NCVHS Request for Comments on Proposed Operating Rules

On November 1st, 2022 the Standards Subcommittee of the National Committee on Vital and Health Statistics (NCVHS), a federal advisory committee to the Secretary of HHS, published a notice in the Federal Register announcing that a Hearing on Requests for New and Updated Transaction Standards and Operating Rules will be held on January 18th and 19th, 2023.

NCVHS is inviting industry stakeholders to provide written comments via a Request for Comment (RFC) on the value of the proposed standards and operating rules.

To submit please send comment letters to NCVHSmail@cdc.gov with subject line: RFC on X12 and CAQH CORE Proposals by December 15, 2022.

To support comment letter development, CAQH CORE has compiled key resources on the proposed operating rules for industry reference. Please click below to access links to all proposed rules, background material, webinars, and tools including a crosswalk between currently mandated and proposed operating rules.

If you have any questions or require any additional support as you review the proposed rules, please reach out to CORE@caqh.org.

In the video below, Erin Weber, CAQH CORE Vice President, and Bob Bowman, Principal of Interoperability and Standards at CAQH, provide a brief overview of the regulatory process for operating rule adoption, present a summary of the proposed rules, and address frequently asked questions.

 

more information on the proposed operating rules

Earlier this year the CAQH CORE Board unanimously approved a set of new and updated CAQH CORE Operating Rules to bring forward for federal mandate. On May 23rd, 2022 the Board submitted a letter to NCVHS that formally requested review of the new and updated rules for federal adoption. The letter outlines the Board’s rationale for supporting the proposed ruleset.

The proposed set of new and updated CAQH CORE Operating Rules include:

NCVHS will review industry feedback on the proposed operating rules via comment letters and the industry hearing on January 18 and 19, 2023 to inform a recommendation to the Secretary of HHS on federal adoption. Please see the resources and tools below for more detail on the proposed operating rule requirements, updates from prior mandated versions, and benefits of adoption.

tools and resources

CAQH Program