How will NCAL use the data generated by the AL Cost Calculator?
NCAL does not utilize the AL Cost Calculator to analyze or compile data regarding the costs/revenues of any assisted living communities.
How will access to a participant’s information be controlled?
Information submitted by the provider organizations is only visible to that provider organization. Multi-facility organizations with multiple assisted living communities attached to their account can have the account administrator manage permission levels for each individual user tied to the account.
Why do I have to complete a HIPAA Business Associate Agreement as part of the registration process?
The Health Insurance Portability and Accountability Act (HIPAA) is a federal law that provides baseline privacy and security standards for medical information. Provider organizations are considered “covered entities” because they will be entering protected health information (PHI) into the AL Cost Calculator. AHCA/NCAL is a “business associate” offering a service to the provider that involves PHI. As a result, a Business Associate Agreement is required to make sure that all parties agree to safeguard the PHI according to HIPAA standards.
Why is protected health information (or HIPAA-protected patient data) necessary to determine cost calculations?
Completing a resident assessment form, which includes protected health information, helps the AL Cost Calculator determine how much direct care staff time is required for each resident. The amount of direct care staff time then informs the overall cost of care. Therefore, the AL Cost Calculator needs a thorough assessment of each resident’s overall care needs.
Am I allowed to share my AL Cost Calculator data outside of my organization?
NCAL members should not share their own AL Cost Calculator information with other NCAL members or competitors, as doing so may result in violations of state and Federal antitrust laws (among other laws). Using your own data may be helpful in collaborating with managed care and accountable care organizations. If you’re a Medicaid provider, the data may also be helpful in educating state Medicaid programs about assisted living costs.
Should NCAL learn of, or reasonably suspect, that a member is utilizing the AL Cost Calculator in a potentially unlawful manner including, but not limited to, sharing AL Cost Calculator information to facilitate the collective negotiation of rates among providers, NCAL reserves the right to rescind a member’s access to the AL Cost Calculator indefinitely.
Should you reasonably believe or suspect that another NCAL member is mis-using or mis-handling AL Cost Calculator information in any way, please contact email@example.com