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Industry Topics and Comment Letters

The table below lists activities for which CAQH CORE submitted a comment letter, held a public call, provided public testimony, etc.  

Date Activity Letter for Download  
02/05/2024

CAQH CORE submitted a letter to Secretaries Becerra (HHS), Yu (Labor), and Yellen (Treasury) and Director Ahuja (OPM) in response to Tri-Department and OPM proposals to require the use of CARCs and RARCs in support of the No Surprises Act Independent Dispute Resolution Process.

CAQH CORE Letter for the Use of CARCs and RARCs in the NSA IDR Process  
10/06/23

CAQH CORE submitted recommended edits and additions for the Interoperability Standards Advisory (ISA) annual update to the Reference Edition and web version.

CAQH CORE Letter for the ISA Annual Update  
03/21/23 CAQH and CORE submitted a letter to Administrator Brooks-LaSure with comments related to the proposed attachments rule. CAQH CORE Letter to Administrator Brooks-LaSure  
03/13/23 CAQH and CORE submitted a letter to Administrator Brooks-LaSure with comments related to the proposed electronic prior authorization rule. CAQH CORE Letter to Administrator Brooks-LaSure  
11/15/22 CAQH CORE submitted responses to a tri-agency RFI soliciting input on AEOB and GFE requirements under the No Surprises Act. CAQH CORE Response to No Surprises Act AEOB and GFE RFI  
11/04/22 CAQH CORE responded to a broad CMS RFI targeting health equity, access to care, and provider and patient experiences. CAQH CORE Response to CMS RFI - Make Your Voice Heard  
09/27/22  CAQH CORE submitted recommended edits and additions for the Interoperability Standards Advisory (ISA) annual update to the Reference Edition and web version. CAQH CORE Letter for the ISA Annual Update  
06/08/22 CAQH CORE, Health Level Seven, National Council for Prescription Drug Programs, Workgroup for Electronic Data Interchange, and X12 sent a joint letter to HHS Secretary Xavier Becerra. Joint Letter on Administrative Standards  
05/23/22 CAQH CORE submitted a request for NCVHS review of new and updated operating rules for federal adoption CAQH CORE Letter to NCVHS  
03/18/22 CAQH CORE submitted a letter to Secretary Becerra in response to a Request for Information on Electronic Prior Authorization Standards, Implementation Specifications, and Criteria CAQH CORE Letter to Secretary Becerra  
03/07/22 CAQH CORE submitted a letter to Administrator Brooks-LaSure with comments related to the No Surprises Act.  CAQH CORE Letter to Administrator Brookes-LaSure  
12/06/21 CAQH CORE submitted a second letter to Administrator Brooks-LaSure with comments related to the No Surprises Act. CAQH CORE Letter to Administrator Brooks-LaSure  
08/16/21 CAQH CORE submitted a letter to Administrator Brooks-LaSure with comments related to the No Surprises Act. CAQH CORE Letter to Administrator Brooks-LaSure  
07/30/21 CAQH CORE submitted a letter in response to the National Committee on Vital and Health Statistics (NCVHS) request for public comment. CAQH CORE Letter to NCVHS  
01/04/21 CAQH CORE submitted a letter to Administrator Verma with comments on proposed rule CMS-9123-P. CAQH CORE Letter to Administrator Verma  
12/21/20 CAQH CORE submitted a letter to Administrator Verma to request an extension of at least 60 days for the industry to respond to proposed rule CMS-9123-P. CAQH CORE Letter to Administrator Verma  
08/25/20 CAQH CORE presented to the National Committee on Vital and Health Statistics (NCVHS) to request NCVHS review of CAQH CORE Operating Rules for Federal Adoption. CAQH CORE Presentation to NCVHS  
6/23/20 CAQH CORE presented to the HITAC Intersection of Administrative & Clinical Data (ICAD) Task Force. The presentation included an update on Prior Authorization operating rules. CAQH CORE Presentation to ICAD  
3/17/20 CAQH CORE commented on the Office of the National Coordinator for Health Information Technology (ONC) Draft Federal Health IT Strategic Plan. CAQH CORE Letter to ONC  
2/24/20 CAQH CORE submitted a letter to the National Committee on Vital and Health Statistics (NCVHS) to request NCVHS review of CAQH CORE Operating Rules for Federal Adoption. CAQH CORE Letter to NCVHS  
9/23/19 CAQH CORE submitted a letter to the Office of the National Coordinator for Health Information Technology with comments on the Interoperability Standards Advisory (ISA). CAQH CORE Letter to the ONC  
