Manual del proveedor

CONFIDENCIALIDAD

Toda la documentación que se crea como resultado del Programa de gestión de calidad es confidencial y se mantiene de conformidad con los requisitos legales aplicables y las políticas y procedimientos del Programa HealthChoices relacionados con la confidencialidad. Dicha documentación incluye, entre otros, actas de QMC, datos e informes de gestión de calidad, registros de atención y servicios clínicos, y registros e informes administrativos. Todos los participantes en las reuniones de QMC, incluidos los miembros e invitados de QMC, firman una declaración que da fe de lo anterior.

The HealthChoices Program and Carelon recognize the need for the careful handling of all clinical and claims information, particularly as it relates to behavioral health treatment. Consequently, we will follow and clearly communicate strict confidentiality guidelines designed by the Commonwealth as well as federal guidelines where applicable. Carelon will take the lead in implementing confidentiality procedures for the HealthChoices Program. These confidentiality policies will comply with Federal and Pennsylvania drug and alcohol confidentiality requirements.

The HealthChoices Program and Carelon recognize that Pennsylvania State regulations governing the confidentiality of Drug and Alcohol Abuse Patient Records and HIV Related Information are unique to Pennsylvania. Specifically, drug and alcohol patient records are protected by federal law and Pennsylvania State Law P.S. 1690.108 (Act 63) and Pennsylvania State Regulation 28 Pa. Code Subsection 709.28 and 4 Pa. Code Subsection 255.5. In particular, the HealthChoices Program and Carelon are committed to compliance with the Pennsylvania Code Subsection 255.5 in requests for information from providers of drug and alcohol treatment services. All records kept by the HealthChoices Program and Carelon will be kept in strict compliance with the Confidentiality HIV Related Information Act of 1990.