HomeMy WebLinkAboutAgenda - 09-17-2002 - 8g 1
ORANGE COUNTY
BOARD OF COMMISSIONERS
ACTION AGENDA ITEM ABSTRACT
Meeting Date: September 17, 2002
Action AgerWa
Item No.
SUBJECT: The Health Insurance Portability and Accountability Act of 1996 (HIPAA)
Electronic Health Care Transactions and Code Set Standards, Compliance
Deadline Extension, and Selection of the County as a "Hybrid Entity" Under the
Act
DEPARTMENT: Health PUBLIC HEARING: (YIN) No
ATTACHMENT(S): INFORMATION CONTACT:
Resolution Rosemary Summers, ext 2412
Background Report Sean Borhanian, 732-2196
Compliance Schedule TELEPHONE NUMBERS:
Hillsborough 732-8181
Chapel Hill 969-4501
Durham 688-7331
Mebane 336-227-2031
PURPOSE: To consider a resolution to designate Orange County as a "Hybrid Entity" for
purposes of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and to
authorize the Director of the Health Department to file a plan that enables the compliance
deadline to be extended until October 2003.
BACKGROUND: HIPPA is intended to protect the health insurance rights of workers who
change jobs and provide enhanced enforcement of health insurance fraud and abuse laws.
Regulations address three primary areas: electronic information sharing; patient privacy; and .
security of health information. A number of County Departments provide health care services,
such as the Health Department and Orange County EMS, and bill services in electronic form.
The Orange County Health Department has spearheaded an interdepartmental workgroup of
County employees to study the initial impact of HIPAA on policies and procedures of
departments to which HIPAA may apply, and help determine next steps to ensure compliance.
(See Background Report and Proposed Compliance Schedule attached). The consensus of
affected departments, in consultation with the County Attorney's Office, is to request
designation as a "hybrid entity". HIPPA privacy rules define a "hybrid entity" as a "single legal
entity whose business includes covered and non-covered functions" provided that the "health
care components" are not the principal mission of the entity. "Hybrid entity" status will allow the
County to distinguish its "health care components" that are subject to the HIPPA privacy rules
and exempt others. The first deadline for compliance or a plan for compliance for County
Departments that electronically bill for medical services is October 16, 2002.
2
FINANCIAL IMPACT: There is no immediate impact. However, the financial impact to the
County of auditing existing County practices and implementing new policies and procedures
that may be required to bring the County into compliance with the various components of the
HIPAA rules in conjunction with other applicable federal and State laws may be substantial and
are yet to be determined.
RECOMMENDATION(S): The Manager recommends that the Board:
• Resolve to designate Orange County as a Hybrid Entity for purposes of the Health
Insurance Portability and Accountability Act of 1996 (HIPAA) and
• Authorize the Director of the Health Department to file, on behalf of the County, a
compliance plan that sets October 2003 as the compliance deadline for HIPAA's standard
medical billing code set requirements.
3
ORANGE COUNTY BOARD OF'COMMISSIONERS
RESOLUTION DESIGNATING ORANGE COUNTY AS A HEALTH INSURANCE
PORTABILITY AND ACCOUNTABILITY ACT HYBRID ENTITY
WHEREAS, the Orange County Health Department has established an interdepartmental
workgroup (HIPPA Workgroup)to conduct an initial study of the impact of the 1996 federal
Health Insurance Portability and Accountability Act on the policies and procedures of various
departments of Orange County and to help determine the steps necessary to ensure that the
County complies with the applicable federal and state laws and regulations relating to the use,
maintenance and disclosure of protected health information, and
WHEREAS, the Orange County Board of County Commissioners desires to designate Orange
County as a Hybrid Entity as defined in the regulations and to take advantages of the benefits
such designation confers;
NOW, THEREFORE, BE IT RESOLVED that Orange County shall be designated as a Hybrid
Entity as defined in the regulations for purposes of Health Insurance Portability and
Accountability Act compliance; and
BE IT FURTHER RESOLVED that the Hybrid Entity is entitled to enjoy the benefits such
designation confers; and
BE IT FURTHER RESOLVED that the Orange County Board of Commissioners and officers of
the Hybrid Entity are hereby authorized and directed to take such actions as may be reasonably
necessary to facilitate such designation.
