HIPAA 5010 Implementation

Information Releases

General Information


Companion Guides

Encounter Companion Guides

For all NCPDP-formatted claims (including Medicare crossovers and TPL claims), the provider needs to submit the claim via the Pharmacy Point of Sale (POS) vendor.

HIPAA Compliant Codes
Crosswalk from Medicaid Local Codes to HIPAA Compliant Codes and Modifiers for Specificed Providers for Physcians, APNS, Clinics, Limited Practitioners, Excluding Injection and DME Codes - A guide to providers to indicate what the new HIPAA Compliant codes will be when local level codes are discontinued. In the documents, the effective date for each of the new codes is specifically indicated. Please see the rule number that is indicated for each code for more detail.

Additional Resources