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Summary:

Authorizes the disclosure of medical information to specified persons involved with patient's care or health care payments; Such disclosure generally requires the person's agreement, or if agreement is not practical, limited disclosure may occur as specified.

Summary:

Unless a refusal to permit record sharing is made under (e), health care providers and other agencies may disclose information specified in (c)(1) to (9) from the patient's medical record or the client's record to local health departments operating immunization information systems and to the State Department of Health Services. Local health departments and the State Department may disclose (c)(1) to (9) information to each other and to requesting health care providers taking care of a particular patient. Information under (c)(1) to (6), (8), and (9) may be disclosed to the agencies and entities listed.

Summary:

Health care providers and local health departments may disclose to each other certain types of health information (listed 1 to 9) for the purpose of immunization and payment for such services.

Summary:

State DHS and local health departments may disclose to each other certain types of health information (listed 1 to 9) for the purpose of immunization and payment for such services.

Summary:

Limited by state and federal law and regulations limiting disclosure, local health departments and the State Department may share (c) information with any entity designated by federal or state law to receive such information. The State Department of Health Services may enter into written agreements to share confidential information with other states for the listed purposes and use of information must be limited to such purposes. Information may not be shared under this subdivision if the patient or patient's guardian refuses to allow the sharing of immunization information under (e) [i.e. refusal to permit record sharing].

Summary:

Emergency physicians must have policies regarding providing discounted services to low-income patients, and when patient debt is advanced for collection. For a patient that provides information that he or she may be a patient with high medical costs , the owner of patient debt (including hospital, emergency physician, or a collection agency), may not report adverse information to a consumer credit reporting agency or commence a civil action until 150 days after the initial billing. A collection agency may only use a wage garnishment as a means of collection if: 1) The collection agency files a noticed motion supported by a declaration identifying the basis for the belief that the patient has the ability to make payments; and 2) the court considers the motion in light of additional information provided by the patient, including information about probable future medical expenses based on the current condition of the patient.

Summary:

The primary attending health care practitioner shall obtain prior written consent from each patient for whom a billing is requested, authorizing the release of the patient's billing.

Summary:

Providers of health services that receive payment under the Maddy Emergency Medical Services (EMS) Fund program must keep records of the services they rendered, the patient, the date, and any additional information required by the administering agency for a period of three years from the date the of service. The administering agency must not require any additional information from a physician providing emergency medical services that is not found in the patient record. During normal working hours, the administering agency may make any inspection and examination of a hospital's or physician and surgeon's books and records needed to carry out payment from the Emergency Medical Services Fund.

Summary:

The administrative director must adopt rules and regulations to ensure health care providers and facilities submit medical bills on standardized forms, require employers to accept electronic claims for payment of medical services, and ensure the confidentiality of medical information submitted on electronic claims for medical services payment. To the extent possible such regulations should be consistent with HIPAA.

Summary:

The department may examine any of the books and records of applicants, providers, or person or entity providing goods or services and seeking reimbursement, to the extent necessary to carry out the listed provisions and regulations. Applicants, providers or others receiving or seeking reimbursement through the Medi-Cal program or other health care program must provide copies of records upon request by the department. The information provided shall only be used to investigate Medi-Cal fraud or abuse.

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