8/9/19 CAQH CORE submitted a letter to Secretary Azar and Administrator Verma with recommendations for the Patients over Paperwork initiative. CAQH CORE Letter to Secretary Azar and Administrator Verma  
6/3/19 CAQH CORE submitted a letter to Secretary Azar with recommendations concerning the proposed ONC rule. CAQH CORE Letter to Secretary Azar  
6/3/19 CAQH CORE submitted a letter to Secretary Azar with recommendations concerning the proposed CMS rule. CAQH CORE Letter to Secretary Azar  
5/6/19 CAQH CORE submitted a letter to Senators Cassidy and Smith on the Reducing Administrative Costsand Burdens in Health Care Act. CAQH CORE Letter to Senators Cassidy & Smith  
3/1/19 CAQH submitted a letter to the Senate Committee on Health, Education, Labor and Pensions with recommendations that can be taken to reduce administrative costs in healthcare. CAQH Letter to Senate Committee  
1/18/19 CAQH CORE submitted a letter to the Office of the National Coordinator for Health Information Technology with comments on the Draft Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs. CAQH CORE Comments to ONC  
12/20/18 CAQH CORE submitted a letter to the National Committee on Vital and Health Statistics to provide comments on the Draft NCVHS Predictability Roadmap Recommendations. CAQH CORE Letter to NCVHS on Predictability Roadmap  
10/1/18 CAQH CORE submitted a letter to the HHS Office of the National Coordinator for Health Information Technology to provide recommendations and comments on the updated Interoperability Standards Advisory (ISA). 2018 CAQH CORE Letter to ONC on ISA  
7/26/18 CAQH CORE, on behalf of the CAQH CORE Board, published an open letter in support of the Consensus Statement on Improving the Prior Authorization Process. CAQH CORE Board Prior Authorization Support Letter  
11/20/17 CAQH CORE submitted a letter to the HHS Office of the National Coordinator for Health Information Technology to provide recommendations and comments to the 2018 Interoperability Standards Advisory (ISA). CAQH CORE Letter to ONC on 2018 ISA  
5/3/17 On May 3rd, 2017, Gwen Lohse, Managing Director of CAQH CORE, testified at the National Committee on Vital and Health Statistics hearing for the Subcommittee on Standards. Ms. Lohse gave testimony on the Health Plan Identifier (HPID). CAQH CORE Testimony to NCVHS on HPID  
2/23/17 CAQH CORE communication to CORE Participants on the CAQH CORE Process for for the X12 v7030 Public Comment Review. CAQH CORE Email to CORE Participants on X12 v7030  
7/29/16 CAQH CORE, on behalf of the CAQH CORE Board, submitted a letter to the Secretary of the U.S. Department of Health and Human Services (HHS) in response to the NCVHS Recommendation on adoption of the Phase IV Rules. CAQH CORE Board Letter to HHS on Phase IV  
6/13/16 CAQH CORE, on behalf of the CAQH CORE Board, submitted a letter to the Chair of NCVHS in response to the Draft NCVHS Recommendation to HHS on Adoption of the Phase IV Rules. CAQH CORE Board Letter to NCVHS on the NCVHS Recommendation  
3/31/16 CAQH CORE, on behalf of the CAQH CORE Board, submitted a letter to the Chair of NCVHS to urge NCVHS to recommend adoption of the Phase IV Operating Rules to the Secretary of HHS. CAQH CORE Board Letter to NCVHS on Phase IV Operating Rules  
10/21/15 The CAQH CORE Board presented the successfully completed Phase IV CAQH CORE Operating Rules to NCVHS for its consideration and recommendation to the Secretary of HHS. CAQH CORE Phase IV Letter to NCVHS  
7/28/15 Per the event below, the CAQH CORE Board elected to submit its own public comment to HHS on the Request for Information (RFI) on the Health Plan Identifier (HPID). CAQH CORE Board Comment Letter on HPID  
7/21/15 The U.S. Department of Health and Human Services (HHS) sought comments on a Request for Information (RFI) on the Health Plan Identifier (HPID). Through a multistakeholder effort, CAQH CORE developed a model letter which entities can use at their discretion. Final Model Letter on HPID  
6/16-17/15 On June 16th - 17th, 2015, Gwen Lohse, Managing Director of CAQH CORE, testified at the National Committee on Vital and Health Statistics hearing for the Subcommittee on Standards, ACA Review Committee. Ms. Lohse gave testimony for eligibility, claim status and EFT/ERA.