This the 17'" day of September, 2002.
4
Background Repbrt
Health Insurance Portability and Accountability Act of 1996 (HIPAA)
Congress passed the Health Insurance Portability and Accountability Act of 1996 (HIPAA) in
response to requests for standardization of the electronic health care payment process. HIPAA
was meant primarily to protect the health insurance rights of workers who changed jobs and to
provide enhanced enforcement of health insurance fraud-and-abuse laws. HIPAA also
included, however, "Administrative Simplification" standards that directed the U.S. Department
of Health and Human Services (DHHS) to publish regulations concerning the interchange and
protection of health information data. The federal DHHS has already issued three sets of
regulations in final form (e.g., transactions and code sets, provider identifiers and privacy rules)
and others (e.g., security rules) are in process. The Administrative Simplification regulations,
finalized so far, include the following:
• Electronic Data Interchange (EDI)—The Health care industry uses many different electronic
formats and codes to exchange health information for billing and other purposes related to
payment. The goal of the HIPAA provisions are to standardize the form and codes involved
in these electronic transactions and thereby decrease the administrative costs of health
care billing. The regulation includes, for example, uniform codes for diagnoses or medical
procedures that are used to transmit health information. County Departments that
electronically bill for medical services must come into compliance with this portion of the
regulations or submit a plan for compliance by October 16, 2002. The compliance plan may
be submitted by the "Covered Entity", as defined below, by filling out a "Model Compliance
Plan" consisting of a fairly routine intemet-based (online) questionnaire form (attached to
this report).
• Privacy Rules—The privacy regulations provide a comprehensive set of rules for the use
and disclosure of patient identifying health information and establish new patient rights with
respect to Protected Health Information (PHI), including new disclosure authorization,
consent and notice rights. Covered entities must comply with their requirements by April
14, 2003.
See the next page for a chart that details the initial timeline on achieving compliance with the
current regulations.
5
INITIAL PROPOSED HIPAA COMPLIANCE SCHEDULE
Action Dates
Health department as beta tester for state assessment flow May 2002
instrument
Health department designated Privacy and Security Officers for the June 2002
department to participate in statewide training
Formation of"HIPPA Workgroup"—to conduct an initial study of August 2002
HIPAA as it applies to Orange County.
Identifying the "Covered Entity" -- Orange County Board of County September 17, 2002
Commissioners decides whether the County will be treated as a
Hybrid Entity.
The "Covered Entity" files an Electronic Date Interchange Must be filed prior to
Compliance Plan to request that the deadline for the County to October 16, 2002
comply with HIPAA's new standard medical and billing code sets be
postponed to October 2003.
Designating a "compliance officer(s)" and/or"privacy officer(s)" and
appointment of a HIPAA Compliance Committee as may be
required by the privacy rules.
Baselining the Agency— Identify protected health care information
maintained by County Departments and the flow of such
information, within the agency, between agency, and outside
associates
Gap Analysis — Compare HIPAA privacy requirements with all Deadline, April 2003.
existing health care information privacy laws; compare HIPAA
privacy requirements with existing privacy-related policies,
procedures, practices and forms. Identify new policies required and
obsolete policies to assure complete compliance with HIPAA and
any more stringent state laws.
Develop a work plan and budget to achieve HIPAA compliance.
Implementation — Conduct HIPAA awareness training for the
effected County Departments as required; create new policies and
forms identified through the Gap Analysis; implement new policies.
Maintaining Compliance — Develop and implement ongoing training
program for new and existing employees, an internal audit program Ongoing
to ensure ongoing HIPAA compliance.
Information Flaw Assessment QuesSonnaire b +
A. INFORMATION CREATED,RECEIVED,SENT AND/OR STORED
Identity those items that contain health informadon,which you currently create,receive,send and/or store in your
area. If your workgroup does not create. receive,send and/or store health information than select none and continue to the
next section,^..
