Provider Pilot Program Launch

The Centers for Medicare & Medicaid Services (CMS) Division of National Standards, on behalf of the Department of Health and Human Services (HHS), is launching a volunteer Provider Pilot Program to test the process for reviewing compliance with HIPAA Administrative Simplification rules among providers. This follows a successful pilot program for health plans and clearinghouses completed in 2018.

Any providers who conduct electronic health care transactions can volunteer for the Provider Pilot Program on behalf of themselves, not their group practice or hospital, unless authorized by their group practice or hospital to do so. In April 2019, HHS will select 3 health care providers from the pool of volunteers to participate.

During the pilot program, participants will work one-on-one with HHS to identify and resolve compliance issues. Upon completion of the pilot program, participants will receive a certificate and will be exempt from compliance reviews for 1 year.

To volunteer, please email us at AdministrativeSimplification@cms.hhs.gov by April 24.

Read the full Information Bulletin on the Go-to-Info page and the Provider Pilot Program Q&A for more information, and watch for more Email Update messages with details about the program.

Keep Up to Date

Get the latest news about Administrative Simplification. Sign up for Administrative Simplification Email Updates.

Check out our video short, CMS Compliance Review Program.

Visit our website at go.cms.gov/AdminSimp.