification-Toolkit"><strong>Read More</strong> (ZIP)</a></p></div></div></div></div><div class="ds-l-row ds-u-padding-x--2 ds-u-margin-top--1 ds-u-lg-margin-top--3"><div class="ds-l-col-12 ds-u-border ds-u-border-bottom--1 ds-u-padding-bottom--6"><div class="ds-l-row ds-u-padding-x--1 ds-u-lg-padding-x--0"><div class="ds-l-col--12 ds-l-lg-col--5 ds-u-padding-x--0 ds-u-lg-padding-x--2 ds-u-lg-padding-right--2 ds-u-margin-top--3 "><article class="media media--type-image media--view-mode-embedded">
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<div mid="/files/image/cms2024adminsimphipaaresourcesandfaqasettvideo1280pxpng.png" class="field field--name-image field--type-image field--label-hidden field__item"> <img loading="lazy" src="/sites/default/files/2024-06/cms_2024_adminsimp_hipaa_resources_and_faq_asett_video_1280px.png" width="1279" height="887" alt="Graphic of woman holding a gear icon">
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</div><div class="ds-l-lg-col--7 ds-u-padding-x--3 ds-u-lg-padding-x--2 ds-u-padding-top--1 ds-u-lg-padding-top--0 ds-u-margin-top--3 "><h4>Spotlight</h4><h2 class="ds-u-color--primary ds-u-margin-top--1 ds-u-lg-margin-top--5"><a href="https://www.youtube.com/watch?v=4foLDmgBwlk"><span dir="ltr">Administrative Simplification Enforcement and Testing</span></a><br><a href="https://www.youtube.com/watch?v=4foLDmgBwlk"><span dir="ltr">Tool (ASETT) Demonstration Video</span></a></h2><p><span dir="ltr">This demonstration video walks users through how to register for</span><br><span dir="ltr">ASETT, how to use it to file complaints against HIPAA covered entities</span><br><span dir="ltr">for noncompliance with Administrative Simplification standards for</span><br><span dir="ltr">electronic health care transactions, and how to test their electronic</span><br><span dir="ltr">health care transactions, as well as their trading partners' transactions</span><br><span dir="ltr">for potential noncompliance.</span><a class="ds-u-margin-top--3 ds-c-button" href="https://www.youtube.com/watch?v=4foLDmgBwlk"><strong>Read More (Video)</strong></a></p></div></div></div></div><div class="ds-l-row ds-u-padding-x--2 ds-u-margin-top--1 ds-u-lg-margin-top--3"><div class="ds-l-col-12 ds-u-border ds-u-border-bottom--1 ds-u-padding-bottom--6"><div class="ds-l-row ds-u-padding-x--1 ds-u-lg-padding-x--0"><div class="ds-l-col--12 ds-l-lg-col--5 ds-u-padding-x--0 ds-u-lg-padding-x--2 ds-u-lg-padding-right--2 ds-u-margin-top--3 "><article class="media media--type-image media--view-mode-embedded">
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<div mid="/files/image/cms2024adminsimphipaaresourcesandfaqenforcementdata1280pxpng.png" class="field field--name-image field--type-image field--label-hidden field__item"> <img loading="lazy" src="/sites/default/files/2024-06/cms_2024_adminsimp_hipaa_resources_and_faq_enforcement_data_1280px.png" width="1279" height="887" alt="Graphic of a man next to a long document">
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</div><div class="ds-l-lg-col--7 ds-u-padding-x--3 ds-u-lg-padding-x--2 ds-u-padding-top--1 ds-u-lg-padding-top--0 ds-u-margin-top--3 "><h4>Spotlight</h4><h2 class="ds-u-color--primary ds-u-margin-top--1 ds-u-lg-margin-top--5"><a href="/files/document/enforcement-data-1st-quarter-2024.pdf" data-entity-type="media" data-entity-uuid="7464ae5c-72e4-41e5-8caa-a601bba10000" data-entity-substitution="canonical" title="Enforcement Data 1st Quarter 2024">Enforcement Data First Quarter of 2024 (PDF)</a></h2><p>This report provides statistics on HIPAA complaint types submitted via ASETT by covered entities, violations based on the type of transaction, and resolution time frames.