Encounter Data Collection - Adopted Rule - July 6, 2009
Minnesota Statutes, 62U.04, subd. 4 and 5 require the Minnesota Department of Health (MDH) to collect de-identified encounter and pricing data from health plan companies and third-party administrators for the purpose of developing the provider peer grouping system.
To implement this data collection, MDH has developed the Minnesota Health Care Claims Reporting System (MHCCRS) to collect and process the encounter and pricing data. MHCCRS is created through Minnesota Rules, Chapter 4653.
Minnesota Rules, Chapter 4653, Permanent Rules Relating to Minnesota Health Care Claims Reporting System, was approved by the Office of Administrative Hearings on June 17, 2009, and published in the July 6, 2009 edition of the State Register.
The adopted rule and the final version of the appendices are available for download below.
For information related to the de-identification of encounter data, please see the de-identification analysis certification completed on May 22, 2009, by Beth Virnig, PhD, MPH, associate professor in the Division of Health Policy and Management at the University of Minnesota:
For information regarding MDH’s authority to collect specific data elements, as well as a summary of comments on specific data elements received in response to the proposed rule and MDH’s responses to those comments, please see Types of Authority and Description of Changes to Data Elements, May 22, 2009 (PDF).
Minnesota Rule 4653.0400 provides for two types of variances for data submitters:
- A variance for submission of specific data elements or submission specifications.
- A variance for meeting a specified threshold.