For the Administrative Simplification aspects of HIPAA, health plans
are generally defined as any individual or group plan that provides or
pays for health care. Certain publicly funded programs are
specifically listed by the federal Department of Health and Human
Services in the federal regulations it has issued. Several of these
kinds of health plans equate to federal and state human service programs
supervised by the Wisconsin Department of Health and Family Services.
Here you will find the Wisconsin programs that DHS believes are
impacted by the Administrative Simplification aspects of HIPAA.
Follow the links below to be directed to
a particular State of Wisconsin Department of Health and Family Services
division or program we believe is impacted by the Administrative Simplification aspects of HIPAA.
Medicaid home and community based waiver
programs are part of Medicaid and therefore a health plan. County waiver agencies that
administer them are business associates of DHS and must comply with HIPAA as health plans.
COP meets the exclusions for
governmental programs from health plan status. Counties may chose
to treat it as a heath plan or not, considering how reasonable it
is to separate it's administration from those of the Home and Community
Based Waiver programs.