Minnesota Request for Accounting of Disclosures of Protected Health Information

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Multi-State
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US-3581
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Word; 
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Description

This form is used by an individual to request an accounting of the persons or entities to whom the individual's protected health information has been disclosed. Permitted exclusions from the accounting are also described.
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FAQ

The information in a HIPAA disclosure accounting must be provided to the data subject upon request, usually covering the last six years, except for disclosures made for treatment, payment, or healthcare operations. This transparency allows patients to stay informed about who has accessed their information. If you seek this data for your own health records, initiating a Minnesota Request for Accounting of Disclosures of Protected Health Information is recommended.

A covered entity must provide the first accounting (during any 12 month period) free of charge. If an individual requests more than one accounting during a year, the covered entity may impose a cost-based fee on subsequent requests.

Under the HIPAA Privacy Rule, a covered entity must act on an individual's request for access no later than 30 calendar days after receipt of the request.

With limited exceptions, the HIPAA Privacy Rule (the Privacy Rule) provides individuals with a legal, enforceable right to see and receive copies upon request of the information in their medical and other health records maintained by their health care providers and health plans.

A covered entity must produce records 30 days from the date of request. HIPAA allows a covered entity one 30-day extension if it provides written notice to the patient stating the reason for the delay and the expected date. This applies to both paper and electronic records.

Under the HIPAA Privacy Rule, a covered entity must act on an individual's request for access no later than 30 calendar days after receipt of the request.

The Privacy Rule does not require accounting for disclosures: (a) for treatment, payment, or health care operations; (b) to the individual or the individual's personal representative; (c) for notification of or to persons involved in an individual's health care or payment for health care, for disaster relief, or for

Patients (or their Personal Representatives see Yale Policy 5038 - Personal Representatives) may request an accounting of disclosures by submitting a request in writing using the Request for Accounting of Disclosures of Protected Health Information form, or other sufficient written documentation requesting the

Other instances necessitating Accounting of Disclosures (AOD) include: Those Required by Law (Court Orders, subpoenas, state reporting, emergencies) Public Health Activities (Prevention of disease, public health investigations) Victims of abuse, neglect, or domestic violence.

The Privacy Rule at 45 CFR 164.528 requires covered entities to make available to an individual upon request an accounting of certain disclosures of the individual's protected health information made during the six years prior to the request.

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Minnesota Request for Accounting of Disclosures of Protected Health Information