Alaska HIPAA Authorization

State:
Alaska
Control #:
AK-HIPAA-2
Format:
Word; 
Rich Text
Instant download

Description

HIPAA authorization form specifically for Alaska

Alaska HIPAA Authorization is a type of authorization that follows the Health Insurance Portability and Accountability Act (HIPAA) to protect the privacy of an individual’s health information. This authorization is required for health care providers, insurers, and other covered entities in Alaska to use and disclose an individual’s protected health information (PHI). This authorization allows individuals to control how their PHI is used and disclosed for treatment, payment, and health care operations. There are two types of Alaska HIPAA Authorization, including a standard authorization and a special authorization. A standard authorization is used when PHI needs to be used or disclosed for purposes other than treatment, payment, and health care operations. A special authorization is used when PHI needs to be used or disclosed for purposes other than treatment, payment, and health care operations and involves the sale, transfer, or disclosure of protected health information.

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The federal rules restrict any use of the information to criminally investigate or prosecute any alcohol or drug abuse patient. INSTRUCTIONS: HIPAA is a federal law that sets a national standard to protect medical records and other personal health information.Alaska law sets standards for records held by. We use a HIPAA-compliant vendor to securely deliver client forms submitted through our website. Navigate here to view client forms. A service authorization request can be completed via Alaska. Medicaid Health Enterprise, with a 278 EDI transaction, or with a paper form. Request access, authorize disclosure via forms or in writing. When complete, please return forms to us at 1231 Gambell Street, Anchorage AK, 99501 or via FAX (907)333-4383. Section A APPLICANT INFORMATION.

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Alaska HIPAA Authorization