Check(✓)all options that apply for each column. If description or option that applies to your workgroup is not listed
under a category to the description listing in the blank line at the end of each category table.
Storage is defined as health intormation retained in your work area for more than 30 days,
To complete the Storece information columns.use one or aAof the toilowing options as aoproodaW
•Under the Type column use O for Original and C thr Copy.
•Under the Format column use P forpaper and E for electronic.
•Under the How Stored column use the Storage fist on page.15 to list the appropriate number(s),
1.Administrative
Storage
Information Description Create Receive Send Store Typ e Format I Now Stored
O C P E Use list
Accident R2Mrtsjrpr client
Application for Admission
Cancer Registry
Certificates Birth,Death,Other
Complaint Information
Correspondence,Memos Internal&External
Criminal Background Checks
Incident Reports
Investigative Reports Abuse,Ne loot,Other
Leaai Papers CommitmenUCustod /CourtlOther
Logs Clients,Notes,Correspondence,Other)
Meeting MinuteslNotes
Photographs
Questionnai res - -
None( to next section) -
2.Education(Institutions,Schools)
Storage
Information Description Create Receive Send Store T e Format How Stored
O C P E Use list
Behavior Rating Scales
Education Plan
Questionnaires
None o to next section)
3.Financial
Storage
Information Description Create Receive Send More Type Format Now Stored
O C P E Use list
13ankinglDirect Deposit
Billing/Remittance Advices
CAP or Respite Determinations
Claims Irtfc^nation Insurance,Billing)
Conesponuence
Funding Justifications with Details Grants,etc.)
Questionnaires,Forms,Other(i.e.,Medicaid
he( o to next section
July 2001-Version 4 HIPAA 2
Information Flow Assessment Questionnaire 7
4.Employee/Stan Information
Story e
Information Description Create Receive Send Store Type Format How Stored
O C P E Use list
lications/RSsum§s
Disability Claims&Reports
Disciplinary Action
Employee Assistance Program Information
Em b HeaRh Records
Health Plan Enrctlment Information
Ph ician Notes Absences from work
Referenoe Letters
Voluntary Shared Leave
Worker's Compensation Claims&Reports
None o to next section
5.Social Programs
Storage
Information Description Create Receive Send Store Type Format I How Stored
plicationslFormsJ Eligibility Information O C P E Use list
Case Consultation Notes
Correspondence
Loo Services,Cases,Other
Meetin Notes/Minutes
,Summary Review Reports
None jgo to next section
6.Utilization Review
Story e
Information Description Create Receive Send Store Type Format How Stored
O C P E Use list
Correspondence
FL-2/MR-2 Forms
Los Services,Cases,other
Meetin Notes/Minutes
Worksheets,Revievis,Reports
None to next section
7.Clinical Information
Storane
Information Description Create Receive Send Store Type Format I How Stored
O C P E Use list
Complete Medical,Dental Record or Client File
Death Medical Records
Partial Clinical Information Including:
Assessmentslftports
Dental Records
Dia gnosis/Procedure Description/Name
Discharge Summary
Doctors Statements for Court
Exams/Evaluations/AssessmentsMistories
Habilitation Plans
Immunization Records
Laboratory Data
Jury 2001-Version 4 HIPAA 3
Information Flow Assessment Questionnaire
7.Clinical Information(Continued)
Storage
Information Format How Stored
Description Create Receive Send Store O C P E Use list
Logs ShiftlStaff Notes Insurance,Other
Medication Administration
Medication Error Reports
Nurses Notes
Pathology Repolts
Physician Orders
Progress Notes -
Ps hological Records&Testing Re orts
Psychotherapy Notes .
