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Medicaid HIPAA
Medical Assistance Administration
 

The implementation of the Health Insurance Portability and Accountability Act (HIPAA) will affect the current manner in which Providers/Submitters conduct Medicaid related transactions with the DC Medicaid Management Information System (MMIS). In particular, the Administrative Simplification component of HIPAA defines the standards required for the different transactions, code sets and identifiers outlined under HIPAA. To address the transition to the new regulations, the DC Department of Health’s Medical Assistance Administration (MAA), which manages the DC Medicaid System, has established the HIPAA Remediation team. The team, which is comprised of representatives from MAA, DC HIPAA PMO, and the MMIS Fiscal Agent (ACS State Healthcare), has been assembled to ensure a seamless conversion of the MMIS to the HIPAA-compliant standards without interrupting existing business operations.

The following links provide additional information.

 

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