Your right to confidentiality
Your Right to Privacy : What is "Protected Health Information" (PHI)? HIPAA's (Health Insurance Portability and Accountability Act) privacy regulations require protection of individually identifiable health information. The regulations define "Protected Health Information" as information that relates to the:
What information must be protected? A wide range of information is considered personal and therefore Protected Health Information. This includes but is not limited to:
Consent Rights of Youth Ages 14 and Older, where a minor at least 14 years of age or older is receiving services provided through CSOC, written authorization by the minor is required to release information to a parent/legal guardian or third party. Where more than one person in a family is receiving services provided through CSOC, any release of information is prohibited without written authorization by each family member who is at least 14 years of age or older. Absent a written authorization of each family member 14 years of age or older, a provider should not disclose any information received from any family member.
Requesting Copies of Records Youth and families have the right to request a copy of their records and PerformCare complies with HIPAA privacy regulations for disclosure of Protected Health Information. A request for records must be submitted in writing to the Quality Improvement department at PerformCare stating what information is being requested and the reason for the request. Release of information requests are processed and mailed to you within 30 days. Youth age 14 and older must consent to the disclosure of records. Families can call PerformCare at 1-877-652-7624 to obtain the Request to Release Information Form.
- past, present, or future physical or mental health or condition of an individual
- provision of health care to an individual
- past, present, or future payment for the provision of health care to an individual
What information must be protected? A wide range of information is considered personal and therefore Protected Health Information. This includes but is not limited to:
- the fact that someone received treatment
- claims information
- clinical information
- demographic information in the context of health care
Consent Rights of Youth Ages 14 and Older, where a minor at least 14 years of age or older is receiving services provided through CSOC, written authorization by the minor is required to release information to a parent/legal guardian or third party. Where more than one person in a family is receiving services provided through CSOC, any release of information is prohibited without written authorization by each family member who is at least 14 years of age or older. Absent a written authorization of each family member 14 years of age or older, a provider should not disclose any information received from any family member.
Requesting Copies of Records Youth and families have the right to request a copy of their records and PerformCare complies with HIPAA privacy regulations for disclosure of Protected Health Information. A request for records must be submitted in writing to the Quality Improvement department at PerformCare stating what information is being requested and the reason for the request. Release of information requests are processed and mailed to you within 30 days. Youth age 14 and older must consent to the disclosure of records. Families can call PerformCare at 1-877-652-7624 to obtain the Request to Release Information Form.