Nebraska Authorization to Use or Disclose Protected Health Information

State:
Multi-State
Control #:
US-3580
Format:
Word; 
Rich Text
Instant download

Description

This form is used by an individual to consent to the use or disclosure of protected health information as described within. The individual also indicates the acknowledgment of his or her rights regarding consent to the use and disclosure of the information.

Nebraska Authorization to Use or Disclose Protected Health Information: A Comprehensive Overview Introduction: In the state of Nebraska, the authorization to use or disclose protected health information (PHI) is a crucial aspect of maintaining individuals' privacy and ensuring the proper handling of their sensitive medical data. This article aims to provide a detailed description of Nebraska's Authorization to Use or Disclose Protected Health Information, exploring its purpose, key components, and possible types based on specific contexts. Purpose of Nebraska Authorization to Use or Disclose Protected Health Information: The Nebraska Authorization to Use or Disclose Protected Health Information serves as a legal consent document allowing individuals to grant permission for the use or disclosure of their PHI. This authorization is typically required by covered entities, including healthcare providers, health plans, and healthcare clearinghouses, in compliance with the Health Insurance Portability and Accountability Act (HIPAA). Key Components of the Authorization: 1. Identifying Information: The authorization should include the individual's full name, date of birth, and contact details to ensure accurate identification. 2. Description of PHI: A detailed explanation of the specific PHI that will be used or disclosed must be provided, including medical records, test results, diagnoses, treatment plans, and any other relevant health-related information. 3. Purpose of Use or Disclosure: The authorization should clearly state the intended purpose for accessing or sharing PHI, such as for research, treatment coordination, payment negotiations, or legal requirements. 4. Recipient Information: If PHI is being disclosed, the authorization should identify the individuals, organizations, or entities that will receive the information. 5. Duration of Authorization: The authorization should specify the timeframe during which the consent remains valid. It may include an expiration date or indicate that the consent is valid until revoked. 6. Revocation Process: Individuals must be informed of their right to revoke the authorization at any time and understand the steps necessary to do so. 7. Signature and Date: The authorization must include the individual's signature, indicating their informed consent, and the date of signing. Different Types of Nebraska Authorization to Use or Disclose Protected Health Information: 1. General Authorization: This type of authorization grants broad consent to use or disclose PHI for multiple purposes, typically without specific restrictions. 2. Specific Authorization: A specific authorization is tailored to a particular use or disclosure of PHI, often required for more sensitive information like mental health records, substance abuse treatment records, or HIV/AIDS-related information. 3. Research Authorization: Research studies involving PHI necessitate a specific research authorization, outlining the nature of the research, how the data will be collected, and how privacy will be protected. 4. Deceased Individual Authorization: When PHI of a deceased person is to be used or disclosed, a separate authorization is required, often obtained from the individual's personal representative or next of kin. Conclusion: Understanding and adhering to Nebraska's Authorization to Use or Disclose Protected Health Information is vital for healthcare professionals, researchers, and organizations to ensure compliance with HIPAA regulations. By obtaining appropriate authorization, healthcare entities can responsibly access and share individuals' PHI, while respecting their privacy rights and promoting the secure and ethical handling of sensitive health information.

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FAQ

An authorization must specify a number of elements, including a description of the protected health information to be used and disclosed, the person authorized to make the use or disclosure, the person to whom the covered entity may make the disclosure, an expiration date, and, in some cases, the purpose for which the

The core elements of a valid authorization include:A meaningful description of the information to be disclosed.The name of the individual or the name of the person authorized to make the requested disclosure.The name or other identification of the recipient of the information.More items...

When is HIPAA Authorization Required? 45 CFR §164.508 details the uses and disclosures of PHI that require an authorization to be obtained from a patient/plan member before information can be shared or used. HIPAA authorization is required for: Use or disclosure of PHI otherwise not permitted by the HIPAA Privacy Rule.

A HIPAA authorization is a detailed document in which specific uses and disclosures of protected health are explained in full. By signing the authorization, an individual is giving consent to have their health information used or disclosed for the reasons stated on the authorization.

PHI concerning victims of abuse, neglect or domestic violence may be disclosed to a government authority, including social service or protective service agencies authorized to receive such reports. In these cases the disclosure must be required by law and limited to what the law allows.

A covered entity must obtain the individual's written authorization for any use or disclosure of protected health information that is not for treatment, payment or health care operations or otherwise permitted or required by the Privacy Rule.

When Must HIPAA Authorization be Obtained? The covered entity can use or disclosure of PHI for marketing purposes. If the marketing communication involves direct or indirect remuneration to the covered entity from a third party, the authorization must state that such remuneration is involved.

When Must HIPAA Authorization be Obtained? The covered entity can use or disclosure of PHI for marketing purposes. If the marketing communication involves direct or indirect remuneration to the covered entity from a third party, the authorization must state that such remuneration is involved.

You may disclose the PHI as long as you receive a request in writing. The written request must contain: the covered entity's name, the patient's name, the date of the event/time of treatment, and the reason for the request.

Valid HIPAA Authorizations: A ChecklistNo Compound Authorizations. The authorization may not be combined with any other document such as a consent for treatment.Core Elements.Required Statements.Marketing or Sale of PHI.Completed in Full.Written in Plain Language.Give the Patient a Copy.Retain the Authorization.

More info

The revised Notice will apply to all of your health information from and afterUSES AND DISCLOSURES OF HEALTH INFORMATION WITHOUT WRITTEN AUTHORIZATION We will not use or disclose your health information without your written authorization, except as described in this Notice. Uses And Disclosures Without Your ...See 45 CFR 164.512(b)(1)(i). Covered entities who are also a public health authority may use, as well as disclose, protected health information for these public ... We can use or disclose your protected health information for purposes ofabout foreign military personnel to the appropriate foreign military authority. Better understand why others may review your protected health information.Revoke your written authorization to use or disclose PHI. This does not apply ... I hereby authorize the use and disclosure of individually identifiable health information related to me, otherwise known as ?Protected ... The following describes the ways SDHD may use and disclose Protected Health. Information without your authorization. For Treatment. SDHD may use and ... Rev. Stat., prohibits the disclosure of non-public personal health information unless authorised by that consumer or customer (Neb. Rev. Stat. §44- ... The following uses of your protected health information may be made without any additional authorization from you. (Not every use or disclosure is listed, ...

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Nebraska Authorization to Use or Disclose Protected Health Information