Code of Maine Rules › 90 - INDEPENDENT AGENCIES › 590 - MAINE HEALTH DATA ORGANIZATION › Chapter 50 - PRICES FOR DATA SETS, FEES FOR PROGRAMMING AND REPORT GENERATION, DUPLICATION RATES › Section 590-50-1 - DEFINITIONS

Current through 2024-29, July 17, 2024
A.
Assessed Entity.
An "assessed
				entity" means a health care provider, health insurance entity, third-party
				administrator, or retail store drug outlet, as defined by the Maine Health Data
				Organization Determination of Assessments Rule (90-590 C.M.R. Chapter 10) in
				effect at the time of the data request that has paid assessments to the MHDO
				for a minimum of two consecutive fiscal years.
B.
Clinical Data.
"Clinical
				data" mean health care claims data, hospital data, non-hospital health care
				facility data, quality data, and all other data as described in 22 M.R.S.A.
				Sections8708, 8708-A, and 8711.
C.
Commercial Entity.
A "commercial entity" means a for-profit
				business or organization that purchases MHDO data or information for resale in
				any form.
D.
Educational
				Entity.
An "educational entity" means any public or private elementary
				or secondary school, and any public or private post-secondary
				institution.
E.
Financial
				Data.
"Financial data" means information consisting of or derived
				directly from data providers pursuant to 90-590 CMR Chapter 300 Maine Health
				Data Organization
Uniform Reporting System for Hospital Financial
				Data
. "Financial data" do not include analysis, reports, or studies if
				those analyses, reports, or studies have already been released as part of a
				general distribution of public information by the MHDO.
F.
Health Care Claims Data.
"Health care claims data" means information consisting of or derived directly
				from member eligibility, medical claims, pharmacy claims, and/or dental claims
				files submitted by health care claims processors pursuant to the Maine Health
				Data Organization Uniform Reporting System for Health Care Claims Data Sets
				Rule (90-590 C.M.R. Chapter 243) in effect at the time of the data request.
				"Health care claims data" do not include analysis, reports, or studies
				containing information from health care claims data sets, if those analyses,
				reports, or studies have already been released in response to another request
				for information or as part of a general distribution of public information by
				the MHDO.
G.
Hospital
				Data.
"Hospital data" means information consisting of or derived
				directly from hospital inpatient, outpatient, emergency department, or any
				other derived data sets filed or maintained pursuant to the Maine Health Data
				Organization Uniform Reporting System for Hospital Inpatient Data Sets and
				Hospital Outpatient Data Sets Rule (90-590 C.M.R. Chapter 241) in effect at the
				time of the data request. "Hospital data" do not include analysis, reports, or
				studies containing information from hospital data sets, if those analyses,
				reports, or studies have already been released in response to another request
				for information or as part of a general distribution of public information by
				the MHDO.
H.
MHDO.
"MHDO" means the Maine Health Data Organization or its predecessor
				agencies.
I.
Non-Hospital
				Health Care Facility Data.
"Non-hospital health care facility data"
				means information or data consisting of or derived directly from data sets
				filed or maintained pursuant to the Maine Health Data Organization Uniform
				Reporting System for Non-Hospital Ambulatory Service Data Sets Rule (90-590
				C.M.R. Chapter 245) in effect at the time of the data request. "Non-hospital
				health care facility data" do not include analysis, reports, or studies
				containing information from non-hospital health care facility data sets, if
				those analyses, reports, or studies have already been released in response to
				another request for information or as part of a general distribution of public
				information by the MHDO.
J.
Non-Profit Entity.
A "non-profit entity" means a governmental
				agency or public or private organization that has been determined to be exempt
				from taxation under the United States Internal Revenue Code, Section
				501(c).
K.
Quality
				Data.
"Quality data" means information consisting of or derived directly
				from data providers pursuant to 90-590 CMR Ch. 270 Maine Health Data
				Organization
Uniform Reporting System for Quality Data Sets
.
				"Quality data" do not include analysis, reports, or studies if those analyses,
				reports, or studies have already beenreleased as part of a general distribution
				of public information by the MHDO.
L.
Redistributor.
A
				"redistributor" means any commercial entity, assessed entity, or non-profit
				entity that purchases MHDO data for inclusion in a larger composite database
				that is publicly released.
M.
Restricted Data Set.
"Restricted data set" means data or
				information containing data elements as described in subsections 9(A) (2), (3),
				and (4) of the Maine Health Data Organization Release of Data to the Public
				Rule (90-590 C.M.R. Chapter 120) in effect at the time of the data
				request.
N.
Unrestricted Data
				Set.
"Unrestricted data set" means data or information containing none
				of the data elements as described in subsections 9(A) (2), (3), and (4) of the
				Maine Health Data Organization Release of Data to the Public Rule (90-590
				C.M.R. Chapter 120) in effect at the time of the data request.