Compliance with Other Code Sets. a. A Health Plan System that is required to or otherwise contains the applicable data type shall conform to the following non-HIPAA-based standard code sets: (1) As described in all AHCA Medicaid Reimbursement Handbooks, for all "Covered Entities", as defined under HIPAA, and which submit transactions in paper format (non-electronic format). (2) As described in all AHCA Medicaid Reimbursement Handbooks for all "Non-covered Entities", as defined under HIPAA.
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Sources: Health Care Services Contract (Wellcare Health Plans, Inc.), Health Care Services Contract (Wellcare Health Plans, Inc.)
Compliance with Other Code Sets. a. A Health Plan System that is required to or otherwise contains the applicable data type shall conform to the following non-HIPAA-based standard code sets:
(1) As described in all AHCA Medicaid Reimbursement Handbooks, for all "“Covered Entities"”, as defined under HIPAA, and which submit transactions in paper format (non-electronic format).
(2) As described in all AHCA Medicaid Reimbursement Handbooks for all "“Non-covered Entities"”, as defined under HIPAA.
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