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Maine Request for Accounting of Disclosures of Protected Health Information

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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.

Maine Request for Accounting of Disclosures of Protected Health Information is a legal document that allows individuals to obtain a detailed report or log of their protected health information (PHI) disclosures. PHI refers to any information related to an individual's health, medical conditions, treatment, or payment for healthcare services. In Maine, individuals have the right to request an accounting of the disclosures of their PHI under the Health Insurance Portability and Accountability Act (HIPAA) and the Maine Health Security Act. This process brings transparency and ensures that healthcare providers, health plans, and other entities handling PHI are accountable for their disclosures. The Maine Request for Accounting of Disclosures of Protected Health Information aims to provide full disclosure and understanding of how an individual's PHI has been shared, both within and outside the healthcare system. This information is essential for patients to maintain control over their healthcare information, identify potential privacy breaches, and assert their rights to the privacy of their medical records. There are three types of Maine Request for Accounting of Disclosures of Protected Health Information: 1. Access-Based Accounting: This type of request provides an individual with a detailed record of who accessed their PHI, including healthcare professionals, administrative staff, or any other authorized personnel. It includes the date, time, purpose, and recipient of each disclosure. Access-based accounting helps patients verify that their healthcare information is being accessed appropriately and in accordance with their consent. 2. Disclosure-Based Accounting: With this request, individuals can obtain a log of all disclosures of their PHI to third parties outside the healthcare system. These disclosures may include sharing information with insurance companies, researchers, public health agencies, or any other non-treatment entities. Disclosure-based accounting allows patients to monitor their PHI's whereabouts and ensure compliance with privacy regulations. 3. Combined Accounting: This type of request provides a comprehensive report that combines both access-based and disclosure-based accounting. It includes all instances where PHI has been accessed or disclosed, regardless of the recipient or purpose. A combined accounting offers individuals a complete overview of who has had access to their health information and how it has been shared throughout its lifecycle. By using the Maine Request for Accounting of Disclosures of Protected Health Information, individuals can actively participate in their healthcare decision-making and protect their privacy rights. It enables them to track the flow of their PHI and identify any irregularities or possible breaches, empowering them to take appropriate actions to safeguard their sensitive health information.

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FAQ

Required by Law These required by law disclosures include by statute, regulation, or court orders. Victims of Abuse, Neglect or Domestic Violence These are situations where disclosure of PHI belonging to victims of abuse, neglect, or domestic violence may be necessary.

For each disclosure, the accounting must include: (1) The date of the disclosure; (2) the name (and address, if known) of the entity or person who received the protected health information; (3) a brief description of the information disclosed; and (4) a brief statement of the purpose of the disclosure (or a copy of the

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.

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

A covered entity must disclose protected health information in only two situations: (a) to individuals (or their personal representatives) specifically when they request access to, or an accounting of disclosures of, their protected health information; and (b) to HHS when it is undertaking a compliance investigation or

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 releases occur that are pursuant to Accounting of Disclosures, the log must include certain elements like: the date of the disclosure; the name and address of the organization / person who received the PHI; a brief description of the PHI disclosed; and.

A signed HIPAA release form must be obtained from a patient before their protected health information can be shared with other individuals or organizations, except in the case of routine disclosures for treatment, payment or healthcare operations permitted by the HIPAA Privacy Rule.

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.

URLs. IP address numbers. Biometric identifiers such as fingerprint, retinal, and voiceprints. Full face photographic images.

More info

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Maine Request for Accounting of Disclosures of Protected Health Information