State and National Resources

CMS Resources

• General Information
• NPPES - National Plan and Provider Enumeration System
• HIPAA Information Series - HIPAA 101
• Current Information
• CMS Frequently Ask Questions

State Resources

• MMIS/DSS Implementation Web Site
• Statewide HIPAA Information
• Medicaid Reform
• Florida Medicaid Provider HIPAA Fact Sheet

Other Resources

• Health Insurance Portability and Accountability Act of 1996
• Transaction and Code Set Standards
• Transaction Implementation Guides
• Privacy Rule
• Security Rule
• Identifiers
• Code Sets - an explanation
• The Workgroup for Electronic Data Interchange (WEDI)

HIPAA Required Codes Sets

• Current Procedural Terminology (CPT)
• Healthcare Common Procedure Coding System (HCPCS)
• Code on Dental Procedures (CDT)
• Provider Taxonomy and Explanation of Benefits (EOB) Codes

DSMOs

The Secretary has designated six organizations that have agreed to serve as Designated Standards Maintenance Organizations (DSMOs). The DSMOs are:

• Accredited Standards Committee X12
• The Dental Content Committee
• Health Level Seven
• National Council for Prescription Drug Programs
• National Uniform Billing Committee
• National Uniform Claim Committee

These organizations will work together to accept and evaluate requests for changes to the standards and suggest changes to the standards for the Secretary's consideration. Visit the HIPAA DSMO web site for further information about the change request process.