21st Century Cures Act
As part of the 21st Century Cures Act regulations, the Centers for Medicare and Medicaid (CMS) policy requires that systems be put in place to make it easier for Medicare Advantage members to see important health data. Members will be able to use a third-party mobile app or online tool to view health claims information, including treatment and prescription history and costs; find an up-to-date list of in-network providers; and see which providers have agreed to provide electronic access to health information.
Generations Advantage Members
What do I need to know?
- If you would like to access the health data available through the 21st Century Cures Act, you will need to use a separate, third-party mobile app or online tool to do so.
- The mobile app or online tool will gather your private health information from Martin’s Point Generations Advantage. Before you choose the mobile app or online tool, we recommend that you review their privacy policy to understand how they may use your private health information. You can use the “Privacy Checklist” below to help you review their privacy policy.
- Once you choose a mobile app or online tool, you will submit a request to Martin's Point (Sign In required) to review your choice of app/ tool tool. If the app passes our security review, we will allow the app to connect to your Martin’s Point health data. Once we complete these steps, we will notify you and you will need to visit the third-party website or download the app on your mobile device and complete their registration process.
Privacy Checklist
It is important to take an active role in protecting your health information. Below, please find a checklist of things to consider when choosing a third-party mobile app or online tool. You should look for an easy-to-read privacy policy that clearly explains how your data may be used.
Consider the following when evaluating options:
- What health and other data will this app collect?
- Will my data be stored in a de-identified or anonymous form?
- How will this app use my data? Can I limit this app’s use and disclosure of my data?
- What security measures does this app use to protect my data?
- How can I correct errors in data retrieved by this app?
- How does this app collect and respond to user complaints?
- How do I stop the app’s access to my data and what is its policy for deleting my data?
- How does this app inform users of changes that could affect its privacy practices?
What are your rights under the Health Insurance Portability and Accountability Act (HIPAA) and who must follow HIPAA?
The U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR) enforces the HIPAA Privacy, Security, and Breach Notification Rules, and the Patient Safety Act and Rule. You can find more information about your patient rights under HIPAA and who is obligated to follow HIPAA here.
You can also reference HIPAA FAQs for Individuals.
Are third-party apps covered by HIPAA?
Most third-party apps will not be covered by HIPAA. Most third-party apps will instead fall under the jurisdiction of the Federal Trade Commission (FTC) and the protections provided by the FTC Act. The FTC Act, among other things, protects against deceptive acts (e.g., if an app shares personal data without permission, despite having a privacy policy that says it will not do so).
The FTC provides information about mobile app privacy and security for consumers here.
What should you do if you think your data has been breached or an app has used your data inappropriately?
If you believe your privacy rights have been violated, please make us aware by calling Member Services at 1-866-544-7504 (TTY: 711), 8 am to 8 pm, seven days a week from October 1–March 31, and Monday through Friday the rest of the year, to discuss your situation. Our team can provide assistance on the steps that need to be followed and where to file a complaint:
- Federal Trade Commission (FTC)
- Complaints can be filed using their complaint assistant
- Office of Civil Rights (OCR)
- Complaints can be filed in the complaint portal
Get Started
To read more about the CMS ruling and the 21st Century Cures Act, visit: https://www.cms.gov/newsroom/fact-sheets/interoperability-and-patient-access-fact-sheet
For Application Developers
To access the Martin's Point Generations Advantage provider directory API please click here.
To access the Martin's Point Generations Advantage formulary API please click here.