Part 1: Eligibility

Part 2: Claim Status

Part 3: EFT/ERA

 
6/15/15 The CAQH CORE Board Statement on Commitment to Content, Infrastructure and Maintenance given to the NCVHS Subcommittee on Standards, ACA Review Committee. CAQH CORE Board Statement - Commitment to Content, Infrastructure and Maintenance  
4/3/15 ONC accepted public comments on Connecting Health and Care for the Nation: A Shared Nationwide Interoperability Roadmap Draft Version 1.0. The CAQH CORE Board elected to offer public comments on the ONC Interoperability Roadmap. Comment Letter on ONC Interoperability Roadmap  
2/6/15 ONC accepted public comments on a draft version of the Federal Health IT Strategic Plan 2015-2020. The CAQH CORE Board shared public comments on the Strategic Plan in early February 2015. Comment Letter on Federal Health IT Strategic Plan  
3/3/14 In January 2014, HHS proposed a rule that requires a controlling health plan (CHP) to submit information and documentation demonstrating that it is compliant with certain standards and operating rules adopted by the Secretary of Health and Human Services (the Secretary) under the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The CAQH CORE Board shared public comments on the proposed rule in March 2014. CAQH CORE Board Letter on Certification  
5/10/10 CAQH sent a letter to ONC with CAQH's comments on the notice of proposed rulemaking (NPRM) detailing the processes for a permanent certification of electronic health record (EHR) technology. CAQH CORE Comments on Certification NPRM  
4/9/10 CAQH sent a letter to ONC with CAQH's public stakeholder comments on the notice of proposed rulemaking (NPRM) specific to the establishment of a temporary certification program for health information technology (HIT). CAQH Comments Regarding Proposed Establishment of Certification Programs for HIT  
3/15/10 CAQH CORE sent a letter to CMS regarding the notice of proposed rulemaking (NPRM) on the Electronic Health Record (EHR) Incentive Program. CAQH Comments Regarding Medicare and Medicaid Programs  
3/15/10 CAQH CORE sent a letter to CMS commenting on the Initial Set of Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record Technology Interim Final Regulation. CAQH Comments Regarding HITECH Initial Set Interim Final Rule  
1/14/10 CAQH CORE sent a letter to CORE Participants inviting them to submit comments on CMS' proposed rule regarding the electronic health record (EHR) incentive program described in the HITECH Act. CAQH Letter to CORE Participants Regarding Draft Meaningful Use  
6/26/09 CAQH CORE sent a comment letter to ONC on the preliminary framework for “meaningful use” as part of the implementation of the HITECH Act included in the American Recovery and Reinvestment Act (ARRA). CAQH Comments to ONC