When will the N.C. Medicaid program be HIPAA compliant for electronic transactions and code sets?
N.C. Medicaid plans to receive and respond to all HIPAA transactions by August 1, 2003. Currently, N.C. Medicaid has implemented the ASC X12N 270/271 004010X092, Eligibility Benefit Inquiry/Response; ASC X12N 278 004010X094, Request for Services; and ASC X12N 834 004010X095, Benefit Enrollment and Maintenance transactions. Criteria set forth in the HIPAA Addenda regarding these transactions will be implemented by October 16, 2003. Please pay close attention to future Medicaid bulletins and to DMA’s HIPAA webpage at http://www.dhhs.state.nc.us/dma/prov.htm for additional information regarding implementation.