<a class="ds-u-margin-top--3 ds-c-button" href="/files/document/enforcement-data-1st-quarter-2024.pdf" data-entity-type="media" data-entity-uuid="7464ae5c-72e4-41e5-8caa-a601bba10000" data-entity-substitution="canonical" title="Enforcement Data 1st Quarter 2024"><strong>Read More</strong> (PDF)</a></p></div></div></div></div><div class="ds-l-row ds-u-padding-x--4 ds-u-lg-padding-x--0 ds-u-border ds-u-border-bottom--1 ds-u-padding-bottom--6 ds-u-overflow--auto"><div class="ds-l-col--12 ds-l-md-col--6 ds-l-lg-col--3"><article class="media media--type-image media--view-mode-embedded">
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<div mid="/files/image/cms2024adminsimphipaaresourcesandfaqhipaa1280pxpng.png" class="field field--name-image field--type-image field--label-hidden field__item"> <img loading="lazy" src="/sites/default/files/2024-06/CMS_2024_AdminSimp_HIPAA_Resources_and_FAQ_HIPAA_1280px.png" width="1280" height="1280" alt="Graphic of a woman holding a giant check mark">
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</div><div class="ds-l-row ds-l-col--12 ds-l-lg-col--9"><div class="ds-l-row ds-u-padding-x--1 ds-u-lg-padding-x--0"><div class="ds-l-col--12 ds-l-lg-col--11 ds-u-lg-padding-left--5 ds-u-padding-left--0"><h3 class="ds-u-color--primary ds-u-margin-top--1 ds-u-lg-margin-top--5" id="hipaa-and-administrative-simplification"><a href="/priorities/key-initiatives/burden-reduction/administrative-simplification/hipaa">HIPAA and Administrative Simplification</a></h3><div class="ds-l-container ds-u-padding-x--0"><div class="ds-l-row"><div class="ds-l-col--2 ds-l-md-col--1 ds-u-padding-right--1 ds-u-padding-top--1"><div class="field field--name-image field--type-image field--label-hidden field__item"><a href="/files/document/hipaa-admin-simp-fundamentals-fact-sheet.pdf" data-entity-type="media" data-entity-uuid="9111d756-0aa0-41d9-b66c-0e841722ab43" data-entity-substitution="canonical" title="HIPAA Admin Simp Fundamentals Fact Sheet"><img src="/sites/default/files/2022-08/Resource_Icons_PDF-small-35.png" alt="pdf icon" width="35" height="35" loading="lazy"></a></div></div><div class="ds-l-col--10 ds-l-md-col--11 ds-u-padding-left--0 ds-u-padding-top--1 ds-u-margin-bottom--4"><div><p><a href="/files/document/hipaa-admin-simp-fundamentals-fact-sheet.pdf" data-entity-type="media" data-entity-uuid="9111d756-0aa0-41d9-b66c-0e841722ab43" data-entity-substitution="canonical" title="HIPAA Admin Simp Fundamentals Fact Sheet">Administrative Simplification Fundamentals Fact Sheet (PDF)</a></p></div></div></div></div></div><div class="ds-l-col--12 ds-l-lg-col--11 ds-u-lg-padding-left--5 ds-u-padding-left--0"><div class="ds-l-container ds-u-padding-x--0"><div class="ds-l-row"><div class="ds-l-col--2 ds-l-md-col--1 ds-u-padding-right--1 ds-u-padding-top--1"><article class="media media--type-image media--view-mode-embedded">
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<div mid="/files/image/zip-icon-35.png" class="field field--name-image field--type-image field--label-hidden field__item"> <img loading="lazy" src="/sites/default/files/2024-07/Zip_icon_0.png" width="35" height="35" alt="A document with a zip overlay" title="Zip Icon 35">
