AR Healthcare Transparency Initiative, Data Submission Guide Modification

Arkansas Insurance Department kNCE Asa Hutchinson Governor BULLETIN NO.: 16-2017 TO: FROM: SUBJECT: DATE: •i\ • Allen Kerr Commissioner ALL ACCIDENT AND HEALTH INSURERS, HEALTH MAINTENANCE ORGANIZATIONS AND HOSPITAL AND MEDICAL SERVICE CORPORATIONS & OTHER INTERESTED PARTIES ARKANSAS INSURANCE DEPARTMENT ARKANSAS HEALTHCARE TRANSPARENCY INITIATIVE, DATA SUBMISSION GUIDE MODIFICATION NOVEMBER 3, 2017 On August 1, 2017, via Bulletin 12-2017, the Arkansas Insurance Department published for public comment a revised version of the Data Submission Guide ("DSG") for the Arkansas Healthcare Transparency Initiative ("Transparency Initiative"), providing that interested parties had 30 days to comment. Proposed revisions to the DSG include the addition of: A new process for delivering control counts. New fields for medical, pharmacy, and dental claims. An expanded "Frequently Asked Questions" section. Additional clarification supporting the required linking of data for the member across files and submissions and tracking gaps in data. Material revisions of the DSG are governed by AID Rule 100, promulgated pursuant to the authority granted in Ark. Code Ann. § 23-61-901, et seq. and other applicable laws or rules. Comments received during the comment period were reviewed by the Arkansas Insurance Department ("AID"), and the Arkansas Center for Health Improvement ("ACHI"). These comments were integrated into the final revised version which was reviewed by the Arkansas Healthcare Transparency Initiative Board at their Quarterly 1200 West Third Street, Little Rock, AR 72201-1904 • (501) 371-2600 • (501) 371-2618 fax • www.insurance.arkansas.gov Information (800) 282-9134 • Consumer Services (800) 852-5494 • Seniors (800) 224-6330 • Criminal Inv. (866) 660-0888 Board Meeting on October 20, 2017 with no recommended changes. This final revised version of the DSG is hereby approved by the Commissioner. Concurrently with this bulletin, the AID has posted the Approved final revised version of the DSG at www.insurance.arkansas.gov. This approved version of the final revised version of the DSG will be effective for data files submitted not less than 120 days after the posting of the final revised version of the DSG on the AID website. ALLEN KERR INSURANCE COMMISSIONER STATE OF ARKANSAS