{"id":2099,"date":"2023-11-30T15:33:44","date_gmt":"2023-11-30T23:33:44","guid":{"rendered":"https:\/\/www.cdcr.ca.gov\/hcdom\/?post_type=dom&#038;p=2099"},"modified":"2025-12-10T12:04:37","modified_gmt":"2025-12-10T20:04:37","slug":"2-2-2-use-and-disclosure-of-protected-health-information-based-on-patient-authorization","status":"publish","type":"dom","link":"https:\/\/www.cdcr.ca.gov\/hcdom\/dom\/chapter-2-patients-entitlements-and-responsibilities\/article-2-confidentiality-and-privacy\/2-2-2-use-and-disclosure-of-protected-health-information-based-on-patient-authorization\/","title":{"rendered":"2.2.2 Use and Disclosure of Protected Health Information Based on Patient Authorization"},"content":{"rendered":"\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p><strong>Policy<\/strong><\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p>California Correctional Health Care Services (CCHCS) workforce members may use or disclose Protected Health Information (PHI) pursuant to and in compliance with a valid patient authorization.\u00a0 Such disclosures shall be performed in accordance with the policies in the Health Care Department Operations Manual (HCDOM), Chapter 2, Article 2, Confidentiality and Privacy and Article 3, Health Information Management.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p><strong>Purpose<\/strong><\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p>To authorize specific uses or disclosures of PHI based on patient\u2019s authorization and to identify applicable requirements for such patient authorizations.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p><strong>Responsibility<\/strong><\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p>The Chief Privacy Officer shall have oversight of this policy to comply with privacy laws, policies, and standards for respecting the rights of individuals concerning the collection, use, and disclosure of PHI maintained by CCHCS.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p><strong>When Patient Authorization is Required<\/strong><\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>As outlined in detail in the HCDOM, Section 2.2.1, General Use and Disclosure of Protected Health Information, CCHCS workforce members may use and disclose PHI without a patient\u2019s authorization for certain treatment, payment, or health care operations activities. In addition, privacy law permits the release of PHI without a patient\u2019s authorization pursuant to specific exceptions outlined in the HCDOM, Section 2.2.6, Use and Disclosure of Protected Health Information Special Exceptions, or pursuant to a Business Associate Agreement as provided in the HCDOM, Section 2.2.9, Business Associate Use and Disclosure of Protected Health Information. CCHCS workforce members shall require a signed authorization for all other uses and disclosures of PHI.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Disclosure of the Health Record<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p>Health Information Management (HIM) is the custodian of the health record and shall have the sole authority to disclose the health record, in whole or in part, pursuant to patient authorization.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Valid Authorizations<\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>A patient\u2019s or their personal representative\u2019s authorization is considered valid if it contains at least the following elements:<\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>A description of the information to be used or disclosed that identifies the information in a specific and meaningful fashion.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>The name or other specific identification of the person(s) authorized to make the requested use or disclosure.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>The name or other specific identification of the person(s) to whom CCHCS may make the requested use or disclosure.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>A description of each purpose of the requested use or disclosure and the specific uses and limitations on the use of the health information by the persons or entities authorized to receive it.\u00a0 The statement \u201cat the request of the individual\u201d is a sufficient description of the purpose when a patient initiates the authorization and does not, or elects not to, provide a statement of the purpose.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>An expiration date or an expiration event that relates to the individual or the purpose of the use or disclosure after which disclosure is no longer authorized.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>A signature which serves no other purpose than to execute the document and date.\u00a0 If the authorization is signed by a personal representative of the patient, a description of such representative&#8217;s authority to act for the individual must also be provided.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>A statement that the patient has the right to revoke the authorization in writing and a description of how the individual may revoke the authorization.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>A statement that CCHCS may not condition treatment on whether the patient signs the authorization.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>A statement concerning the potential for the information disclosed to be subject to redisclosure by the recipient and no longer protected by applicable federal and state law.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>A statement advising the patient of their right to receive a copy of the authorization.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>The authorization must be in writing in at least 14-point type and must be clearly separate from any other language present in the same document.