Administrative Simplification Links

MDH administers the Minnesota Health Care Administrative Simplification Act of 1994, MS  §62J.50-62J.61, including:

• MS §62J.50
• MS §62J.536
• MS §62J.61

The Minnesota Department of Labor and Industry (DLI) administers the state’s workers’ compensation program, including health care administrative simplification requirements specific to workers’ compensation in:

• MS §176.135
• MS §176.1362
• MS §176.1365

The Minnesota Department of Commerce regulates property and casualty and auto insurance, including health care administrative simplification requirements in:

• MS §62B.54
• MS §72A.201

The Minnesota Department of Human Services (DHS) administers the state’s Medicaid program and other publicly funded health care programs. The DHS Minnesota Health Care Programs (MHCP) Provider Manual includes billing and coding instructions for programs and services administered by DHS.

• Code of Federal Regulations, Title 45, Subtitle A, Subchapter C Administrative Data Standards and Related Requirements
• U.S. Department of Health and Human Services (HHS)
• Centers for Medicare & Medicaid (CMS)
• Assistant Secretary for Technology Policy (ASTP)
• CMS Administrative Simplification
• Electronic billing and EDI transactions
• Office for Civil Rights (OCR)
• HIPAA administrative simplification statute and rules
• Health Insurance Portability and Accountability Act of 1996, Public Law 104-191 (HIPAA)
• Patient Protection and Affordable Care Act, Section 1104 Administrative Simplification, Public Law 111-148 (PPACA)

• Accredited Standards Committee X12 (ASCX12)
• American Dental Association (ADA)
• Council for Affordable Quality Healthcare (CAQH)
• Committee on Operating Rules for Information Exchange (CORE)
• Health Level Seven (HL7)
• National Committee on Vital and Health Statistics (NCVHS)
• National Council for Prescription Drug Programs (NCPDP)
• National Uniform Billing Committee (NUBC)
• National Uniform Claim Committee (NUCC)
• Workgroup for Electronic Data Interchange (WEDI)