Radiology Reports
Referral Information
Training Programs
Treatment Plan
X ra Fltms
None o to neat section
S.Diagnosis/Procedure Codes
Specify your source(s)for diagnosl&/vocedure codes in the following table:
Specify
Reference ✓
CDT(American Dental Association[ADA)Codes,'Code on Dental
Procedures and Nomenclature'
CPT(AMA,'Current Procedural Terminology Coding,Fourth Edition' -
DSM-IV(American Psychiatric Association,'Diagnostic and Statistical Manual
of Mental Disorders,4th Edition
ICD-9-CM,Vol.1&2(Intemational Classification of Diseases,9th Edition, .
Clinical Modification,Volumes 1 and 2) -
ICD-9-CM,Vol.3(International Classification of Diseases,91h Edition,
Clinical Modification,Volume 3
HCPCS HCFA,'Common Procedure Coding System')
HCPCSJ-Codes HCPCSPharmac Codes
Local Codes W and Y Codes
NDC HHS,'National Drug Codes'
None go to next section
s. Transactions
For the transactions listed below,specify whether health information is created,sent,received,or stored electronically(E),
on Paper(P),andorby Voice(V). Voice includes the following: face-to-face,phone,or voicsmail. Select all that apply.
Description Create Receive Send Store
E P V E P V E P V E P V
Authorization for Services
Coordination of Benefits
Eligibility Information
Enrollment and Disenrollment-health plan
First Report of Injury
Health Care Claim -
Health Care Claim Status
Health Care Payment and Remittance Advice
Health Claims Attachments
Health Plan Premium Payment
None go to next section
Juhr 2001 Version 4 HIPAA 4
' 9
Information Flow Assessment Questionnaire
10. Electronic Systems
Select the current system(s)1application used by your workgroup from the list below. For each system selected,indicate if
the system can be accessed from an area other than the worksite and,if so,how the system is accessed. if a mode of -
access that you use is not listed,write-in the mode of access in the Other column.
❑ None(go to next section)
DIVISION/SYSTEM Remote Access Check Access Mode
Use YES I NO ji Dial.in I Terminal 1pcianutaW Data Line I Other
DCD
Subsidized Child Care
DEIE
HSIS
POMCS
SIMS
DFS
Coro iairn Tracking System
Enterprise Provider
Pre-Hospital Medical Information System
DMA
CNDS
Drive
EIS
EPICS
IEVS
MMIS
DMH/DDISAS
ARC-At Risk Children
COW-Consumer Data Warehouse
CNDS.
Drive
DSS
EIS
Enterprise Provider
HEARTS
HUB
IPRS
- MAA/MHA-Cost Accounting
MMIS
MR/MI
PDS
PFS
PIONEER
POMCS
QED
DOA
ARMS
OmBudsman System
DPH
BMAX from Cigna)
CACFP
CCDS
Clinical Fusion former) Kaplan)
Dusty Trades
EBC
EBC/ECODE
EBC/RECEIVE
EDS
EIS
Genetic Counseling
HARS
Jnw Vaal-Wminn S H±PAa
Information Flow Assessment Questionnaire 10
WSIS
J„w 2001.version 4 HiPAA 6
..........
=9 Blum
BIF&......
MW
Information Flow Assessment Questionnaire
Current systems used(continued).
DIVISIONJSYSTEM Remote Access Check Access Mode
Use YES I NO Dial-in I Terminal IPCJEMuI4 Data Line I Other
DVR
CRPBud et-VWA
DVR-VRA
EIS
POMCS
Service Reporting-VRB
Social Seourfty Reimbursement-VIA
VCM
VRSatchClientData-VRA IMS
VR Online Client Data-VRAIVCA
Office of Controller
Child Placement&Payment System
County Admin.
Energy
HEARTS
Transaction Billing System
WPPS
Other S
COMMENTSIADDITIONAL INFORMATION:
July Zaat-Version 4 HIPAA . $ .
13
Information Flow Assessment Questionnaire
B.ACCESS TO HEALTH INFORMATION
1.Building
Identify only those persons who have access to your wankgroups physical location and to the health information
maintained by your workgroup.Specify their type of access by populating the Access columns with one of the following
options:Unlimited(U)or Limited(L).
Access
Who Within Bldg. Whin
Ghent Work Areas
Contractors
Administrative
Clinical
Employees
and
Cou !State ..
