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90-590 - Maine Health Data Organization
2001-2002 Regulatory Agenda
UMBRELLA-UNIT NUMBER: 90-590
AGENCY NAME: Maine Health Data Organization
CONTACT PERSON:
Alan M. Prysunka, Executive Director, Gardiner Annex - 122 Northern
Avenue, 102 State House Station, Augusta, ME 04333-0102. Tel: (207)
624-8655
EMERGENCY RULES
ADOPTED SINCE THE LAST REGULATORY AGENDA: None
EXPECTED 2001-2002
RULE-MAKING ACTIVITY:
CHAPTER 10:
Determination of Assessments
STATUTORY AUTHORITY: 22 MRSA, §8704, sub-§4 and §8706, sub-§2.
PURPOSE: The rules identify those health care providers, insurers, health
maintenance organizations, and third-party administrators required to
pay annual assessments for the operation of the MHDO. The rules will
be amended to include selection criteria and methodologies to identify
additional health care providers, third-party administrators, and carriers
that provide only administrative services for plan sponsors that will
be required to pay assessments. The processes for determining the assessments
that each entity will be required to pay will also be altered.
ANTICIPATED SCHEDULE: October 2001 - March 2002
AFFECTED PARTIES: All Maine health care providers and all non-profit
hospital and medical service organizations, ambulatory services and
surgery facilities, health insurance carriers, health maintenance organizations
and third-party administrators of health benefits plans administered
for employers.
CHAPTER 100:
Enforcement and Forfeiture Schedule
STATUTORY AUTHORITY: 22 MRSA, §8704, sub-§4 and §8705, sub-§1and 2.
PURPOSE: The rules will be amended to reflect changes in the Maine Health
Data Organization's statute and will equalize the fee schedule of forfeitures
for failure to file data and failure to protect the disclosure of confidential
or privileged data.
ANTICIPATED SCHEDULE: January 2002 - October 2002
AFFECTED PARTIES: All non-profit hospital and medical service organizations,
ambulatory services and surgery facilities, health insurance carriers,
health maintenance organizations and third-party administrators of health
benefits plans administered for employers, and carriers that provide
only administrative services for plan sponsors.
CHAPTER 120:
Release of Information to the Public (Major Substantive)
STATUTORY AUTHORITY: 22 MRSA, §8704, sub-§4 and §8707.
PURPOSE: The rules define privileged medical information and confidential
commercial information and establish the conditions for release, publication,
and use of the health data (including derived analyses, reports or compilations)
made available by the MHDO. The rules will be modified to reflect the
changes made to the Maine Health Data Organization's statute and to
its data submittal rules (Chapters 241, 243 (proposed), 245, 300, and
630).
ANTICIPATED SCHEDULE: October 2001 - February 2002
AFFECTED PARTIES: All parties who request, access, and utilize data
from the MHDO.
CHAPTER 125:
Health Care Information that Directly Identifies an Individual
STATUTORY AUTHORITY: 22 MRSA, §1711-C, sub-§1(E).
PURPOSE: These rules define health care information that may directly
identify individuals. The definitions are utilized in the implementation
of certain aspects of PL 1997, Ch.793 - An Act to Provide for Confidentiality
of Health Care Information and may need to be amended.
ANTICIPATED SCHEDULE: October 2001 - February 2002
AFFECTED PARTIES: Health care providers, payers, and recipients; and
all parties who access and utilize confidential health related data.
CHAPTER 241:
Uniform Reporting System For Hospital Inpatient Data Sets and Hospital
Outpatient Data Sets
STATUTORY AUTHORITY: 22 MRSA, §8704, sub-§4 and §8708
PURPOSE: The rules must be amended to reflect new modes of reporting
the required data sets. Timelines, record formats and submittal requirements
may need to be modified.
ANTICIPATED SCHEDULE: March 2002- October 2002
AFFECTED PARTIES: All Maine hospitals that submit health-related data
to the MHDO.
CHAPTER 243:
Uniform Reporting System For Health Care Claims Data Sets
STATUTORY AUTHORITY: 22 MRSA, §8704, sub-§1 sub-§4 and §8708
PURPOSE: These rules will contain the provision for filing health care
claims data sets from all third-party payers, third-party administrators,
and carriers that provide only administrative services for a plan sponsor.
ANTICIPATED SCHEDULE: October 2001- March 2002
AFFECTED PARTIES: All Maine health insurance carriers, health maintenance
organizations, and carriers that provide only administrative services
for plan sponsors. and third-party administrators of health benefits
plans administered for employers or a plan sponsor, and all ambulatory
services and surgery facilities.
CHAPTER 245:
Uniform Reporting System For Non-Hospital Ambulatory Service Data Sets
STATUTORY AUTHORITY: 22 MRSA, §8704, sub-§4 and §8708
PURPOSE: The rules must be amended to reflect the elimination of reporting
data sets related to specific procedures and identify those providers
required to submit all data. Timelines, record formats and submittal
requirements may need to be modified.
ANTICIPATED SCHEDULE: March 2002 - October 2002
AFFECTED PARTIES: All Maine non-hospital health care providers that
submit or may be required to submit health related data to the MHDO.
© Department of the Secretary of State
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