Oregon Statutes - Chapter 192 - Records; Public Reports and Meetings - Section 192.527 - Allowed disclosure of protected health information by state health plan or prepaid managed care health services organization.

(1) Notwithstanding ORS 179.505, a state health plan or a prepaid managed care health services organization may disclose the protected health information of an individual listed in subsection (2) of this section, without obtaining an authorization from the individual or a personal representative of the individual, to another prepaid managed care health services organization for treatment activities of a prepaid managed care health services organization when the prepaid managed care health services organization is providing behavioral or physical health care services to the individual.

(2) The protected health information that may be disclosed pursuant to subsection (1) of this section includes the following, as defined by the Department of Human Services by rule:

(a) Oregon Health Plan member name;

(b) Medicaid recipient number;

(c) Performing provider number;

(d) Hospital provider name;

(e) Attending physician;

(f) Diagnosis;

(g) Date or dates of service;

(h) Procedure code;

(i) Revenue code;

(j) Quantity of units of service provided; or

(k) Medication prescription and monitoring.

(3) As used in this section, “prepaid managed care health services organization” has the meaning given that term in ORS 414.736. [2007 c.798 §2]

Note: See note under 192.518.

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Last modified: August 7, 2008