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Program Memorandum Carriers Department of Health Human Services (HHS) Transmittal B-01-24 and Date: APRIL 5, 2001, HEALTH CARE FINANCING ADMINISTRATION (CFA) CHANGE REQUEST 1616 SUBJECT: Notification
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CDC has sent letters to carriers requesting they provide them with information on how to use this program. Questions that carriers have about the program are welcome as well. We appreciate you including your site links in your letter. All carriers should notify state public health departments when they provide this notice. Also, please send a copy of your site to your state health department as soon as possible. Thank you. Sincerely, Peter Hotel, Assistant Administrator CDC Office of the Assistant Administrator (ADP) Peter Hotel CFA Office of the Assistant Administrator (ADP) DATE: April 5, 2001, CONTENTS METHODOLOGY CONTINGENT 1. Methods for Collecting Information on the Use of Centralized Billing Systems Methods for collecting information on the use of centralized billing systems (Cusps) are described, in order to facilitate use of these systems for both routine and emergency administration. These methods are applicable for both private practice and for state and federal health care programs. 2. The Requirements for an Effective CISP In order to be considered effective, CISP must achieve the goals stated in the following sections below. 4. Basis for CISP Information Collection and Transmission to State and Federal Agencies CISP has three main components (Table1). 4.1. CISP Information Collection 1. Information on the Use of CISP. To develop their CISP program, the CISP will collect the following information for the state or program: A. Sample of Covered Persons. This means that there must be sample information from each provider of a covered health care service provided to a participating individual. This sample information includes: 1. The name and the mailing address of the provider. 2. The name and address of the service center or clinic. 3. How long the physician or other health care provider has been providing the covered service. 4. How often the provider has made a payment to the provider. 5. Any special questions the practitioner may have. The sample information must be provided at a specific time (i.e., once per calendar year) during which all covered persons are expected to have access to the CISP system. 4.1.1 CISP Information Availability and Retention. CISP information must be available for immediate use. No information must be retained if the provider is no longer involved with, or if no payment has been made since the previous payment.

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