(1) The director shall adopt any rules necessary to implement this chapter, including: (a) Definitions of claim and data files that data suppliers must submit to the database, including: Files for covered medical services, pharmacy claims, and dental claims; member eligibility and enrollment data; and provider data with necessary identifiers; (b) Deadlines for submission of claim files; (c) Penalties for failure to submit claim files as required; (d) Procedures for ensuring that all data received from data suppliers are securely collected and stored in compliance with state and federal law; (e) Procedures for ensuring compliance with state and federal privacy laws; (f) Procedures for establishing appropriate fees; (g) Procedures for data release; (h) Penalties associated with the inappropriate disclosures or uses of direct patient identifiers, indirect patient identifiers, and proprietary financial information; and (i) A minimum reporting threshold below which a data supplier is not required to submit data. (2) The director may not adopt rules, policies, or procedures beyond the authority granted in this chapter.
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