Designated Standard Maintenance Organizations
The final HIPAA rule titled "Standards for Electronic Transactions," published in the Federal Register, establishes a new category of organization, the "Designated Standard Maintenance Organization (DSMO)." Additional background information and links to the Final Rule are available here.

The Secretary has designated the following organizations as DSMOs:

These DSMOs have formed a committee to focus on managing HIPAA standard change requests. This web site helps meet that challenge by providing industry expertise and solutions that directly support several of the committee's guiding principles:
  • Allow open public access
  • Provide for timely review
  • Cooperate and communicate
  • Consider all viewpoints
This final rule also recognizes the Workgroup for Electronic data Interchange,, as consultant to the Secretary on Administrative Simplification Standards.

User ID
Understanding the HIPAA Processes
The DSMO have created this presentation to provide information on the HIPAA transactions, code sets, and operating rules processes under HIPAA.
Overview of the Change Management Process

You can search for and view requested changes, but must register and log in to request a change.

This page contains annual reports, recommendations, and other information that the DSMO has produced which may be of interest.

The X12N Transaction Standards, as well as the HL7 Attachment Standards are available on the Washington Publishing Company web site. Information about the NCPDP Retail Pharmacy Standards are available on the NCPDP web site.

Instructions for Sending Paper Change Requests

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