Nebraska Medicaid Program HIPAA Implementation Plans

1. Filed a compliance plan with the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS) to allow for an October 16, 2003 compliance A Request For Proposal (RFP) for an EDI translator was issued and the Sybase EDI Server and HIPAA Toolkit products have been selected Implementation plans are in progress and testing will begin as soon as the technical architecture is completed Nebraska Medicaid Program HIPAA Implementation Plans

2. Initial testing with trading partners is anticipated to begin in early 2003 When the test environment has been established, current trading partners will be contacted to make arrangements for testing and training The agency plans to follow the Strategic National Implementation Process (SNIP) schedule in implementing the transaction and code sets Nebraska Medicaid Program HIPAA Implementation Plans (cont.)

3. Nebraska Medicaid Program ‘companion guides’ for all electronic submitters will be published prior to implementation Pharmacy drug point of sale claims processing will remain with First Health Services Corporation A new First Health system that is HIPAA compliant will be implemented Pharmacy provider training is included in the implementation plans for the new system Nebraska Medicaid Program HIPAA Implementation Plans (cont.)

4. Nebraska Medicaid program staff are in the process of identifying national code replacements for local HCPCS procedure codes (e.g. W codes) In many cases, national replacements are not yet available CMS progress in establishing new codes is being monitored Once national codes are adopted, providers will be notified The agency efforts to comply with the privacy regulations are under way Nebraska Medicaid Program HIPAA status, testing schedules and other information will be published on the web The website is currently under construction. Providers will be notified of the website address when it is available Nebraska Medicaid Program HIPAA Implementation Plans (cont.)

5. Medicare CMS Regional Office VII – Kansas City – MO 1- 816-426-5783 1- 816-426-6369 Office for Civil Rights NE Part A Services Blue Cross and Blue Shield of Nebraska http://www.bcbsneprovider.com/ Mutual of Omaha Insurance Company http://www.mutualmedicare.com/ NE Part B Services Blue Cross and Blue Shield of Kansas http://www.nebraskamedicare.com/ Regional HIPAA-Related Resources~ State Specific Information ~

6. Nebraska SNIP – NE Regional HIPAA Effort http://www.nesnip.org/index.htm Medicaid – NE Dept of Health and Human Services http://www.hhs.state.ne.us/med/medindex.htm NE Hospital Association http://www.nhanet.org/hipaa/ Regional HIPAA-Related Resources~ State Specific Information ~