Common use of Enrollee Records Clause in Contracts

Enrollee Records. DVHA and its IGA partners shall guard the confidentiality and privacy of individually identifiable health information contained in enrollee records in a manner consistent with 45 CFR parts 160 and 164 (Health Insurance Portability and Accountability Act) to the extent that these requirements are applicable. Specific requirements include the following: policies and procedures for protecting enrollee information; procedures for authorizing access to enrollee information; physical security procedures; and information system security procedures. Enrollee records must include all recipient information required for utilization review as specified in 42 CFR 456.

Enrollee Records. ‌ DVHA and its IGA partners shall guard the confidentiality and privacy of individually identifiable health information contained in enrollee records in a manner consistent with 45 CFR parts 160 and 164 (Health Insurance Portability and Accountability Act) to the extent that these requirements are applicable. Specific requirements include the following: policies and procedures for protecting enrollee information; procedures for authorizing access to enrollee information; physical security procedures; and information system security procedures. Enrollee records must include all recipient information required for utilization review as specified in 42 CFR 456.