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</div><div class="ds-l-col--10 ds-l-md-col--11 ds-u-padding-left--0 ds-u-padding-top--1 ds-u-margin-bottom--4"><div><p><a href="/files/zip/administrative-simplification-resources-toolkit.zip" title="Administrative Simplification Resources Toolkit" data-entity-type="media" data-entity-uuid="363ec41f-220a-4230-8f6c-d3ef4d2457e4" data-entity-substitution="canonical">Administrative Simplification Resources Toolkit (ZIP)</a></p></div></div></div></div></div><div class="ds-l-col--12 ds-l-lg-col--11 ds-u-lg-padding-left--5 ds-u-padding-left--0"><div class="ds-l-container ds-u-padding-x--0"><div class="ds-l-row"><div class="ds-l-col--2 ds-l-md-col--1 ds-u-padding-right--1 ds-u-padding-top--1"><div class="field field--name-image field--type-image field--label-hidden field__item"><img src="/sites/default/files/2022-08/Resource_Icons_PDF-small-35.png" alt="pdf icon" width="35" height="35" loading="lazy"></div></div><div class="ds-l-col--10 ds-l-md-col--11 ds-u-padding-left--0 ds-u-padding-top--1 ds-u-margin-bottom--4"><div><p><a href="/files/document/admin-simp-one-pager.pdf" title="Admin Simp One Pager" data-entity-type="media" data-entity-uuid="e3b3e865-845e-41b3-843c-b5c73c26e3a3" data-entity-substitution="canonical">Admin Simp One Pager (PDF)</a></p></div></div></div></div></div><div class="ds-l-col--12 ds-l-lg-col--11 ds-u-lg-padding-left--5 ds-u-padding-left--0"><div class="ds-l-container ds-u-padding-x--0"><div class="ds-l-row"><div class="ds-l-col--2 ds-l-md-col--1 ds-u-padding-right--1 ds-u-padding-top--1"><div class="field field--name-image field--type-image field--label-hidden field__item"><img src="/sites/default/files/2022-02/Resource_Icons_VIDEO-small.png" alt="circular icon with a gray background and a solid white triangle pointing to the right" width="35" height="35" loading="lazy"></div></div><div class="ds-l-col--10 ds-l-md-col--11 ds-u-padding-left--0 ds-u-padding-top--1 ds-u-margin-bottom--4"><div><p><a href="https://www.youtube.com/watch?v=nTLXK8aBs0I">Introduction to Administrative Simplification (Video)</a></p></div></div></div></div></div><div class="ds-l-col--12 ds-l-lg-col--11 ds-u-lg-padding-left--5 ds-u-padding-left--0"><div class="ds-l-container ds-u-padding-x--0"><div class="ds-l-row"><div class="ds-l-col--2 ds-l-md-col--1 ds-u-padding-right--1 ds-u-padding-top--1"><div class="field field--name-image field--type-image field--label-hidden field__item"><img src="/sites/default/files/2022-08/Resource_Icons_PDF-small-35.png" alt="pdf icon" width="35" height="35" loading="lazy"></div></div><div class="ds-l-col--10 ds-l-md-col--11 ds-u-padding-left--0 ds-u-padding-top--1 ds-u-margin-bottom--4"><div><p><a href="/regulations-and-guidance/administrative-simplification/hipaa-aca/downloads/aboutadminsimpfactsheet20171017.pdf" title="AboutAdminSimpFactSheet20171017" data-entity-type="media" data-entity-uuid="6bc49e79-b210-45cc-b764-167d7a33553f" data-entity-substitution="canonical">About Admin Simp Fact Sheet (PDF)</a></p></div></div></div></div></div><div class="ds-l-col--12 ds-l-lg-col--11 ds-u-lg-padding-left--5 ds-u-padding-left--0"><div class="ds-l-container ds-u-padding-x--0"><div class="ds-l-row"><div class="ds-l-col--2 ds-l-md-col--1 ds-u-padding-right--1 ds-u-padding-top--1"><div class="field field--name-image field--type-image field--label-hidden field__item"><img src="/sites/default/files/2022-08/Resource_Icons_PDF-small-35.png" alt="pdf icon" width="35" height="35" loading="lazy"></div></div><div class="ds-l-col--10 ds-l-md-col--11 ds-u-padding-left--0 ds-u-padding-top--1 ds-u-margin-bottom--4"><div><p><a href="/regulations-and-guidance/administrative-simplification/hipaa-aca/downloads/aboutadminsimpinfographic20171020.pdf" title="AboutAdminSimpInfographic20171020" data-entity-type="media" data-entity-uuid="88261222-9457-46d1-9e1a-289b6ab2ee5d" data-entity-substitution="canonical">Streamline