No. The December 31, 2013, HHS Notice of Proposed Rulemaking (NPRM) proposes two potential options for health plans to meet the HHS certification requirements:
- Option 1: Obtain a HIPAA Credential: The NPRM proposes that health plans may apply to receive a HIPAA Credential by attesting that they have successfully tested the applicable HIPAA transaction standards and associated operating rules for eligibility, claim status, electronic funds transfers (EFT) and electronic remittance advice (ERA) with trading partners.
- Option 2: Complete CORE Certification: The NPRM proposes receipt of a Phase III CORE Certification Seal as the second option for health plans to meet the HHS-required certification. Health plans that successfully complete certification testing with a CORE-authorized testing vendor and submit the required documentation will receive a Phase III CORE Certification Seal demonstrating their compliance.
HHS is accepting public comments on the NPRM through April 3, 2014. For information on the CAQH CORE efforts in response to the Public Comment Period see, “Will CAQH CORE be submitting a comment letter on the HHS Notice of Proposed Rule Making (NPRM) on the first ACA-mandated health plan certification to HHS?”