90-590-241 Me. Code R. § 3

Current through 2024-51, December 18, 2024
Section 590-241-3 - Submission Requirements
A.File Format. The inpatient file and the outpatient file(s) are to be submitted to the MHDO or it designee as separate ASCII files with fixed length records. Each record shall be terminated with a carriage return line feed (ASCII 13, ASCII 10).
B.Filing Method. All data files must be encrypted using 256-bit AES (AES-256) encryption, prior to submission/uploading. This can be accomplished using various commercially available software packages. Data files shall be submitted via electronic transmission using the Secure Hypertext Transfer Protocol (HTTPS). E-mail attachments shall not be accepted.
C.File Editing. All data files must be processed through the MHDO designee's system. Corrections must be applied to the data files before the data are transmitted.
D.Filing Specifications. Each hospital shall file all applicable data sets to the MHDO in accordance with the electronic specifications for submission of claims to Maine's designated Medicare intermediary.
E.Filing Periods. Each inpatient discharge or outpatient service record must be filed no later than 90 days following the calendar quarter in which the discharge or service occurred.
F.Replacement of Data Files. No hospital may amend its data submission more than one year after the end of the quarter in which the discharge or outpatient service occurred unless it can be established by the hospital that exceptional circumstances occurred. Any resubmission of data after the elapse of the one year period must be approved by the MHDO.
G.Rejection of Files. Failure to conform to the requirements of subsections A, B, C or D of this section shall result in the rejection of the data file(s). Rejected files must be resubmitted in the appropriate corrected form to the MHDO within 15 days of notification.

90-590 C.M.R. ch. 241, § 3