Department of Health and Human Services
Office of the Secretary
- 45 CFR Part 162
- [CMS-0056-F2]
- RIN 0938-AU19
AGENCY:
Office of the Secretary, Department of Health and Human Services (HHS).
ACTION:
Final rule; delay of effective date.
SUMMARY:
In accordance with the Presidential memorandum of January 20, 2025, titled “Regulatory Freeze Pending Review,” the effective date of the final rule titled “Administrative Simplification: Modifications of Health Insurance Portability and Accountability Act of 1996 (HIPAA) National Council for Prescription Drug Programs (NCPDP) Retail Pharmacy Standards; and Modification of the Medicaid Pharmacy Subrogation Standard” is delayed until April 14, 2025. That final rule adopted updated versions of the retail pharmacy standards for electronic transactions adopted under the Administrative Simplification subtitle of HIPAA, which constitute modifications to the adopted standards for the following retail pharmacy transactions: health care claims or equivalent encounter information; eligibility for a health plan; referral certification and authorization; and coordination of benefits. It also adopted a modification to the standard for the Medicaid pharmacy subrogation transaction.
DATES:
Effective date: The final rule titled “Administrative Simplification: Modifications of Health Insurance Portability and Accountability Act of 1996 (HIPAA) National Council for Prescription Drug Programs (NCPDP) Retail Pharmacy Standards; and Modification of the Medicaid Pharmacy Subrogation Standard,” which appeared in the December 13, 2024, Federal Register (89 FR 100763) is delayed to April 14, 2025. The incorporation by reference of certain publications adopted in the rule and approved by the Director of the Federal Register is also delayed to April 14, 2025.
Compliance Date: The compliance dates are extended to April 14, 2028.
FOR FURTHER INFORMATION CONTACT:
Geanelle G. Herring, (410) 786-4466.
Christopher S. Wilson, (410) 786-3178.