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compliance dates

Time Table for Implementation of HIPAA Rules

October 15, 2002 Deadline to submit a compliance extension form for Electronic Health Care Transactions and Code Sets Compliance >>View CMS: Transaction and Code Sets
October 16, 2002 Transaction and Code Set Rule goes into effect for all covered entities except for those who filed for an extension and are not a small health plan. >>View CMS: Transaction and Code Sets
April 14, 2003 Privacy Rule goes into effect for all covered entities except small health plans >>View CMS: Privacy Rule
April 16, 2003 Electronic Health Care Transactions and Code Sets - all covered entities must have started software and systems testing >>View CMS: Transaction and Code Sets
October 16, 2003 Transaction and Code Set Rule goes into effect for all covered entities who filed for an extension and small health plans >>View CMS: Transaction and Code Sets
October 16, 2003 Medicare and Medicaid will only accept paper claims under limited circumstances (i.e. if an audiology practice has less than 10 full-time equivalent employees).
April 14, 2004 Privacy rule goes into effect for small health plans. >>View CMS: Privacy Rule
July 30, 2004 Employer Identifier Rule goes into effect for all covered entities except small health plans >>View CMS: National Employer Identifier
April 20, 2005 Security Rule goes into effect for all covered entities except small health plans >>View CMS: Security Rule
August 1, 2005 Employer Identifier goes into effect for small health plans >>View CMS: NPI
May 23, 2005 National Provider Identifier (the NPI) Rule goes into effect. Providers who are covered entities may begin applying for NPIs. Providers who are not covered entities, but who wish to apply for NPIs, may indeed do so, but should wait at least 1-2 years after the effective date before applying. >>View CMS: NPI
April 20, 2006 Security Standards goes into effect for small health plans >>View CMS: Security Rule
May 23, 2007 Compliance date for National Provider Identifier - all covered entities except small health plans >>View CMS: NPI
May 23, 2008 Compliance date for National Provider Identifier - small health plans >>View CMS: NPI

DISCLAIMER: The foregoing information is provided as a resource for our members. It is not intended and should not be construed as an endorsement of any of the vendors or their products or services; as such, ADA makes no warranty whatsoever, either express or implied, including the warranties of merchantability and fitness for a particular purpose regarding any of the products listed above and makes no recommendation as to the accuracy or suitability of the information for your particular situation. ADA members are encouraged to seek legal counsel to ensure compliance and are responsible for their own knowledge of both federal and state policies as it pertains to HIPAA. Neither ADA, nor any of its officers, directors, agents, employees, committee members or other representatives shall have any liability for any claim, whether founded or unfounded, of any kind whatsoever, including, but not limited to, any claim for costs and legal fees, arising from the use of these opinions.