HPP’s interoperability program provides seamless data sharing between HPP, our members and our partners in response to the CMS Interoperability and Patient Access Final Rule. The Centers for Medicare & Medicaid Services (CMS) has implemented interoperability final rules that affect all HPP members. The rules include a mandate that provides members with greater access to their health care data and improves data sharing between members, their providers, and HPP.
The mandate that was enforced on July 1, 2021 includes three parts:
- Patient Access Plan Data Application Programming Interface (API)
- Provider and Pharmacy Directory (API)
- Medication Formulary and Benefits (API)
Effective, July 1, 2021, HPP members can access their claims and clinical information through a third-party application that has been verified and connected to HPP’s Fast Healthcare Interoperability Resources (FHIR) APIs. Verified third-party application developers are allowed to connect to HPP’s FHIR data repository to retrieve member data, which can include protected health information (PHI) when authorized by the member in accordance with the provision of the Interoperability and Patient Access final rule. Publicly available data, such as provider directories and formularies, will be available through the provider directory API and formulary API to all connected applications.
- Sign up for an account on the HPP’s Interoperability Resource Center to access your health data, view the third-party application gallery, and give consent to a representative. To register successfully, you will need your HPP Member ID number and a valid email address.
- Register now for HPP’s Interoperability Resource Center.
- Review the Interoperability User Guide (PDF).
HPP members can select any of these verified applications.