7em
General He
Famil !Friends,etc.
Professionals Attome Auditors
Volunteers
Trainin lin-servicelintemshi
Doctors
Nurses
Students
2.Location
Identify the physical site(s)where health information may be located in your workgroup's area. Speedy with a check made
(✓)by the appropriate options.For each storage mechanism listed you may select more than one site(e.g.,Hallway and
File Room)_
Spec! ✓
STORAGE MECHANISM 0 sa atl 8scontl shared Prr a MM Fi
HWMW c=Mn Wont Work Area A. R mm
-Wom Area Ama
Com uter
Co ier
Fax
File/Storage Cabinets
Off-site Home Office,Car,Briefcase
O n SheiveslBookcase
Printer
R cle Container
Shredder
,J U1Y 2001•version 4 HIPAA 9
Information Flow Assessment Questionnaire
3.Access Control
Identify wefts controls that are in place for protecting health Infonna8on maintained in your work area.
Select all that apply by placing a check mark(/)by the appropriate listing.
Check
Current Access Controls (�)
Identification
Badges
Optical Recognition
Fingerprint
Passwords
Staff Escort
Visual Recognition
Observation
Employee monitored areas
Onsite Security Force-Armed -
On-site SeCUM Force-Unarmed
Surveillance-24 hrs. Camera,Motion,Heat
Surveillance- After Hours AlarmlMonitor -
Rees Klon Area
Reco ticnistiGuardiinrarmabon
Sign-in/out Register Monitored
Sign-in/out Register Unmondored
Physical Barriers
Counter/Desk/Table
Doors
Open
Closed unlocked
Locked-Card Swi
Locked —CambinationKe Pad
Locked-Ke
PenitionslMoveable Dividers
Glass(Stationary or Moveable
Wall
Hours
Closed(Open by Request Only)
Open 247 HouralDa ) .
Open Days(Monday Through Fridayl
Open Days(Mmday Through Saturday)
O n Evenings&Weekends Only
Open Evenin s Only-
Open Variable Hours/Days
Other
. Other Controls $ ecl
COMMENTSIADDITIONALINFORMATION:
July 2001-Version 4 HIPAA 10
►5
Information Flow Assessment Questionnaire
C. HEALTH INFORMATION SOURCES
Identify agencieafaouree(s)that send or receive heats infonmadon to/ham your wodrgroup.Identify wheihersuch
transmissions are on paper,electronic,fax or phone by placing a check mark(-1)in the appropriate columns. You may
check more than one option for each source. If none apply,leave the column blank.
SOURCES Send Receive I Paper I Electronic E Fax Phone
In anent Facilities '
General Hospitals
Rehabilitation Centers
Nursing Homes
VA Hospitals
Psych iatric Hospitals
Special Care Centers
MR Centers
Other(Specify
Residential.Facilities
Alternative Family Livin
Apartment Living
Assisted Living
Family Care HometGroue Home
Su rvised Living
Train School
Other S
Education Facilities
Governor Morehead School
Public or Private Schools
School for Deaf/Hard of Hearing
Wright or Whitaker School
Other(Specify
OutpatientlDay Services
Adult Day Care
Child Day Care
Community Clinics
Developmental Evaluation Centers
Em lo ee Assistance Program
Hospital Ou tient
Metal Huth Center/Area Program
Public Health Dept
Rehab Centers
Sheltered Worksho
Urgent Care Cater
Other(SRM
Social Services
Child Fatality Prevention System
Child Fatality Task Force
Child Support Enforcement
Child/Adult Protection Services
Dept of Social Services
Foster Home
Other Spec
July 2001-version 4 HIPAA 11
Information Flow Assessment Questionnaire 10
SOURCES I Semi Receive Paper Electronic Fax Phone
Private Practice
Attorney
Audiologist
Chiropractor
Dentist
HMO/PPO
Physician
Private Allied Health Specialist
Social Worker, Nutritionists
Ps eholo ist
Thera isf Occu „Speech,Ph I, Psych.)
