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HIPAA INFORMATION

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AUTHORIZATIONS FOR RELEASE OF PROTECTED HEALTH INFORMATION

HIPAA is a federal law that deals with, among other things, the privacy of your health information.  HIPAA stands for the Health Insurance Portability and Accountability Act of 1996.  It protects you against the misuse of your Protected Health Information, often called PHI, when the PHI is in the hands of a covered health care provider (doctor, hospital, laboratory, etc.) or health plan such as Priority Partners.  PHI is individually identifiable health information about a person’s health, the treatment of his or her health condition, or billing or payment for a person’s health care services.  PHI that is written on paper, contained in email, a fax or a computer, or spoken is protected by HIPAA.

Under HIPAA, Priority Partners must ask your permission to release your PHI to others, with some exceptions.  HIPAA permits Priority Partners to share your PHI with others without your permission to carry out treatment, payment, or health care operations.  This means that Priority Partners may share your individually identifiable health information with other people to provide you with medical treatment and related services, to bill and collect payment for treatment and services, or to run or evaluate its business practices.  Priority Partners may also share your PHI without your permission when it is required by law to do so (for example, in response to a subpoena) or otherwise when it is allowed by HIPAA to do so.  For other purposes, such as sharing your PHI with your attorney, your child’s school, or even your husband or wife, you must first give Priority Partners permission to share the information. 

For more information on the manner in which Priority Partners may use your PHI, with or without your permission, please see our Notice of Privacy Practices, which can be found under the link marked Privacy at the top of this page.  You will also find a link to the forms that gives Priority Partners permission to release your PHI to others. 

Authorization for Release of Health Information – Standing

This Authorization permits another person to access the plan member’s records and general information on an ongoing basis.

EXAMPLES:

  • A husband or wife wants his or her spouse to contact PPMCO on his or her behalf
  • An adult child wants his or her parent to contact PPMCO on his or her behalf

  • A person has been appointed the plan member’s guardian, personal representative or healthcare agent. This arrangement requires additional proof of the person’s legal appointment

Authorization for Release of Health Information – Unique/One Time Request

This Authorization permits another person to access the plan member’s records for the specific limited purpose noted on the authorization.

EXAMPLES:

  • An attorney needs information from PPMCO regarding a plan member’s accident

  • A plan member permits a school nurse to contact PPMCO regarding a particular health care visit

  • A plan member wants her caseworker to access information on treatment received during a specific time period

Request to Inspect and Obtain Copy of a Designated Record Set

This Authorization permits the plan member to receive copies of his or her own records.
 

Authorizations can be mailed to:
PPMCO Compliance Department
Johns Hopkins Health Care
6704 Curtis Court
Glen Burnie, MD 21060

Or faxed to: 410-424-4667