Can ECI central office meet HIPAA requirements on electronic transactions and code sets?
Response: ECI is not a covered entity under HIPAA requirements. Response Update: Records maintained by ECI central office are covered by the Federal Educational Rights and Privacy Act (FERPA) and are specifically exempted from the definition of “protected health information” in HIPAA regulations. • Does Texas have any insurance mandates regarding coverage of ECI services? Response: Private insurance can only be billed with the parent’s written informed consent. Federal and State laws require that programs provide services at no cost to families. Therefore, local programs absorb any applicable co-payments or deductibles. • What type of electronic access do local ECI providers have to the Medicaid eligibility database? Response: Those billing for “card” services have the same access to our claims administrator, NHIC, for assistance with billing issues that all other providers have (see the Medicaid Provider Manual for details). For HMOs, the systems vary in the degree of access via autom
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