West Virginia Request for an Individuals Health Information

State:
Multi-State
Control #:
US-3577
Format:
Word; 
Rich Text
Instant download

Description

This form is used by an individual to request access to his or her protected health information. The individual's rights regarding this access are also acknowledged by the individual.

How to fill out Request For An Individuals Health Information?

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FAQ

Call the Customer Service Center at 1-877-716-1212 to apply over the phone.

To obtain medical records, you may now request your records by using the records request tool, through MyWVUChart, email, mail, or calling 304-598-4110 (or toll free 844-484-0304).

Bill J. Crouch was appointed Cabinet Secretary of the West Virginia Department of Health and Human Resources (DHHR) in January 2017 by Governor Jim Justice.

To obtain records, a patient, his or her personal representative as defined by HIPAA, or his or her authorized agent or authorized representative must submit a written request with the health care provider. The provider must furnish a copy of the records within 30 days of receiving the request.

200b200b200b200b200b200b200b200b200b200b200b200b200b200b200b200b200b200b200bThe West Virginia Department of Health and Human Resources, Bureau for Medical Services (BMS), is the designated single state agency responsible for the administration of the State's Medicaid program. BMS provides access to appropriate health care for Medicaid-eligible individuals.

State law requires many health care providers to keep your medical record for a specific period of time. For example, West Virginia hospitals must keep your medical records for at least five years after your last treatment. In practice, many health care providers keep their medical records longer.

The average minimum requirement is five years; however, some Medicare/Medicaid audits and/or actions can occur up to ten years after treatment and/or billing has occurred. Statutory or Regulatory Requirements: Several state and federal regulations and rules may affect medical record retention periods.

Yes, it is correct that there is no "law" or regulation where you are unable to look at your own record.

State law requires many health care providers to keep your medical record for a specific period of time. For example, West Virginia hospitals must keep your medical records for at least five years after your last treatment. In practice, many health care providers keep their medical records longer.

To report abuse or neglect 24/7: 1-800-352-6513. For benefit questions: 1-877-716-1212. For complaints: 1-800-642-8589. Click here to view contact information for Department programs and services.

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West Virginia Request for an Individuals Health Information