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HIPAA and the Washington State Department of Health

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HIPAA and the Washington State Department of Health

The U.S. Department of Health and Human Services (HHS) has issued several rules to implement the requirements of the Health Insurance Portability and Accountability Act of 1996 ("HIPAA"). Organizations subject to HIPAA are called covered entities and must comply with all finalized HIPAA rules.

Rules

Four rules are now final and have the following compliance dates:

Privacy Rule April 14, 2003
Transaction and Code Sets October 16, 2003
Employer Identifier July 30, 2004
Security April 21, 2005

Technical Assistance and Enforcement for Privacy Rules

The U.S. Department of Health and Human Services is responsible for HIPAA implementation and enforcement. The Office for Civil Rights (OCR) within HHS is responsible for the Privacy Rule. The OCR Website provides technical assistance.

The Center for Medicare Services (CMS) within HHS is responsible for the standards related to transactions and code sets, security, and identifiers for providers, insurers and employers. The CMS website provides technical assistance.

Also, see the Helpful HIPAA Links page at this site for additional hotlinks.

Although the Department of Health provides technical assistance and support affecting healthcare organizations or practitioners regarding other federal programs, DOH has no unique relationship to OCR or CMS in terms of HIPAA. As a result, DOH is not in a position to provide technical assistance in the interpretation or implementation of HIPAA regulations. We are sharing our interpretations and decisions as a covered entity, operating our healthcare component; and as a Public Health Authority, with partners who are covered entities.

DOH and HIPAA - Internal Impact

The Department of Health is a HIPAA "Hybrid" Covered Entity. Only the Metabolic Treatment Product Program (MTPP) in Newborn Screening must comply with HIPAA. The MTPP distributes metabolic treatment products (supplies) and bills health plans electronically, thus meeting the definition of a provider.

Compliance Responsibilities for DOH and the Healthcare Component

Agency Responsibilities

  • Policies and Procedures
  • Privacy Complaint Process
  • Providing Privacy Notice
  • Sanctions Process

Healthcare Component (MTPP) Responsibilities

  • Accounting for PHI disclosures
  • Assess PHI Uses and Disclosures
  • Business Associate Agreements
  • Employee Training
  • Safeguards for PHI

External Impact of HIPAA

The Department of Health recognizes that HIPAA impacts many of our healthcare partners and colleagues. In an effort to answer how DOH will continue to interact with its covered entity partners, we have prepared separate Web pages regarding sharing information and business associates.


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Last Update : 01/12/2006 08:50 AM
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