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, which will assist providers as they transition to the HIPAA standards. 

• Local Code Transition

• TCI Overview Presentation
• Transmittal Letters
• Crosswalks
• Billing Manuals

• Electronic Transactions

• Provider Enrollment Presentation
• Companion Guides
• WINSAP 2003 Presentation
• Implementation Guides (via Washington Publishing Company)

• Testing

• Testing Schedule
• Pilot Testing
• System Testing
• Integration Testing
• Submitter Enrollment Testing
• User Acceptance Testing

For additional information regarding the HIPAA Remediation project, please contact Yohannes Birre at (202) 698-2014.