Health Reform
November 18, 2011
NCVHS Enrollment Testimony by CAQH
NCVHS Maintenance and Updating of Stds and ORs Testimony by CAQH
November 17, 2011
NCVHS Claims Attachment Testimony by CAQH
September 6, 2011
CAQH CORE Comment Letter to CMS RE: CMS-0032-IFC
August 22, 2011
CAQH CORE Model Comment Letter RE: CMS-0032-IFC
August 1, 2011
CAQH CORE Request for CORE Participant Input on the July 8th IFR for Eligibility and Claim Status
(Supplement - Overview of CAQH CORE Phases I & II)
CAQH CORE and NACHA letter to NCVHS RE: Update on Draft CAQH CORE EFT and ERA Operating Rules
July 8, 2011
April 27-28, 2011
NCVHS Subcommittee on Standards: ACA Administrative Simplification Operating Rules Hearing
CORE Testimony on The Acknowledgment Transaction Standard
CORE written testimony
CORE presentation
CORE Testimony on Maintenance and Modifications to Standards and Operating Rules
CORE written testimony
CORE presentation
March 23, 2011
NCVHS Letter Issued to HHS Recommending CAQH CORE to Develop National EFT and ERA Operating Rules
December 3, 2010
NCVHS Subcommittee on Standards: ACA Administrative Simplification Operating Rules Hearing
Part I:
CORE Eligibility and Claims Status Update Testimony:
CORE written testimony
CORE oral testimony
(Set audio track to 50:00)
CORE presentation
Part II:
CORE ERA/EFT Testimony:
CORE written testimony
CORE oral testimony
(Set audio track to 4:25:30)
General
More information on the Upcoming Operating Rules Mandate
CORE Phase II
Committed Organizations:
Are You Ready to Submit
Your Phase II Pledge?
THE PHASE II RULES
STATE ACTIVITIES
UPCOMING CORE PRESENTATIONS:
NCPDP Standards in Pharmacy Rules and Regulations: From Inception to Implementation
2/7/12
HIMSS12 Annual Conference & Exhibition
CAQH Booth #9013
2/20/12 - 2/24/12
20th National HIPAA Summit
3/26/12 - 3/28/12
NACHA Payments 2012
4/29/12 - 5/2/12
CORE Fees
Fees are a one-time cost for each Phase of certification*
| Health Plans | |
| Below $75 million in net annual revenue: | $4,000 |
| $75 million and above in net annual revenue: | $6,000 |
| Clearinghouses | |
| Below $75 million in net annual revenue: | $4,000 |
| EHNAC HNAP-EHN accredited | - apply 10% ($400) discount |
| $75 million and above in net annual revenue: | $6,000 |
| EHNAC HNAP-EHN accredited | - apply 10% ($600) discount |
| Vendors | |
| Below $75 million in net annual revenue: | $4,000 |
| $75 million and above in net annual revenue: | $6,000 |
| Providers | |
| Up to $1 billion in net annual revenue: | $500 |
| $1 billion and above in net annual revenue: | $1,500 |
| Endorsers | |
| (Only entities that do not create, transmit or use eligibility and/or claim status data) | No Fee |
NOTES:
- There is no charge to Federal or State government entities to receive the CORE Seal.
- There is no charge to CAQH member plans to receive the CORE Seal.
- *This fee is a one-time cost for each Phase of certification, unless an entity becomes decertified or if major changes to the rules are approved by a full CORE vote (Reference CORE: Eligibility and Benefits Certification Policy).
- Per the CORE Certification Policy, vendor products, and not entire vendor organizations, receive the Certification Seal.
- The CORE Certification Seal fee does not include the fee for CORE certification testing, which is standard for each stakeholder type. The CAQH website - www.caqh.org – can be accessed for a list of CORE-authorized testing companies and their associated testing fees.
- CORE participation and CORE certification are two separate activities. If you are interested in participating in CORE, review the CORE Participant Application. CORE participants can assist with writing the rules/policies in addition to voting on the next phase of rules.
- Any Clearinghouse/EHN entity actively seeking CORE certification as of June 1, 2009 or later that has already achieved EHNAC HNAP-EHN accreditation can take advantage of the partnership program discount. The Clearinghouse/EHN will indicate that it holds a current EHNAC HNAP-EHN accreditation when submitting a CORE Seal application. (CAQH will confirm EHNAC-EHN accreditation status independently.) View more information about EHNAC HNAP-EHN accreditation at www.ehnac.org.







