Provider materials and tools

There are numerous other resources for obtaining information regarding the HIPAA regulations as well as useful tips and answers to frequently asked questions. You may want to visit the following websites to obtain additional information.

The Centers for Medicare and Medicaid Services (CMS) addresses Frequently Asked Questions and provides detailed information on HIPAA requirements for employers, state regulators, and self-funded nonfederal governmental health plans.

The Department of Health and Human Services issued the Standards for Privacy and Individually Identifiable Health Information. This website provides additional information regarding these standards.

The Office of Civil Rights oversees the implementation and enforcement of the privacy regulations.

The American Medical Association (AMA) is responsible for creating and maintaining the Current Procedural Terminology (CPT) codes and 5 digit numerical HCPCS Level I codes used to describe professional services.

The National Uniform Billing Committee (NUBC) is responsible for maintaining the Revenue Codes used by facilities and programs on UB-04 claim forms.

The American Psychiatric Association (APA) maintains the Diagnostic and Statistical Manual of Mental Disorders (DSM), the most commonly accepted and utilized standard for defining and applying ICD-9-CM coding for behavioral health disorders.

Please note, Magellan Health is not affiliated with these websites. We are providing these links for informational purposes only.