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Home > Agendas > 2005-2006 > Maine Health Data Organization

2005-2006 Regulatory Agendas

90-590
Maine Health Data Organization

AGENCY UMBRELLA UNIT NUMBER: 90-590
AGENCY NAME: Maine Health Data Organization

CONTACT PERSON: Alan M. Prysunka, Executive Director, 151 Capitol Street 102 State House Station, Augusta, ME 04333-0102. Tel: (207) 287-6722, alan.m.prysunka@maine.gov

EMERGENCY RULES ADOPTED SINCE THE LAST REGULATORY AGENDA: None

EXPECTED 2005-2006 RULE-MAKING ACTIVITY:

CHAPTER 10: Determination of Assessments (Routine Technical)
STATUTORY BASIS: 22 M.R.S.A., 8704, sub-4 and 8706, sub-2
PURPOSE: These rules identify those health care providers, insurers, health maintenance organizations, and third-party administrators required to pay annual assessments for the operation of the MHDO. The rules may be amended with respect to the selection criteria and methodologies that identify non-hospital health care providers. The process for determining the assessments that each entity will be required to pay may also be altered.
SCHEDULE FOR ADOPTION: November 2005 June 2006
AFFECTED PARTIES: All Maine health care providers and all non-profit hospital and medical service organizations, ambulatory services and surgery facilities, health insurance carriers, health maintenance organizations and third-party administrators of health benefits plans administered for employers

CHAPTER 50: Rules for Fees for Data Processing, Report Compilation and Copying Services (Routine Technical)
STATUTORY BASIS: 22 M.R.S.A., 8704, sub-4 and 8706, sub-2A and 8707, sub-1.
PURPOSE: These rules may be amended to revise the schedule of fees to purchase health data available from the MHDO.
SCHEDULE FOR ADOPTION: July 2005 June 2006
AFFECTED PARTIES: All parties who request, access, and utilize data from the MHDO.

CHAPTER 100: Enforcement and Forfeiture Schedule (Major Substantive)
STATUTORY BASIS: 22 M.R.S.A., 8704, sub-4 and 8705, sub-1 and 2.
PURPOSE: These rules may be amended to incorporate definition changes in MHDO statutes.
SCHEDULE FOR ADOPTION: November 2005 June 2006
AFFECTED PARTIES: All non-profit hospital and medical service organizations, ambulatory services and surgery facilities, health insurance carriers, health maintenance organizations and third-party administrators of health benefits plans administered for employers, carriers that provide only administrative services for plan sponsors, and recipients of data

CHAPTER 120: Release of Information to the Public (Major Substantive)
STATUTORY BASIS: 22 M.R.S.A., 8704, sub-4 and 8707
PURPOSE: These rules define privileged medical information and confidential commercial information and establish the conditions for release, publication, and use of the health data (including derived analyses, reports or compilations) made available by the MHDO. The rules may be modified to allow individually identifiable practitioner data to be made available to the public.
SCHEDULE FOR ADOPTION: November 2005 June 2006
AFFECTED PARTIES: All parties who request, access, and utilize data from the MHDO and all parties who submit data to the MHDO.

CHAPTER 241: Uniform Reporting System For Hospital Inpatient Data Sets and Hospital Outpatient Data Sets (Routine Technical)
STATUTORY BASIS: 22 M.R.S.A., 8704, sub-1 and 4 and 8708
PURPOSE: These rules will be amended to add additional data elements and reflect new modes of reporting the required data sets. Timelines, record formats and submittal requirements may also need to be modified.
SCHEDULE FOR ADOPTION: August 2005 October 2005
AFFECTED PARTIES: All Maine hospitals that submit health-related data to the MHDO.

CHAPTER 243: Uniform Reporting System For Health Care Claims Data Sets (Routine Technical)
STATUTORY BASIS: 22 M.R.S.A., 8704, sub-1 and 4 and 8708
PURPOSE: These rules will be amended to correct errors in the technical appendices and to add new data elements.
SCHEDULE FOR ADOPTION: January 2006 June 2006
AFFECTED PARTIES: All Maine licensed health insurance carriers, health maintenance organizations, and carriers that provide only administrative services for plan sponsors, and third-party administrators of health benefits plans administered for employers or a plan sponsor that pay claims for Maine residents.

CHAPTER 270: Uniform Reporting System for Health Care Quality Data Sets (Major Substantive)
STATUTORY BASIS: 22 M.R.S.A., 8708-A
PURPOSE: These rules may be amended to specify the content, form, frequency of submittal, and those parties required to submit additional health care quality data. In accordance with the provisions of 22 M.R.S.A., 8708-A, the modification of the rules must be coordinated between the Maine Quality Forum and the Maine Quality Forum Advisory Council.
SCHEDULE FOR ADOPTION: November 2005 June 2006
AFFECTED PARTIES: All health care providers.

CHAPTER 300: Uniform Reporting System for Hospital Financial Data (Routine Technical)
STATUTORY BASIS: 22 M.R.S.A., 8704, 8709, sub-1-A, and 8711
PURPOSE: These rules will be amended to incorporate the requirement for all hospitals to electronically file information with the MHDO using a standardized accounting template provided by the Maine Health Data Organization and to eliminate the reporting of negotiated discount and mammography information.
SCHEDULE FOR ADOPTION: August 2005 October 2005
AFFECTED PARTIES: All Maine hospitals.

CHAPTER 630: Uniform System for Reporting Baseline Information and Restructuring Occurrences Relevant to the Delivery and Financing of Health Care in Maine Health Data Organization (Routine Technical)
STATUTORY BASIS: 22 M.R.S.A., 8710
PURPOSE: These rules may be amended to identify those persons required to file, establishing requirements for the content, format, medium and time for filing; and contains provisions for compliance.
SCHEDULE FOR ADOPTION: January 2006 March 2006
AFFECTED PARTIES: All Maine health care providers and payers.

CHAPTER 700: Rules for Listing Prices at Maine Hospitals and Ambulatory Surgical Centers (Routine Technical)
STATUTORY BASIS: 22 M.R.S.A. 1718
PURPOSE: These rules will establish specific procedures and standardize the manner of listing prices at hospitals and ambulatory surgical centers.
SCHEDULE FOR ADOPTION: October 2005 December 2005
AFFECTED PARTIES: All hospitals, ambulatory surgical centers, and consumers of health care.