Billing Manual for Community Care Network Providers

agent, employee, or medical member is involved in the medical care or treatment ofthe subject. Nothing in this paragraph shall be construed to require the segregationof confidential HIV-related information from a subject’s medical record.A peer review organization or committee as defined in the act of July 20, 1974 (P.L564, No. 193), known as the Peer Review Protection Act 1 , a nationally recognizedaccrediting agency, or as otherwise provided by law, any federal or stategovernment agency with oversight responsibilities over health care providers.A person allowed access to the information by a court order issued pursuant toSection 8.A funeral director responsible for the acceptance and preparation of the deceasedsubject.Employee’s of county mental health/mental retardation agencies, county childrenand youth agencies, county juvenile probation departments, county or state facilitiesfor delinquent youth, and contracted residential providers of the above-namedentities receiving or contemplating residential placement of the subject, who:• Generally are authorized to receive medical information.• Are responsible for insuring that the subject receives appropriate health care.• Have a need to know the HIV-related information in order to ensure such care isprovided.The above named entities may release the information to a court in the course of adispositional proceeding under 42Pa.C.S. §§ 6351 (relating to disposition of dependentchild) and 6352(relating to disposition of delinquent child) when it is determined thatsuch information is necessary to meet the medical needs of the subject.Release of Information Related to Treatment of MinorsCommunity Care complies with all applicable laws and regulations governing theconfidentiality of and authorized disclosure of utilization records related to care providedto a minor, as defined under applicable law as a person under age 18.The obligation of Community Care to maintain the confidentiality of utilization records ofminor members is governed by specific federal or state laws and regulations.Generally, a minor under the age of 18 may not consent to treatment or to release ofrecords, except one who has graduated from high school, been married or pregnant,except as provided below:Drug and Alcohol Abuse and Dependency Services. The Pennsylvania Drug andAlcohol Abuse Control Act authorizes a minor suffering from the use of a controlledor harmful substance to consent to the provision of medical care or counselingrelated to diagnosis or treatment. The consent of the parent or legal guardian of theminor is not necessary to authorize medical care or counseling. Any physician orany agency or organization operating a drug abuse program that provides care andcounseling to a minor may, but is not obligated to, inform the parents or legalguardian as to the treatment given or needed.Community Care Provider Manual | 1-888-251-CCBH | © 2012 All Rights Reserved | Page 161