Interoperability and Patient Access

 
 
 
 
 
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What you need to know

​​​​Interoperability and Patient Access Final Rule, what is it?

In short, it gives pa​tients better access to their health care data!

Please continue reading to find out what this means for you as a Medicaid member.

Once you're feeling comfortable, please use the following link to begin your registration!​

 ​Register Now!

You can read the Final Rule full text, by visiting the Federal Register website.

Developer information can be found at the bottom of this page.


Information for Members​​

What data can I access?​​​

  • Provider Directory
    • For in-network Medicaid providers
  • Drug Formulary
    • For covered medications
  • Medicaid Fee-For-Service Claims
    • From 2016-present
    • Paid under your current Medicaid ID
    • Excludes other claims types other than Medical or Pharmacy claims (i.e., Dental)

​Who can access your health care data?​

  • Individuals with Medicaid over the age of 18 may register to be granted access to their own health care data
    • Excludes individuals under the age of 18 
    • Excludes personal representatives including parent, guardians, and caregivers

How do you authorize Medicaid to share data with your App?​

If you decide you want to use an App, you must authorize Medicaid to share data with it. There are 3 easy steps:

Step One
Log in or create an iServe Nebraska account. This process will allow us to ensure that your health data is secure, and only shared with you – the member.

    1. Click on the “Access your Nebraska Medicaid Data" button from the Log In screen.
    2. Click the B2C sign-in to Log in or create an iServe Nebraska account
    3. Create a username and password. When you do this, a 6-digit code will be sent to you. You will get either an email or a text to your cell phone. Enter this code on the registration page to complete the account setup process. iServe Nebraska uses multi-factor identification to ensure security.
    4. If you have not identity-proofed your iServe Nebraska account with ID.me, you will need to do so after you've signed in for the first time. ID.me is a trusted 3rd party identity proofing partner.
    5. Once you have completed registration and identity proofing – you can beg​in connecting to an App to access your data.

Step Two
Begin in your App. Your App will ask you to link your Medicaid data. Follow the instructions on your App to start the linking process. Ensure that the App you are using is on the registered apps page on the State of Nebraska website.

Step Three
Authorize your data to be shared. Fill in your Medicaid Member ID and other required information. Then, look at all the information that can be shared and select data you wish to share. When you click Submit, your data will be shared with the App and with you.​

If you are having trouble, please access the detailed step-by-step instructions User Reg​istration Guide or email the dhhs.interoperabilityrule@nebraska.gov support team for assistance.

What do I do if I'm having trouble?​​​

  1. For issues with the App, contact the developer using the support link provided within the application.
  2. For issues with identity proofing, contact ID.me at https://help.id.me/hc/en-us/p/contact_support
  3. For other Medicaid questions, contact dhhs.interoperabilityrule@nebraska.gov​

​

Additional FAQs​​

What is an API?

An API is a simple way to communicate data from one source to another by opening a secure gateway to pull back your data.  Here, an API allows Medicaid to communicate with a registered third-party App to pull back your health data.​

What is health data?

Health data is information about your medical history. Your doctors give us that information. It includes your name, your address, and your birthday. It also can include information about medical tests you have had, any medical conditions you might have had, and your insurance information. The health data that is available through your App includes data that Medicaid has collected about you, going back to January 1, 2016, or since you joined the plan.​

How is my data available?

Your data is available on a Patient Access API. The API will allow Medicaid to share your health data. It can be shared with your App. Medicaid has no control over how your App will use or share your health data.​

What to think about before sharing your health data?

Before you agree to share your health data, you need to think about some things.

  • Will your App sell your data?
  • Will your App use your data for research or advertising?
  • How will this App use your data?
  • Will your App let you control how it can use your data?
  • If you stop using your App, will your data be removed?
  • If you no longer want to use your App, can you take away the App's access to your data?​

Is sharing information online safe?

When making decisions about your health, you should only share your health data with people you trust, like your family or doctor. Never share your username or password. Store your paper records in a safe place. Only use software you trust and always use a password on your phone, tablet, and computer. Do not send any data by email unless you can protect it with a password.​

Does your App fall under HIPAA?

HIPAA is the Health Insurance Portability and Accountability Act. This is a federal law that says your health information cannot be shared by Medicaid unless it is for health care treatment, payment or operations and other reasons allowed by the federal law. Third-party Apps are not covered by HIPAA. Your App will have access to all your heath data once you allow it. You should read the App's privacy policy to see how they the third-party health App may use your data. Make sure that you are comfortable with their rules. An App that publishes a privacy notice must do what it says in that notice. Apps may not be subject to other State and local privacy laws.​​

What are your rights under HIPAA?

If you want to learn more about your rights under HIPAA, visit this website: https://www.hhs.gov/hipaa/for-​individuals/index.html. Apps are subject to other Privacy laws. For example, the Federal Trade Commission Act (FTC) protects you against any App that breaks privacy rules. If an App breaks a privacy rule, the App will get in trouble.​

How do I protect my information?

​Only share your information with people and apps you trust. These include doctors or others you see or rely on for care. If you decide to use a health app, be sure it's from a trusted source. If an app does not meet Medicaid security standards, it will be clearly labeled with a warning message. Please read that message. What else can I do to keep my information safe? Here are a few tips:

■ Only use trusted health apps.

■ Keep your passwords and log-in information private.

■ Keep your private papers in a secure place.

■ Ensure virus protection software for your computer is running and up-to-date.

What do you do if you think your data was used without your permission?

If you think your information was used without your permission, contact the Federal Trade Commission or the Nebraska Office of the Attorney General.

Information for ​​Developers

Developers looking to register an application: Clic​k Here

Detailed Instructions can be found in the following PDF: App Registration Design Guide

Developers with additional inquires may contact: dhhs.vendorinteroperabilityrule@nebraska.gov​