Implementation specifications: Health plans

(a) A controlling health plan must do all of the following: (1) Obtain an HPID from the Enumeration System for itself. (2) Disclose its HPID, when requested, to any entity that needs the HPID to identify the health plan in a standard transaction. (3) Communicate to the Enumeration System any changes in its required data elements in the Enumeration System within 30 days of the change. (b) A controlling health plan may do the following: (1) Obtain an HPID from the Enumeration System for a subhealth plan of the controlling health plan. (2) Direct a subhealth plan of the controlling health plan to obtain an HPID from the Enumeration System. (c) A subhealth plan may obtain an HPID from the Enumeration System. (d) A subhealth plan that is assigned an HPID from the Enumeration System must comply with the requirements that apply to a controlling health plan in paragraphs (a)(2) and (a)(3) of this section. HIPAA Administrative Simplification Regulation Text March 2013 42