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Can I collect third-party data from participants in Hawaii? What are the requirements?

Based on the provided documents, it is possible to collect third-party data from participants in Hawaii, but there are specific requirements that must be met.

Requirements for Collecting Third-Party Data in Hawaii

The requirements for collecting third-party data in Hawaii depend on the type of data being collected. Below are the requirements for the different types of data:

Health Care Claims Data

Mandatory reporters or their designees shall regularly submit health care claims data to the agency or the agency’s designee, for each applicable health line of business, including but not limited to, comprehensive major medical plans, third party administrator plans, administrative services only plans, medicare supplemental plans, medicare part C, medicare part D, pharmacy, dental, and vision [2.2]. Voluntary reporters, with approval of the administrator, may also submit health care claims data to the agency or the agency’s designee [2.4].

All data shall be submitted to the agency or the agency’s designee, as separate files in the format described in the data submission guide. Files shall be encrypted and submitted in the method specified by the data submission guide. All submissions shall include the appropriate positive or negative fields with the medical, pharmacy, and dental claims file submissions. Claims for services under capitation or other alternative payment arrangement shall be reported with claims file submissions. Records within medical, pharmacy, and dental claims files shall be selected and submitted according to the data submission guide [2.3].

Test Data

Mandatory and voluntary reporters shall submit test data as specified in the data submission guide to the agency or the agency’s designee. The agency may request additional submissions of test data as needed [2.1].

Other Third-Party Data

There are no specific requirements for collecting other types of third-party data in Hawaii provided in the context documents.

Conclusion

To collect health care claims data in Hawaii, mandatory reporters or their designees shall regularly submit health care claims data to the agency or the agency’s designee, and voluntary reporters may also submit health care claims data with approval of the administrator. The data shall be submitted in a specific format and method, and shall include the appropriate fields and records as specified in the data submission guide. For test data, mandatory and voluntary reporters shall submit the data as specified in the data submission guide. There are no specific requirements for collecting other types of third-party data in Hawaii provided in the context documents.

Source(s):
Jurisdiction

Hawaii