Other S eci
Law Enforcement
Attorney General's Office
Clerk of Court
Court
District Attorney
Law Enforcement Officer/Sheriff/Police
Local Jail/Detention Center
Parole Officer/Probation Officer
Prison(Correctional Facility
Other S ecif
Financial
Auditor
Bank
Billing/Collection Service
Court
Estate
Payer/insurance Company
Other S cl
Additional
Clearing house
Client
Contractor
Coroner
Dept./Div/Office Public Information Officer
Employees
Employers
Family/Guardian
Friend/Neighbor
Funeral Homes
Guardian Ad Litem
Health Plan
Legislatc,r State&Federal
Media Radio,N,Newspaper,Web,etc.
Other State Agencies
Out-of-State Aqencies
Researchers or Research Facility
ReviewlOversi hl Boards/Committees
Trans ort(Ambuhance.Providers
Vendor
Other(Specify
COMMENTSIADDITIONAL INFORMATION:
July mst-venuan 4 HIPAA 12
17
Information Flow Assessment Questionnaire
D. INFORMATION TRANSMISSION
Identify all methods of transmission utilized by your workgroup for sending and receiving health information by checking
the appropnate,boxes. For each method selected,indicate with a cheek mark(,)if you retain a copy of the information in
the Ratak Copy column.
Transmission Method Send Receive Retai e
Electronic
Electronic Transaction via FTP
E-mail
Floppy Disk/CD/M netic Tape
LANANAN network
Modem
OCR scanned
Software ApplicaWntSystern
Web Site
Paper
Courier/Fed ExA PSIAirborna/Eme /others
Envelo older,Sealed
rmnvelopeffiolder,Unseated
FAX Machine
Hand Delivery(person to person)
LogslJournals
Mail,Interoffice
Mail,US Postal
Medical Record File
Voice[Visual
Face to Face
Pager
Phone,CelUSatellfte
Phone, Land Line
Photographs
SecuntX Camerafrapes
Tape Reel to Reel,Cartridge)
Video Tapes
Web Cam
Other S
tdentry all methods of recording heamh hnormaton received verbally by your workgroup.Check all that apply.
Check
Recording Method
Dictate to Machine,Computer,Person
Enter in PC
Message/Memo
Note in /Journals
Informal Staff Notes
Medical Record Form -
Scratch Pad/Post-ft Note -
Cassette Ta CD
Message Center
Voice Mail
Other S 'f
duty 211011•Versian 4 HIPAA 13
Information Flow Assessment Questionnaire
E. DISPOSAL METHODS
Identify disposal methods of heaitir Information maintained in your woligroup. Check all that apply.
Check
Disposal Methods ✓
Empty Electronic Trash -
Pre are and Send to Permanent Storage
Rec de Container
Shred
Throw in Trash
Other S ec
F. BUSINESS ASSOCIATE IDENTIFICATION
This section assists you in identifying your business associates. A Business Associate is a person,organization,or
business who performs a function or activity on behalf of your omanization. A Business Associate excludes a person who
is part of the covered entitys wa d,broe.If this sections does not pertain to your workgmup,write None in the first row and
continue to the next section.
List all contractors, vendors or service providers who provide a service on behalf of your agency.
Contractor Name Services Provided
Jury 2001•Version 4 HIPAA 14
Information Flow Assessment Questionnaire
G. GENERAL COMMENTS AND ADDITIONAL INFORMATION
List any comments, concems and/or additional bIbrmation that you have as a result of completing this Information Flow
Assessment Questionnaire.
July 2001-version 4 HIPAA 15
a �
Information Flow Assessment Questionnaire
Storage List for Use with Section A, pages 2-4.
This listing of methods of storage is to be used when completing section A, "Inthrmadon Created,Received, Sent andror
Stored"on page 2. Each method or place of storage is numbered. Under How stored wdte-in the number(s)that
corresponds to the method4ocadon of storage. You may add otherstorage methods if they are not listed,by continuing
with the numbering sequence(i.e.,40).