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>The CDCR 7385, Authorization for Release of Protected Health Information, satisfies the above requirements and is the preferred form for disclosures pursuant to patient authorization.\u00a0 Other authorization forms are disfavored but may be accepted if they conform to all the requirements listed above in section (d)(3)(A)1. through 11.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>An authorization is considered defective and invalid if any material information in the authorization is known to be false by CCHCS or its workforce members or if any of the following defects exist:<\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>The expiration date has passed.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>The authorization has not been filled out completely or lacks a required element.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>The authorization is known to have been revoked.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Authorization for Specially Protected Health Information<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p>A valid written authorization to disclose specially protected health information shall be obtained before making such a disclosure.\u00a0 Each specific type of specially protected health information disclosure requires a separate authorization and cannot be combined with an authorization requesting general health information.\u00a0 Further information regarding specially protected health information including any exceptions can be found in the HCDOM Section, 2.3.4, Release of Protected Health Information.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Revocation or Restriction of Authorization<\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>A patient may revoke an authorization at any time in writing.\u00a0 No such revocation shall apply to information already released while the authorization was valid and in effect.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Patients have the opportunity to agree or object to certain or specific uses and disclosures of their health information.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Exception: Alcohol and drug treatment participants may verbally revoke authorization to disclose information obtained from alcohol and drug treatment programs. Verbal authorizations and revocations must be documented and maintained in the health record.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Verification of Individuals Receiving Information.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p>Information about a patient may only be disclosed pursuant to a written authorization after verifying the identity of the person receiving the information.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p><strong>References<\/strong><\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>Code of Federal Regulations, Title 42, Chapter 1, Subchapter A, Part 2 &#8211; Confidentiality of Alcohol and Drug Abuse Patient Records<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>Code of Federal Regulations, Title 45, Subtitle A, Subchapter C, Part 160, Subpart A, Section 160.103 &#8211; Definitions<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>Code of Federal Regulations, Title 45, Subtitle A, Subchapter C, Part 164, Subpart E, Section 164.501 &#8211; Definitions, Section 164.502 &#8211; Uses and disclosures of protected health information: General rules, Section 164.508 &#8211; Uses and disclosures for which an authorization is required, and Section 164.510 &#8211; Uses and disclosures requiring an opportunity for the individual to agree or to object<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>California Civil Code, Division 1, Part 2.6, Chapter 2, Section 56.11<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>California Health and Safety Code, Division 105, Part 4, Chapter 7, Sections 120975, 120980, 120985<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>California Health and Safety Code, Division 105, Part 4, Chapter 9, Section 121070<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>California Penal Code, Part 3, Title 8, Chapter 3, Section 7520<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>Health Care Department Operations Manual, Chapter 2, Article 2, Section 2.2.1, General Use and Disclosure of Protected Health Information<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>Health Care Department Operations Manual, Chapter 2, Article 2, Section 2.2.6, Use and Disclosure of Protected Health Information Special Exception<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>Health Care Department Operations Manual, Chapter 2, Article 2, Section 2.2.9, Business Associate Use and Disclosure of Protected Health Information<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>Health Care Department Operations Manual, Chapter 2, Article 3, Health Information Management<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>Health Care Department Operations Manual, Chapter 5, Article 9, Section 5.9.1, General Training Requirements<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>Statewide Health Information Policy Manual, Section 2.1.1, Authorizations<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>Statewide Health Information Policy Manual, Section 2.2.0, Uses and Disclosures<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>Statewide Health Information Policy Manual, Section 2.3.0, Specially Protected Information<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p><strong>Revision History<\/strong><\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p>Effective: 02\/2012<br>Revised: 05\/20\/2024<br>Reviewed: 12\/09\/2025<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\t<\/ul>\n\t","protected":false},"parent":89,"template":"","class_list":["post-2099","dom","type-dom","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - 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