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Home > Agendas > 2007-2008 > Maine Health Data Organization

2007-2008 Regulatory Agendas

90-590
Maine Health Data Organization

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

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

EMERGENCY RULES ADOPTED SINCE THE LAST REGULATORY AGENDA: None

EXPECTED 2007-2008 RULE-MAKING ACTIVITY:

CHAPTER 10: Determination of Assessments (Routine Technical)
STATUTORY BASIS: 22 MRSA 8704, sub-4 and 8706, sub-2.
PURPOSE: These rules may be amended to allow the MHDO to collect an annual assessment fee from Pharmacy Benefits Managers that process and pay pharmacy claims for Maine residents. Also, changes may be made to correct the definition of a health care facility as it pertains to federally qualified health centers.
SCHEDULE FOR ADOPTION: Spring 2008
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: Prices for Data Sets, Fees for Programming and Report Generation, Duplication Rates (Routine Technical)
STATUTORY BASIS: 22 MRSA 8704, sub-4; 8706, sub-2A.
PURPOSE: These rules may be amended to revise the schedule of fees to include the purchase of quality data that is available from the MHDO.
SCHEDULE FOR ADOPTION: Spring 2008
AFFECTED PARTIES: All parties who request, access, and utilize data from the MHDO.

CHAPTER 120: Release of Information to the Public (Major Substantive)
STATUTORY BASIS: 22 MRSA 8704, sub-4 and 8707
PURPOSE: The rules may be modified to include the release of quality data and prescriber data collected by the MHDO and made available to the public. Also, changes may be made to remove the prohibition against listing prices for services rendered by individual payers and health care facilities or practitioners.
SCHEDULE FOR ADOPTION: Spring 2008
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 MRSA 8704, sub-l and 4 and 8708
PURPOSE: These rules may 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 be modified.
SCHEDULE FOR ADOPTION: Prior to October 2008
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 MRSA 8704, sub-l and 4, and 8708
PURPOSE: These rules may be amended to correct errors in the technical appendices and to add new data elements.
SCHEDULE FOR ADOPTION: Prior to October 2008
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 MRSA 8704, sub-4 and 8708-A
PURPOSE: These rules may be amended to include the addition of RN nursing satisfaction surveys to be conducted by all Maine acute care, psychiatric, and rehabilitation hospitals. In accordance with the provisions of 22 MRSA 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: Spring 2008
AFFECTED PARTIES: All health care practitioners.

CHAPTER 280: Filing Requirements for Prescribers Seeking Confidentiality Protection (Routine Technical)
STATUTORY BASIS: 22 MRSA 8704 sub-4 and 8713
PURPOSE: This new rule is being implemented to outline the provisions for prescribers seeking confidentiality protection with the MHDO to prohibit carriers, pharmacies, and prescription drug information intermediaries from licensing, using, selling, or exchanging for value prescription drug information for any marketing purpose that identifies those prescribers seeking confidentiality protection.
SCHEDULE FOR ADOPTION: Spring 2008
AFFECTED PARTIES: All Maine prescribers

CHAPTER 300: Uniform Reporting System for Hospital Financial Data (Routine Technical)
STATUTORY BASIS: 22 MRSA 8704, sub-4 and 8709, sub-l-A
PURPOSE: These rules may be amended to revise the standardized accounting template and/or amend other financial data requirements submitted to the Maine Health Data Organization.
SCHEDULE FOR ADOPTION: Prior to October 2008
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 (Routine Technical)
STATUTORY BASIS: 22 MRSA 8704, sub-4 and 8710
PURPOSE: These rules may be amended to revise the provisions for filing information to the Maine Health Data Organization regarding major structural changes relevant to the restructuring of hospitals and their parent entities in Maine.
SCHEDULE FOR ADOPTION: Prior to October 2008
AFFECTED PARTIES: All Maine hospitals and their parent entities