Plan API Portal
Plan API Portal enables VillageCareMAX beneficiaries to connect their claims data to the applications, services, and research programs they trust.
FAQs & Member Education Resources
How do I share my VillageCareMAX health information with applications on my smartphone?
As a VillageCareMAX member, you can combine all your health information that we keep into an healthcare application (app) of your choice. The sharing of data gives you the power to own, see, and manage your health information. This can help to improve your health and the quality of your healthcare.
What health information can I share?
VillageCareMAX follows policies set by the Centers of Medicare & Medicaid Services (CMS) that allow you to get access to your personal health information that we keep. The CMS Interoperability (health information exchange) and Patient Access Rule, created policies that allows patients to have better access to their health information. This enables you to access your data through different healthcare applications. These healthcare applications are developed by a third party, and not by VillageCareMAX.
To start, you will be able to access your claims, medications, demographics, clinical data, immunizations, and other types of data through health applications that have registered with VillageCareMAX. As a result, you have the ability to view and share your health information with other parties, such as providers and caregivers.
To improve the way in which your data is made available electronically, we implemented Application Programming Interfaces (APIs). APIs can connect to mobile apps or to a provider electronic health record. This ensures a more seamless and easier way of sharing information.
Before you can use an application to access your health information, the third party application developer must first connect with VillageCareMAX’s API system. Once we have made a trusted connection with that app, you may use and authorize that application to request access to your data at VillageCareMAX.
What applications (apps) can connect with my VillageCareMAX health information?
We launched our health information data sharing portal on July 1, 2021. First, the application company must register with VillageCareMAX. Second, you will be able to log into that application once their registration is complete. Third, you will be able to search for VillageCareMAX and connect all the data that we have about you and your health. This will help you see all your data. You can also share this data with others in your care team such as your doctors, family, or others in your support network.
Within each application or website, you will be able to search the available connections and select to pull in your healthcare data. At that point, you will be asked to log into your VillageCareMAX API account and start the data sharing process. We will only share your information with a website or application when you request it.
How do I sign up to connect my VillageCareMAX health information with applications (apps) on my phone?
Signing up is simple! Go to https://fhir.villagecare.org/ and register for an account. This will give you a username and password that you will need to use to log into your account to see data from different healthcare apps.
How do I authorize an application (app) to connect to my VillageCareMAX health information?
- Go to your healthcare app of choice. If they have registered with us, you will be able to use that app to connect to your data.
- Log into the selected third party application
- Look for the option to access your health information/data from your health plan (or any other similar section)
- On the list of health plans, select VillageCareMAX
- Log in using the username and password that you created at the https://fhir.villagecare.org/ website
- Give consent to the third party application selected
- Your data will be shared once consent is given successfully
If you have any issues with this process, please contact VillageCareMAX Member Services at 1-800-469-6292 (TTY: 711)
Should I be worried about sharing my data, and the privacy and security of my health information?
VillageCareMAX follows privacy laws and protects members’ health information when it is in our systems. We make sure that the data transfer to third parties (like applications) is also protected. However, many of these applications are not owned or contracted by the organization. Therefore, VillageCareMAX cannot, and does not, control the actions of external applications that you may want to use to access your health information.
Once you decide to share your health information with a healthcare app, your data will no longer be covered by Health Insurance Portability and Accountability Act (HIPAA) standards. VillageCareMAX cannot protect or monitor the maintenance, use, or disclosure of your information in these circumstances. This means, for example, that VillageCareMAX cannot, and does not, guarantee that any third party application will maintain the privacy and security of your health information. It is important for you to read the application’s privacy/security policy, and terms of use. This will help you understand how the application protects and uses your health information. Be sure to choose a trusted application, and that you are comfortable with how they will be using your data.
If you become concerned about the way that an application is using your data, you can remove that application’s access to your data at any time via the https://fhir.villagecare.org/ member portal. When you log in, it will list all the current applications that you have given access to your data. You can update the list to remove access as needed.
How do I report identity theft and fraud?
Most third party applications are not covered by HIPAA. Instead, they are regulated by the Federal Trade Commission. If you believe an application is misusing the data you shared, contact the Federal Trade Commission to investigate the matter by going to https://reportfraud.ftc.gov/ or by calling 1-877-382-4357.
If you believe that the privacy of your health information has been violated, contact the federal Department of Health and Human Services Office of Civil Rights at: www.hhs.gov/ocr/complaints.
