Delaware Code Title 16 Sec. 10315 – Funding the Delaware Health Care Claims Database
(a) DHIN may not require any mandatory reporting entity, voluntary reporting entity, or provider to pay a cost or fee to submit or verify the accuracy of claims data or otherwise to enable the operation of the Delaware Health Care Claims Database with respect to required claims data submissions.
Terms Used In Delaware Code Title 16 Sec. 10315
- Claims data: includes required claims data and additional health-care claims information that a voluntary reporting entity may elect, through entry into an appropriate data submission and use agreement under this subchapter, to submit to the Delaware Health Care Claims Database. See Delaware Code Title 16 Sec. 10312
- Contract: A legal written agreement that becomes binding when signed.
- DHIN: means the Delaware Health Information Network. See Delaware Code Title 16 Sec. 10312
- Mandatory reporting entity: means each of the following entities, to the extent permitted under federal law:
- Provider: includes a hospital or health-care practitioner participating in a group arrangement, including an accountable care organization, in which the hospital or health-care practitioner agrees to assume responsibility for the quality and cost of health care for a designed group of beneficiaries. See Delaware Code Title 16 Sec. 10312
- Required claims data: includes the basic claims information that a mandatory reporting entity must submit to the Delaware Health Care Claims Database by the reporting date, including all of the following:
- Voluntary reporting entity: includes , except as prohibited under applicable federal law, any of the following entities, unless the entity is a mandatory reporting entity:
(b) DHIN may enter a contract under § 10303(a)(11) of this title with a person that voluntarily subscribes to access the database.
(c) DHIN, with the assistance of the Department of Health and Social Services, shall develop short-term and long-term funding strategies for the creation and operation of the Delaware Health Care Claims Database. The strategies may include any of the following:
(1) Public and private grant funding.
(2) Subscriptions for access to data reports, access fees, and revenue for specific data projects, subject to the limitations of this section.