Your Paperwork Infographic (PDF)</a></p></div></div></div></div></div><div class="ds-l-col--12 ds-l-lg-col--11 ds-u-lg-padding-left--5 ds-u-padding-left--0"><div class="ds-l-container ds-u-padding-x--0"><div class="ds-l-row"><div class="ds-l-col--2 ds-l-md-col--1 ds-u-padding-right--1 ds-u-padding-top--1"><div class="field field--name-image field--type-image field--label-hidden field__item"><img src="/sites/default/files/2022-08/Resource_Icons_PDF-small-35.png" alt="pdf icon" width="35" height="35" loading="lazy"></div></div><div class="ds-l-col--10 ds-l-md-col--11 ds-u-padding-left--0 ds-u-padding-top--1 ds-u-margin-bottom--4"><div><p><a href="/files/document/hipaa-admin-simp-regulations-fact-sheet.pdf" title="HIPAA Admin Simp Regulations Fact Sheet" data-entity-type="media" data-entity-uuid="69cad171-b541-4ab1-b26c-0bc8f3a6b914" data-entity-substitution="canonical">HIPAA Administrative Simplification Regulations Overview (PDF)</a></p></div></div></div></div></div><div class="ds-l-col--12 ds-l-lg-col--11 ds-u-lg-padding-left--5 ds-u-padding-left--0"><div class="ds-l-container ds-u-padding-x--0"><div class="ds-l-row"><div class="ds-l-col--2 ds-l-md-col--1 ds-u-padding-right--1 ds-u-padding-top--1"><div class="field field--name-image field--type-image field--label-hidden field__item"><img src="/sites/default/files/2022-08/Resource_Icons_PDF-small-35.png" alt="pdf icon" width="35" height="35" loading="lazy"></div></div><div class="ds-l-col--10 ds-l-md-col--11 ds-u-padding-left--0 ds-u-padding-top--1 ds-u-margin-bottom--4"><div><p><a href="/regulations-and-guidance/administrative-simplification/hipaa-aca/downloads/coveredentitieschart20160617.pdf" title="CoveredEntitiesChart20160617" data-entity-type="media" data-entity-uuid="9a138a73-9232-4a80-b247-10e3000cde69" data-entity-substitution="canonical">Covered Entity Decision Tool (PDF)</a></p></div></div><div class="ds-u-padding-left--2 ds-u-margin-top--2"><a class="ds-u-margin-top--0 ds-c-button" href="/priorities/key-initiatives/burden-reduction/administrative-simplification/hipaa">See all HIPAA and Administrative Simplification Resources</a></div></div></div></div></div></div><div class="ds-l-row ds-u-padding-x--4 ds-u-lg-padding-x--0 ds-u-border ds-u-border-bottom--1 ds-u-padding-bottom--6"><div class="ds-l-col--12 ds-l-md-col--6 ds-l-lg-col--3"><article class="media media--type-image media--view-mode-embedded">
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<div mid="/files/image/cms2024adminsimphipaaresourcesandfaqtransactions1280pxpng.png" class="field field--name-image field--type-image field--label-hidden field__item"> <img loading="lazy" src="/sites/default/files/2024-06/cms_2024_adminsimp_hipaa_resources_and_faq_transactions_1280px.png" width="1280" height="1280" alt="Graphic of a woman interacting with a giant touch screen">
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</article>
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</div><div class="ds-l-row ds-l-col--12 ds-l-lg-col--9"><div class="ds-l-row ds-u-padding-x--1 ds-u-lg-padding-x--0"><div class="ds-l-col--12 ds-l-lg-col--11 ds-u-lg-padding-left--5 ds-u-padding-left--0"><h3 class="ds-u-color--primary ds-u-margin-top--1 ds-u-lg-margin-top--5" id="transactions"><a href="/priorities/key-initiatives/burden-reduction/administrative-simplification/transactions" data-entity-type="node" data-entity-uuid="12eb5468-1b5b-43e1-86f3-0446dcbca88d" data-entity-substitution="canonical" title="Transactions Overview">Transactions</a></h3></div><p class="ds-u-lg-padding-left--5 ds-u-padding-left--0">NSG oversees, statutes and