HOW STORED #
Bookshelf/Open Shelf Files 1
Boxes-Sealed 2
Boxes-Unsealed 3
Bulletin Board 4
Cassette Tae Locked Area 5
Cassette Tae Unlocked Area a
Closet/Room/Storage Area Locked 7
ClosetlRoom/Stora eArea, Unlocked 8
Contractors e. ., EDS MRNC Consultec 9
Desk Drawer Looked 10
Desk Drawer Unlocked 11
Desk/Table Top 12
Disks-Floppy or CD, Locked Area 13
Disks-Floppy or CD, Unlocked Area 14
E-mail-Network 15
E-mail—PC 16
Envelopes-Sealed 17
Envelopes-Unsealed 18
File Cabinet Locked 19
File Cabinet, Unlocked 20
Folders-Electronic 21
Folders-Paper 22
Magnetic Tape/Data Cartridge 23
Mailboxes In/Out 24
Mainframe 25
Microfilm/microfiche 26
Network ArchivalStorage 27
Network Backus 28
Network Server 29
Network, Personal Drive 30
Network Shared Drive 31
Notebooks 32
Off-site Store a Electronic 33
Off-site Storage(Paper) 34
PC Local Drive C 35
Portable Cart 36
State Records Center 37
Vault 38
Voice Mail 39
July 201•vemlon 4 HIPAA 18
a �
Information Flow Assessment Questionnaire
ACRONYM LIST
ACTS Automated Collections Tracking System
AMA American Medical Association
ARC At Risk Children
CAP Community Alternative Program
CD Compact Disk
CDT Current Dental Terminology
COW Consumer Data Warehouse
CNDS Common Name Database Service
CPT Current Procedural Terminology
DCD Division of Child Development
DEIE Division of Early Intervention&Education
DFS Divisions of Facility Services
DMA Division of Medical Assistance
DMH/DD/SAS Division of Mental Health/Developmental Disabilities and
DOA Division of Aging
OPH Division of Public Health
DSB Division of Services for the Blind
DSD&HH Division of Services for the Deaf and Hard of Hearing
DSS Department of Social Services(State level)
Division of Social Services(County level)
DVR Division of Vocational Rehabilitation
EIS Eligibility Information System
EPICS Enterprise Program Integrity Control System
FL-2/MR-2 Forms Forms utilized by Medicaid for level of care determined for Intermediate
Care, Skilled Care or Intermediate Care Mental Retardation
FSIS Food Stamp Information System
FTP File Transfer Protocol
HCFA Health Care Financing Administration
HCPCS HCFA Common Procedural Coding System
HEARTS Healthcare Enterprise and Accounts Receivable Tracking System
HHS Health and Human Services
HIPAA Health Insurance Portability Accountability Act
HMO Health Maintenance Organization
International Classification of Diseases—Ninth Revision—
ICD-9-CM,Vol. 1&2 Clinical Modification (Diagnostic Classification)
International Classification of Diseases—Ninth Revision—
ICD-9-CM,Vol. 3 Clinical Modification(Inpatient Procedures)
IEVS - Income Eligibility Verification System
IPRS Integrated Payment&Reporting System
A subset of the HCPCS Level II code set with a high-order value of OX that
J-Codes has been used to identify certain drugs and other items
LAN Local Area Network
MMIS Medicaid Management Information System
MR Centers Mental Retardation Centers
NDC National Drug Code
OCR Optical Character Recognition
Open 2477 Open 24 hours a day, seven days a week.
PC Personal Computer
PPO Preferred Provider Organization
QS Quantum Sufick
SCELL Sickle Cell
SISICARS Service Information System/County Administration Reimbursement System
TB Tuberculosis
TIMS Telecommunication Information Services
UPS United Parcel Service
VA Hospitals Veteran's Affairs Hospitals
VR Vital Records
WAN Wide Area Network
July 2001-Version 4 HIPAA
17
as
Information Flow Assessment Questionnaire
WIC Women, Infants, Children
'July 2001.Voslon 4 HIPAA is