EXPERT IT CONSULTING AND SUPPORT FOR CMS COMPLIANCE

The Interoperability and Patient Access final rule (CMS-9115-F) delivers on the promise to put patients first, giving them access to their health information when they need it most and in a way they can best use it. As part of the MyHealthEData initiative, this final rule is focused on driving interoperability and patient access to health information by liberating patient data using CMS authority to regulate Medicare Advantage (MA), Medicaid, CHIP, and Qualified Health Plan (QHP) issuers on the Federally-facilitated Exchanges (FFEs).

This rule finalizes new policies that give patients access to their health information and moves the healthcare system toward greater interoperability. These new policies include:

• Patient Access API (January 1, 2021) Enforcement Date 7/1/2021
• Provider Directory API (January 1, 2021) Enforcement Date 7/1/2021
• Payer-to-Payer Data Exchange (January 1, 2022)
• Improving the Dually Eligible Experience by Increasing the Frequency of Federal-State Data Exchanges (April 1, 2022)
• Public Reporting and Information Blocking (April 5 2021)
• Digital Contact Information (April 30, 2021)
• Admission, Discharge, and Transfer Event Notifications (May 1, 2021)