Billing Manual for Community Care Network Providers

y the written authorization of the person to whom it pertains or as otherwise authorizedby such laws or regulations. A general authorization for the release of medical or otherinformation is not sufficient for this purpose.Release of HIV – Related InformationCommunity Care is in compliance with the Pennsylvania Confidentiality of HIV-RelatedInformation Act concerning disclosure of Member information related to HIV status andtreatment and to comply with the rules and regulations of the Health InsurancePortability and Accountability Act (HIPAA).Community Care will maintain the confidentiality of the member’s HIV-relatedinformation as defined in the Confidentiality of HIV-Related Information Act.Confidential HIV-related information as so defined includes the following:Any information which concerns whether an individual has been the subject of anHIV-related test.Whether an individual has HIV, an HIV-related illness, or AIDS.Any information which “identifies or reasonably could identify” an individual ashaving HIV, an HIV-related illness or AIDS.Community Care will not release HIV-related information, as defined above, eitherverbally or in writing, without first obtaining the written authorization of the memberor authorized legal representative. The written release must be accompanied by anotification prohibiting further disclosure without the written authorization of themember. The member must be informed of his/her rights of confidentiality as statedin the law. The release of information form contains a specific release of informationof HIV related information with the member’s/authorized legal representative’ssignature.Exception: Records may be disclosed without written authorization to the personsor entities defined in the following pertinent provisions of the Confidentiality of HIV-Related Information Act, attached. (Original copy on file. This is a reproducedstatement of the act)Limitations on disclosure - No person or employee, or agent of such person, whoobtains confidential HIV-related information in the course of providing any health orsocial service or pursuant to a release of confidential HIV-related information undersubsection (c) on page 127 may disclose or be compelled to disclose the informationexcept to the following persons: The subject. The physician who ordered the test, or the physician’s designee. Any person specifically designated in a written consent as provided for in subsection(c) on page 127. An agent, employee or medical member of a health care provider, when the healthcare provider has received confidential HIV-related information during the course ofthe subject’s diagnosis or treatment by the health care provider, provided that theCommunity Care Provider Manual | 1-888-251-CCBH | © 2012 All Rights Reserved | Page 160