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Administrative Simplification Listening Session on Modifications to the NCPDP Retail Pharmacy Standards and Adoption of a New Pharmacy Subrogation Standard (CMS-0056 P)
The U.S. Department of Health and Human Services (HHS) issued a proposed rule to modify the currently adopted National Council for Prescription Drug Programs (NCPDP) Version D.0 standard to the Telecommunications Standard Implementation Guide Version F6 and the equivalent Batch Standard Implementation Guide Version 15. This rule also seeks to adopt the NCPDP Batch Standard Subrogation Implementation Guide Version 10 (Version 10), replacing the currently adopted Medicaid pharmacy subrogation transaction standard by extending the applicability of the subrogation transaction beyond state Medicaid agencies to all health plans. We encourage you to review the following materials prior to the session:

• Modifications of Health Insurance Portability and Accountability Act of 1996 (HIPAA) National Council for Prescription Drug Programs (NCPDP) Retail Pharmacy Standards; and Adoption of Pharmacy Subrogation Standard (https://www.federalregister.gov/documents/2022/11/09/2022-24114/administrative-simplification-modifications-of-health-insurance-portability-and-accountability-act)
• Proposed Modifications to the NCPDP Retail Pharmacy Standards and Adoption of a New Pharmacy Subrogation Standard Information Bulletin (https://www.cms.gov/files/document/information-bulletin-2022-11.pdf)
• Proposed Modifications to the National Council for Prescription Drug Programs Retail Pharmacy Standards and Adoption of a New Pharmacy Subrogation Standard Fact Sheet (https://www.cms.gov/files/document/fact-sheet-11-2022.pdf)

Note: Feedback received during this listening session is not a substitute for formal comments on the rule. See the proposed rule for information on submitting comments by January 9, 2023.

Target Audience:
HIPAA Covered Entities

For More Information:
Administrative Simplification Webpage and Fact Sheet

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Email enzo.rios@ketchum.com
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Nov 30, 2022 02:00 PM in Eastern Time (US and Canada)

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