Payer-to-Payer Data Exchange. To enable the exchange of certain patient clinical data (i.e., the U.S. Core Data for Interoperability [USCDI] version 1 data set), at the patient’s request, between payers allowing patients to create a cumulative health record that moves across payers. CMS requires that the implementation of the above APIs is supplemented with additional components, such as an educational page for patients about sharing their health information with third parties. For these requirements, MCOs should refer to the Final Rule, located here: xxxxx://xxx.xxxxxxxxxxxxxxx.xxx/documents/2020/05/01/2020-05050/medicare-and-medicaid- programs-patient-protection-and-affordable-care-act-interoperability-and.
