INTEROPERABILITY AND PATIENT ACCESS FINAL RULE …

Office of Burden Reduction and Health Informatics (OBRHI) Health Informatics and INTEROPERABILITY Group (HIIG) Unique Agency Identifier: Overview The contents of this document do not have the force and effect of law and are not meant to bind the public in any way, unless specifically incorporated into a contract, as directed by a program. This document is intended only to provide clarity to the public and regulated payers regarding existing requirements under the law, specifically, the May 2020 INTEROPERABILITY and PATIENT ACCESS FINAL rule (CMS-9115-F)(85 FR 25510). The entities to whom this guidance applies include Medicare Advantage (MA) Organizations and Medicaid Managed Care Plans, State Medicaid Agencies, Children's Health Insurance Program (CHIP) Agencies and CHIP Managed Care Entities, Issuers of Qualified Health Plans (QHP) on the Federally-facilitated Exchanges (FFEs) (referred to in this document as impacted payers ) and Health Care Providers.

Century Cures Act final rule, the content and vocabulary standards adopted at 45 CFR part 162 and 42 CFR § 423.160 and the United States Core Data for Interoperability (USCDI) version 1, also finalized by HHS (see citations below).

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