Under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and the Privacy Regulations written pursuant to the Act, the general rule is that covered entities may not use or disclose an individual's protected health information for purposes unrelated to treatment, payment, healthcare operations, or certain defined exceptions without first obtaining the individual's prior written authorization. An individual may revoke an authorization at any time, provided that the revocation is in writing, unless the health care provider has already provided personal health information based on the patients authorization. The health care provider should stop providing information based on a patients authorization as soon as possible.
Mecklenburg County, located in the state of North Carolina, follows the guidelines set by the Health Insurance Portability and Accountability Act (HIPAA) when it comes to the revocation of HIPAA authorizations under HIPAA Rule 164.508. This rule outlines the specific circumstances and processes involved in revoking a patient's authorization for the release of their protected health information (PHI) within Mecklenburg County. HIPAA Rule 164.508 allows individuals to revoke their previously granted authorizations for the use or disclosure of their PHI. In Mecklenburg County, there are two commonly known types of revocation of HIPAA authorization under this rule: 1. General Revocation of HIPAA Authorization: This type of revocation occurs when an individual wishes to completely withdraw their consent for any future use or disclosure of their PHI by covered entities such as doctors, hospitals, healthcare providers, or health insurance plans. It applies to all categories and types of information covered under HIPAA, including medical records, test results, treatment plans, and payment-related information. 2. Specific Revocation of HIPAA Authorization: In certain situations, an individual may choose to revoke authorization for specific categories or types of PHI while allowing the release of others. This limited revocation could be relevant when an individual wants to restrict the sharing of certain sensitive information or maintain privacy regarding specific health conditions. To initiate the revocation process within Mecklenburg County, the individual needs to submit their revocation request in writing to the covered entity involved or through an appropriately designated representative's office. The written request should clearly specify the individual's intent to revoke HIPAA authorization and include relevant identifying information such as full name, contact details, and any specific instructions regarding the scope of revocation. It is important to note that the revocation of HIPAA authorization does not apply retrospectively to any previous uses or disclosures of PHI made before the revocation. Covered entities must comply with the revocation request going forward unless another exception or rule under HIPAA permits continued use or disclosure. Mecklenburg County ensures compliance with HIPAA regulations to protect the privacy and confidentiality of individuals' health information. The revocation of HIPAA authorization is a crucial aspect of individuals' rights in maintaining control over their PHI and making informed decisions regarding its use and disclosure.Mecklenburg County, located in the state of North Carolina, follows the guidelines set by the Health Insurance Portability and Accountability Act (HIPAA) when it comes to the revocation of HIPAA authorizations under HIPAA Rule 164.508. This rule outlines the specific circumstances and processes involved in revoking a patient's authorization for the release of their protected health information (PHI) within Mecklenburg County. HIPAA Rule 164.508 allows individuals to revoke their previously granted authorizations for the use or disclosure of their PHI. In Mecklenburg County, there are two commonly known types of revocation of HIPAA authorization under this rule: 1. General Revocation of HIPAA Authorization: This type of revocation occurs when an individual wishes to completely withdraw their consent for any future use or disclosure of their PHI by covered entities such as doctors, hospitals, healthcare providers, or health insurance plans. It applies to all categories and types of information covered under HIPAA, including medical records, test results, treatment plans, and payment-related information. 2. Specific Revocation of HIPAA Authorization: In certain situations, an individual may choose to revoke authorization for specific categories or types of PHI while allowing the release of others. This limited revocation could be relevant when an individual wants to restrict the sharing of certain sensitive information or maintain privacy regarding specific health conditions. To initiate the revocation process within Mecklenburg County, the individual needs to submit their revocation request in writing to the covered entity involved or through an appropriately designated representative's office. The written request should clearly specify the individual's intent to revoke HIPAA authorization and include relevant identifying information such as full name, contact details, and any specific instructions regarding the scope of revocation. It is important to note that the revocation of HIPAA authorization does not apply retrospectively to any previous uses or disclosures of PHI made before the revocation. Covered entities must comply with the revocation request going forward unless another exception or rule under HIPAA permits continued use or disclosure. Mecklenburg County ensures compliance with HIPAA regulations to protect the privacy and confidentiality of individuals' health information. The revocation of HIPAA authorization is a crucial aspect of individuals' rights in maintaining control over their PHI and making informed decisions regarding its use and disclosure.
Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.
