Medicare Claims Processing Manual (Pub. 100-04), Ch. 24 § 40.2.2
Requirements
40.2.2 - Security Requirements
(Rev. 2803, Issued: 10-28-13, Effective: 09-17-13, Implementation: 09-17-13)
A/B MACs, DME MACs, CEDI, and other entities contracting directly with CMS are
considered service providers to CMS. As such, these entities are part of CMS’ system
security boundary and must be in compliance with the Federal Information Security
Management Act (FISMA) and are subject to CMS security policies. Covered entities,
trading partners and business associates not contracting as service providers to CMS are
outside of the CMS system security boundary and are not considered as FISMA entities.
These entities must comply with the mandates of the HIPAA Privacy and Security Rules
as well as the mandates defined in ARRA/ Health Information Technology for Economic
and Clinical Health (HITECH).
A trading partner submitting an EDI Enrollment Agreement attests that it has executed
Business Associate Agreements (contracts), as mandated by HIPAA and
ARRA/HITECH, with each of its business associates. Moreover, the trading partner
attests that it has full responsibility, as mandated by HIPAA and ARRA/HITECH, for
notification of breaches of protected health information caused by the trading partner or
its business associates.