regulations, and how requirements are adopted and updated. </p><div class="ds-l-col--12 ds-l-lg-col--11 ds-u-lg-padding-left--5 ds-u-padding-left--0"><h4 class="ds-u-md-padding-left--0 ds-u-margin-y--2">Basic Fact Sheets</h4></div><div class="ds-l-col--12 ds-l-lg-col--11 ds-u-lg-padding-left--5 ds-u-padding-left--0"><div class="ds-l-container ds-u-padding-x--0"><div class="ds-l-row ds-u-padding-x--1 ds-u-lg-padding-x--0"><div class="ds-l-col--2 ds-l-md-col--1 ds-u-padding-right--1 ds-u-padding-top--1"><div class="field field--name-image field--type-image field--label-hidden field__item"><img src="/sites/default/files/2022-08/Resource_Icons_PDF-small-35.png" alt="pdf icon" width="35" height="35" loading="lazy"></div></div><div class="ds-l-col--10 ds-l-md-col--11 ds-u-padding-left--0 ds-u-padding-top--1 ds-u-margin-bottom--4"><div><p><a href="/files/document/health-care-transactions-basics.pdf" title="Health care transactions basics" data-entity-type="media" data-entity-uuid="fa505c65-3160-45a5-b714-a5c85f0a2b22" data-entity-substitution="canonical">Health Care Transactions (PDF)</a></p></div></div></div></div></div><div class="ds-l-col--12 ds-l-lg-col--11 ds-u-lg-padding-left--5 ds-u-padding-left--0"><div class="ds-l-container ds-u-padding-x--0"><div class="ds-l-row ds-u-padding-x--1 ds-u-lg-padding-x--0"><div class="ds-l-col--2 ds-l-md-col--1 ds-u-padding-right--1 ds-u-padding-top--1"><div class="field field--name-image field--type-image field--label-hidden field__item"><img src="/sites/default/files/2022-08/Resource_Icons_PDF-small-35.png" alt="pdf icon" width="35" height="35" loading="lazy"></div></div><div class="ds-l-col--10 ds-l-md-col--11 ds-u-padding-left--0 ds-u-padding-top--1 ds-u-margin-bottom--4"><div><p><a href="/files/document/electronic-funds-transfer-and-electronic-remittance-advice-transactions.pdf" title="Electronic Funds Transfer and Electronic Remittance Advice Transactions" data-entity-type="media" data-entity-uuid="fdcb6593-f419-4039-9196-3bc940dc5df0" data-entity-substitution="canonical">Electronic Funds Transfer and Electronic Remittance Advice Transactions (PDF)</a></p></div></div></div></div></div><div class="ds-l-col--12 ds-l-lg-col--11 ds-u-lg-padding-left--5 ds-u-padding-left--0"><div class="ds-l-container ds-u-padding-x--0"><div class="ds-l-row ds-u-padding-x--1 ds-u-lg-padding-x--0"><div class="ds-l-col--2 ds-l-md-col--1 ds-u-padding-right--1 ds-u-padding-top--1"><div class="field field--name-image field--type-image field--label-hidden field__item"><img src="/sites/default/files/2022-08/Resource_Icons_PDF-small-35.png" alt="pdf icon" width="35" height="35" loading="lazy"></div></div><div class="ds-l-col--10 ds-l-md-col--11 ds-u-padding-left--0 ds-u-padding-top--1 ds-u-margin-bottom--4"><div><p><a href="/files/document/eft-and-era-payment-remittance-reassociation-basics.pdf" title="EFT and ERA: Payment Remittance Reassociation Basics" data-entity-type="media" data-entity-uuid="d195aaaa-efc4-47fd-8226-8d8a6acc791c" data-entity-substitution="canonical">EFT and ERA: Payment Remittance Reassociation (PDF)</a></p></div></div></div></div></div><div class="ds-l-col--12 ds-l-lg-col--11 ds-u-lg-padding-left--5 ds-u-padding-left--0"><div class="ds-l-container ds-u-padding-x--0"><div class="ds-l-row ds-u-padding-x--1 ds-u-lg-padding-x--0"><div class="ds-l-col--2 ds-l-md-col--1 ds-u-padding-right--1 ds-u-padding-top--1"><div class="field field--name-image field--type-image field--label-hidden field__item"><img src="/sites/default/files/2022-08/Resource_Icons_PDF-small-35.png" alt="pdf icon" width="35" height="35" loading="lazy"></div></div><div