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保密

由于质量管理计划而创建的所有文档都是保密的,并按照适用的法律要求以及与保密相关的 HealthChoices 计划政策和程序进行维护。此类文件包括但不限于 QMC 会议记录、质量管理数据和报告、临床护理和服务记录以及行政记录和报告。 QMC 会议的所有参与者,包括 QMC 成员和客人,都签署一份声明以证明上述内容。

The HealthChoices Program and Carelon recognize the need for the careful handling of all clinical and claims information, particularly as it relates to behavioral health treatment. Consequently, we will follow and clearly communicate strict confidentiality guidelines designed by the Commonwealth as well as federal guidelines where applicable. Carelon will take the lead in implementing confidentiality procedures for the HealthChoices Program. These confidentiality policies will comply with Federal and Pennsylvania drug and alcohol confidentiality requirements.

The HealthChoices Program and Carelon recognize that Pennsylvania State regulations governing the confidentiality of Drug and Alcohol Abuse Patient Records and HIV Related Information are unique to Pennsylvania. Specifically, drug and alcohol patient records are protected by federal law and Pennsylvania State Law P.S. 1690.108 (Act 63) and Pennsylvania State Regulation 28 Pa. Code Subsection 709.28 and 4 Pa. Code Subsection 255.5. In particular, the HealthChoices Program and Carelon are committed to compliance with the Pennsylvania Code Subsection 255.5 in requests for information from providers of drug and alcohol treatment services. All records kept by the HealthChoices Program and Carelon will be kept in strict compliance with the Confidentiality HIV Related Information Act of 1990.