Billing Manual for Community Care Network Providers

equestor destroy the information, or to return it so that it can be destroyed.A Member’s Right to Amend Protected Health InformationIn accordance with HIPAA (Section 164.526), the member has the right to amendhis/her protected health information if desired. The member may request to amendhis/her information by writing a letter to the privacy officer at Community Careincluding a reason why this information needs to be amended.The privacy officer will review the member’s request and will respond in writingwithin 30 days.If the information requested is not on site, then Community Care will retrieve theinformation within 60 days.If needed Community Care may extend the retrieval an additional 30 days provided;that the member is sent a written statement with the reasons for delay and a date bywhich we will have the information.Community Care will only have one such extension of time for action.If the member is granted the right to amend his/her protected health information, theprivacy officer will oversee the process to amend the protected health information.The privacy officer or his/her designee will record the granted request to amendprotected health information in the Member Request to Amend Protected HealthInformation log, which will be maintained by the privacy officer or his/her designee.The privacy officer will inform the member that the original information will remainintact. The privacy officer or his/her designee and the member will discuss how thisinformation will be amended; including what type of statement will be attached to allfuture releases such as “this information, as requested by the member, wasamended.” The privacy officer will notify the manager of the file room to have themember’s chart pulled.A sticker will be placed on the front of the member’s utilization record that says:“AMENDED PROTECTED HEALTH INFORMATION.” The privacy officer or his/herdesignee will also write a brief statement to be included in the member’s file, on howthis information that was requested by the member was amended.There will be a flag in PsychConsult to inform Community Care employees that thisinformation was amended.Community Care’s privacy officer will write a formal notification alerting all thenecessary staff and providers that the member’s protected health information wasamended and include a brief statement on how and why.Once this process is completed the privacy officer or his/her designee will send awritten letter to the member including that his/her request to amend his/her protectedhealth information was granted, including a brief description on how it was amended.Community Care Provider Manual | 1-888-251-CCBH | © 2012 All Rights Reserved | Page 154