class="ds-l-col--10 ds-l-md-col--11 ds-u-padding-left--0 ds-u-padding-top--1 ds-u-margin-bottom--4"><div><p><a href="/files/document/coordination-benefits-transactions.pdf" title="Coordination of Benefits Transactions" data-entity-type="media" data-entity-uuid="8babd958-abc5-4905-9489-7eceb43cdc9b" data-entity-substitution="canonical">Coordination of Benefits Transactions (PDF)</a></p></div></div></div></div></div><div class="ds-l-col--12 ds-l-lg-col--11 ds-u-lg-padding-left--5 ds-u-padding-left--0"><div class="ds-l-container ds-u-padding-x--0"><div class="ds-l-row ds-u-padding-x--1 ds-u-lg-padding-x--0"><div class="ds-l-col--2 ds-l-md-col--1 ds-u-padding-right--1 ds-u-padding-top--1"><div class="field field--name-image field--type-image field--label-hidden field__item"><img src="/sites/default/files/2022-08/Resource_Icons_PDF-small-35.png" alt="pdf icon" width="35" height="35" loading="lazy"></div></div><div class="ds-l-col--10 ds-l-md-col--11 ds-u-padding-left--0 ds-u-padding-top--1 ds-u-margin-bottom--4"><div><p><a href="/files/document/claim-status-transactions-basics.pdf" title="Claim Status Transactions Basics" data-entity-type="media" data-entity-uuid="8ca1c418-7643-47bb-bc10-ac4e6f67a67c" data-entity-substitution="canonical">Claim Status Transactions (PDF)</a></p></div></div></div></div></div><div class="ds-l-col--12 ds-l-lg-col--11 ds-u-lg-padding-left--5 ds-u-padding-left--0"><div class="ds-l-container ds-u-padding-x--0"><div class="ds-l-row ds-u-padding-x--1 ds-u-lg-padding-x--0"><div class="ds-l-col--2 ds-l-md-col--1 ds-u-padding-right--1 ds-u-padding-top--1"><div class="field field--name-image field--type-image field--label-hidden field__item"><img src="/sites/default/files/2022-08/Resource_Icons_PDF-small-35.png" alt="pdf icon" width="35" height="35" loading="lazy"></div></div><div class="ds-l-col--10 ds-l-md-col--11 ds-u-padding-left--0 ds-u-padding-top--1 ds-u-margin-bottom--4"><div><p><a href="/files/document/health-plan-eligibility-and-benefits-transaction-basics.pdf" title="Health Plan Eligibility and Benefits Transaction Basics" data-entity-type="media" data-entity-uuid="d4f27d30-757e-46fd-a641-4240e06c389b" data-entity-substitution="canonical">Eligibility and Benefits Transactions (PDF)</a></p></div></div></div></div></div><div class="ds-l-col--12 ds-l-lg-col--11 ds-u-lg-padding-left--5 ds-u-padding-left--0"><div class="ds-l-container ds-u-padding-x--0"><div class="ds-l-row ds-u-padding-x--1 ds-u-lg-padding-x--0"><div class="ds-l-col--2 ds-l-md-col--1 ds-u-padding-right--1 ds-u-padding-top--1"><div class="field field--name-image field--type-image field--label-hidden field__item"><img 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field--type-image field--label-hidden field__item"><img src="/sites/default/files/2022-08/Resource_Icons_PDF-small-35.png" alt="pdf icon" width="35" height="35" loading="lazy"></div></div><div class="ds-l-col--10 ds-l-md-col--11 ds-u-padding-left--0 ds-u-padding-top--1 ds-u-margin-bottom--4"><div><p><a href="/files/document/125-health-care-presentation-slides.pdf" title="1.25 Health Care Presentation Slides " data-entity-type="media" data-entity-uuid="4718e40a-bce9-46f5-9bd8-8695fac95591" data-entity-substitution="canonical">Listening Session Slides January 2023 (PDF)</a></p></div></div></div></div></div><div class="ds-l-col--12 ds-l-lg-col--11 ds-u-lg-padding-left--5 ds-u-padding-left--0"><div class="ds-l-container ds-u-padding-x--0"><div class="ds-l-row"><div class="ds-l-col--2 ds-l-md-col--1 ds-u-padding-right--1 ds-u-padding-top--1"><div class="field field--name-image field--type-image