{"abstract":"This final rule adopts updated versions of the standards for electronic transactions originally adopted under the Administrative Simplification subtitle of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). This final rule also adopts a transaction standard for Medicaid pharmacy subrogation. In addition, this final rule adopts two standards for billing retail pharmacy supplies and professional services, and clarifies who the \"senders\" and \"receivers\" are in the descriptions of certain transactions.","action":"Final rule.","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Office of the Secretary"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2009/01/16/E9-740.html","cfr_references":[{"chapter":null,"citation_url":null,"part":162,"title":45}],"citation":"74 FR 3296","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"Effective Dates: These regulations are effective March 17, 2009 except for the provisions of 45 CFR part 162 Subpart S, which are effective January 1, 2010. The incorporation by reference of certain publications listed in the regulations is approved by the Director of the Federal Register as of March 17, 2009.","disposition_notes":null,"docket_ids":["CMS-0009-F"],"dockets":[],"document_number":"E9-740","effective_on":"2009-03-17","end_page":3328,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2009/01/16/E9-740.xml","html_url":"https://www.federalregister.gov/documents/2009/01/16/E9-740/health-insurance-reform-modifications-to-the-health-insurance-portability-and-accountability-act","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/E9-740?publication_date=2009-01-16","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2009-01-16/E9-740/mods.xml","not_received_for_publication":null,"page_length":33,"page_views":{"count":4638,"last_updated":"2026-08-26 16:15:06 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2009-01-16/pdf/E9-740.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":null,"publication_date":"2009-01-16","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2009/01/16/E9-740.txt","regulation_id_number_info":{"0938-AM50":{"issue":"200810","html_url":"https://www.federalregister.gov/regulations/0938-AM50/updates-to-electronic-transactions-version-5010-cms-0009-f-","title":"Updates to Electronic Transactions (Version 5010) (CMS-0009-F)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=200810&RIN=0938-AM50&operation=OPERATION_EXPORT_XML","priority_category":"Economically Significant"}},"regulation_id_numbers":["0938-AM50"],"regulations_dot_gov_info":{"supporting_documents":[],"comments_count":0,"agency_id":"HHS","comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=HHS-OS-2022-0008","supporting_documents_count":0,"docket_id":"HHS-OS-2022-0008","document_id":"HHS-OS-2022-0008-0015","regulation_id_number":null,"title":"HHS 2022 Archive","checked_regulationsdotgov_at":"2022-05-28T03:30:05Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":3296,"subtype":null,"title":"Health Insurance Reform; Modifications to the Health Insurance Portability and Accountability Act (HIPAA) Electronic Transaction Standards","toc_doc":"Health Insurance Reform; Modifications to the Health Insurance Portability and Accountability Act (HIPAA) Electronic Transaction Standards","toc_subject":null,"topics":["Administrative practice and procedure","Health facilities","Health insurance","Hospitals","Incorporation by reference","Medicaid","Medicare","Reporting and recordkeeping requirements"],"type":"Rule","volume":74}