Single, group. 1: Yes, describe: [ 50 words ] , 2: No 12.9 If data must be submitted by a party, can Applicant guarantee that the same information above will also be submitted by the third party? Single, Radio group. 1: Yes, describe: [ 50 words ] , 2: No, 3: Not Applicable 12.10 Can Applicant submit similar data listed above for other data feeds not yet requested, such as Disease Management or Lab data? If so, describe. Single, Radio group. 1: Yes, describe: [ 50 words ] , 2: No 13 Privacy and Security Requirements for Personally Identifiable Data This section not required if Applicant has completed the Qualified Health Plan Application Plan Year 2019 Individual Marketplace. Questions required only for new entrant Applicants. 13.1 HIPAA Privacy Rule Applicant must confirm that it complies with the following privacy-related requirements set forth within Subpart E of the Health Insurance Portability and Accountability Act [45 CFR §164.500 et. seq.]: 13.1.1 Individual access: Unless otherwise exempted by the HIPAA Privacy Rule, Applicant must confirm that it provides enrollees with the opportunity to access, inspect and obtain a copy of any PHI contained within their Designated Record Set [45 CFR §§164.501, 524]. No space for details provided. Single, Pull-down list. 1: Yes, confirmed, 2: No, not confirmed 13.1.2 Amendment: Applicant must confirm that it provides enrollees with the right to amend inaccurate or incomplete PHI contained within their Designated Record Set [45 CFR §§164.501, 526]. No space for details provided. Single, Pull-down list. 1: Yes, confirmed, 2: No, not confirmed 13.1.3 Restriction Requests: Applicant must confirm that it provides enrollees with the opportunity to request restrictions upon Applicant's use or disclosure of their PHI [45 CFR §164.522(a)].
Single, group. 1: Yes, describe: [ 50 words ] , 2: No 12.9 If data must be submitted by a party, can Applicant guarantee that the same information above will also be submitted by the third party? Single, Radio group. 1: Yes, describe: [ 50 words ] , 2: No, 3: Not Applicable 12.10 Can Applicant submit similar data listed above for other data feeds not yet requested, such as Disease Management or Lab data? If so, describe. Single, Radio group. 1: Yes, describe: [ 50 words ] , 2: No 13 Privacy and Security Requirements for Personally Identifiable Data This section not required if Applicant has completed the Qualified Health Plan Application Plan Year 2019 Individual Marketplace. Questions required only for new entrant Applicants. 13.1 HIPAA Privacy Rule Applicant must confirm that it complies with the following privacy-related requirements set forth within Subpart E of the Health Insurance Portability and Accountability Act [45 CFR §164.500 et. seq.]: 13.1.1 Individual access: Unless otherwise exempted by the HIPAA Privacy Rule, Applicant must confirm that it provides enrollees with the opportunity to access, inspect and obtain a copy of any PHI contained within their Designated Record Set [45 CFR §§164.501, 524]. No space for details provided. Single, Pull-down list. 1: Yes, confirmed, 2: No, not confirmed 13.1.2 Amendment: Applicant must confirm that it provides enrollees with the right to amend inaccurate or incomplete PHI contained within their Designated Record Set [45 CFR §§164.501, 526]. No space for details provided. Single, Pull-down list. 1: Yes, confirmed, 2: No, not confirmed 13.1.3 Restriction Requests: Applicant must confirm that it provides enrollees with the opportunity to request restrictions upon Applicant's use or disclosure of their PHI [45 CFR §164.522(a)].
CCSB%20QHP%20Certification%20Application%20Plan%20Year%202019%20Quarterly%20Application_Final.docx