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Summary:

The Department of Health Services may make rules and regulations governing the custody, use, and preservation of all records, papers, files, and communications pertaining to the administration of the laws relating to the Medi-Cal program, prepaid health plans, and adult day health care programs. The rules and regulations shall be binding on all departments, officials, and employees of the state, or of any political subdivision of the state and may provide for giving information to or exchanging information with various government and public or private agencies that are engaged in planning, providing, or securing such services for recipients or applicants; and for making case records available for research purposes, provided that that research will not result in the disclosure of the identity of applicants for or recipients of those services.

Summary:

(a) An applicant to receive in-home care services must obtain a certification from a licensed health care professional declaring that the applicant is unable to independently perform some daily living activities, and as a result, needs assistance from the In-Home Supportive Services program. The certificate must include a description of any condition or functional limitation that has resulted in, or contributed to, the applicant's need for assistance.

Summary:

Medication therapy management services may include performing or obtaining necessary assessments of the patient's health status, formulating a medication treatment plan, selecting, initiating, modifying or administering medication therapy, monitoring and evaluating the patient's response to therapy, performing a medication review, documenting care delivered and communicating essential information to patient's other primary care providers, providing education and training to patients regarding the medication, providing resources to the patient to enhance adherence to treatment plan, and coordinating and integrating medication therapy management services within the broader health care services being provided to the patient.

Summary:

The Department of Social Services is responsible for monitoring Medicaid service quality. The department must conduct annual reviews of the quality of services provided by each health maintenance organization under contract.

Keywords:
investigations, agency
Summary:

The Department of Social Services must implement a Management Information System/Decision Support System for the Medical Program. The MIS/DSS must combine the data from managed care plans in order to monitor the quality of care provided to beneficiaries. The legislative fiscal and health policy committees shall have access to the system, which must have safeguards to prevent access to patient identities.

Summary:

Family planning grantee shall maintain records and accounts to ensure proper accounting for all family planning funds received. Records shall be available for examination during business hours. Records should be kept for four years after grant expiration, with the exception of patient medical records which should be kept for at least 7 years.

Summary:

All applications and records for any public social services which grants-in-aid are received shall be confidential, unless otherwise excepted in this section. Such information is only open to examination for purposes directly connected to the administration of the program, or any investigation, prosecution, or criminal or civil proceeding connected to the administration of any such program. Disclosure of information that identifies by name or address of any applicant for or recipient of grants-in-aid to any committee or legislative body is prohibited except as listed.

Summary:

Any multidisciplinary team concerned with child abuse or abuse of elder or dependent person may disclose or exchange any information or writing kept in connection with any program of public social services or otherwise designated as confidential with any other team member, if the team member believes it is relevant to the prevention, identification or treatment of abuse. Discussions of such information are confidential and not admissible into any court proceeding.

Summary:

An authorized employee of the welfare department may disclose confidential information about a deceased public social services applicant or recipient to any law enforcement agency upon request from such agency.

Summary:

All files maintained by a public entity in reference to the administration of the child and spousal support enforcement program shall be confidential. Under certain conditions, disclosure of the information may be permitted, including disclosures to law enforcement, as well as the parent to whom the information pertains.

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