field--label-hidden field__item"><img 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Manual (PDF)</a></p></div></div></div></div></div><div class="ds-l-col--12 ds-l-lg-col--11 ds-u-lg-padding-left--5 ds-u-padding-left--0"><div class="ds-l-container ds-u-padding-x--0"><div class="ds-l-row"><div class="ds-l-col--2 ds-l-md-col--1 ds-u-padding-right--1 ds-u-padding-top--1"><div class="field field--name-image field--type-image field--label-hidden field__item"><img src="/sites/default/files/2022-08/Resource_Icons_PDF-small-35.png" alt="pdf icon" width="35" height="35" loading="lazy"></div></div><div class="ds-l-col--10 ds-l-md-col--11 ds-u-padding-left--0 ds-u-padding-top--1 ds-u-margin-bottom--4"><div><p><a href="/regulations-and-guidance/administrative-simplification/enforcements/downloads/asettquickstartguidefinal09212017.pdf" title="ASETT Quick Start Guide 2021" data-entity-type="media" data-entity-uuid="d31d477c-d901-48cf-af95-934d5cef3ae4" data-entity-substitution="canonical">ASETT Quick Start Guide (PDF)</a></p></div></div></div></div></div><div class="ds-l-col--12 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field--label-hidden field__item"><img src="/sites/default/files/2022-08/Resource_Icons_PDF-small-35.png" alt="pdf icon" width="35" height="35" loading="lazy"></div></div><div class="ds-l-col--10 ds-l-md-col--11 ds-u-padding-left--0 ds-u-padding-top--1 ds-u-margin-bottom--4"><div><p><a href="/files/document/enforcement-data-third-quarter-2022.pdf" title="Enforcement Data Third Quarter of 2022" data-entity-type="media" data-entity-uuid="455ae24b-5d24-484f-9aeb-154702018031" data-entity-substitution="canonical">Enforcement Data Third Quarter of 2022 (PDF)</a></p></div></div></div></div></div><div class="ds-l-col--12 ds-l-lg-col--11 ds-u-lg-padding-left--5 ds-u-padding-left--0"><div class="ds-l-container ds-u-padding-x--0"><div class="ds-l-row"><div class="ds-l-col--2 ds-l-md-col--1 ds-u-padding-right--1 ds-u-padding-top--1"><div class="field field--name-image field--type-image field--label-hidden field__item"><img src="/sites/default/files/2022-08/Resource_Icons_PDF-small-35.png" alt="pdf icon" width="35" height="35" loading="lazy"></div></div><div class="ds-l-col--10 ds-l-md-col--11 ds-u-padding-left--0 ds-u-padding-top--1 ds-u-margin-bottom--4"><div><p><a href="/files/document/enforcement-data-second-quarter-2022.pdf" title="Enforcement Data Second Quarter of 2022" data-entity-type="media" data-entity-uuid="98595976-ba97-43c3-92df-84dae6eb0953" data-entity-substitution="canonical">Enforcement Data Second Quarter of 2022 (PDF)</a></p></div></div></div></div></div><div class="ds-l-col--12 ds-l-lg-col--11 ds-u-lg-padding-left--5 ds-u-padding-left--0"><div class="ds-l-container ds-u-padding-x--0"><div class="ds-l-row"><div class="ds-l-col--2 ds-l-md-col--1 ds-u-padding-right--1 ds-u-padding-top--1"><div class="field field--name-image field--type-image field--label-hidden field__item"><img src="/sites/default/files/2022-08/Resource_Icons_PDF-small-35.png" alt="pdf icon" width="35" height="35" loading="lazy"></div></div><div class="ds-l-col--10 ds-l-md-col--11 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<div mid="/files/image/cms2024adminsimphipaaresourcesandfaqsubregguidance1280pxpng.png" class="field field--name-image field--type-image field--label-hidden field__item"> <img loading="lazy" src="/sites/default/files/2024-06/cms_2024_adminsimp_hipaa_resources_and_faq_subregguidance_1280px.png" width="1280" height="1280" alt="Graphic of two people looking through telescopes">
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