45 CFR 162.512 : Public Welfare (Part 1 To Parts 2557-2599) — (Part 1 To Parts 171-199) — Department Of Health And Human Services (Part 1 To Parts 171-199) — Administrative Data Standards And Related Requirements (§ 160.101 To Parts 165-169) — Administrative Requirements (§ 162.100 To § 162.1902) — Standard Unique Health Identifier For Health Plans (§ 162.502 To § 162.514) — Implementation specifications: Health plans.

(a) A controlling health plan must do all of the following:

(1) Obtain an HPID from the Enumeration System for itself.

(2) Disclose its HPID, when requested, to any entity that needs the HPID to identify the health plan in a standard transaction.

(3) Communicate to the Enumeration System any changes in its required data elements in the Enumeration System within 30 days of the change.

(b) A controlling health plan may do the following:

(1) Obtain an HPID from the Enumeration System for a subhealth plan of the controlling health plan.

(2) Direct a subhealth plan of the controlling health plan to obtain an HPID from the Enumeration System.

(c) A subhealth plan may obtain an HPID from the Enumeration System.

(d) A subhealth plan that is assigned an HPID from the Enumeration System must comply with the requirements that apply to a controlling health plan in paragraphs (a)(2) and (a)(3) of this section.