Confidentiality, Privacy and Security

New FAQ from OCR on HIPAA and Health Plans Uses and Disclosures for Care Coordination and Continuity of Care

  • 1.  New FAQ from OCR on HIPAA and Health Plans Uses and Disclosures for Care Coordination and Continuity of Care

    Posted 06-27-2019 07:48

    The Office for Civil Rights at the U.S. Department of Health and Human Services issued a frequently asked question (FAQ) document that clarifies how the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule permits health plans to share protected health information (PHI) in a manner that furthers the HHS Secretary's goal of promoting coordinated care.

    The FAQ explains when and how one health plan can share PHI about individuals in common with a second health plan for care coordination purposes under the Privacy Rule. The FAQ also clarifies that, in certain circumstances, the Privacy Rule permits a health plan to use PHI to inform individuals about a replacement for health insurance, even if the plan received the PHI for a different purpose, and without the communication to the individual being deemed marketing. For example, a health plan could use PHI to inform customers reaching the age of Medicare eligibility of the availability of Medicare Advantage plans for continuity of care purposes without seeking a separate authorization for the communication.

    3014-HIPAA and Health Plans - Uses and Disclosures for Care Coordination and Continuity of Care
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    3014-HIPAA and Health Plans - Uses and Disclosures for Care Coordination and Continuity of Care
    HHS > HIPAA Home > For Professionals > FAQ > 3014-HIPAA and Health Plans - Uses and Disclosures for Care Coordination and Continuity of Care
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    Annessa Kirby
    Practice Council Manager
    AHIMA
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