FAA1.A Background and Introduction : 04 Confidentiality - Overview : C Confidentiality - Information Security - Release of Confidential Information
C Confidentiality - Information Security - Release of Confidential Information
 
REVISION 22
(10/01/12 - 12/31/12)
Permission to release information MUST be obtained in writing from the PI or representative when a request is made by any unauthorized source. DO NOT release any information without written permission from the PI or representative.
 
EXCEPTION
Written permission from the PI is not needed for the sources listed in Release of Information – No permission needed.
Limited information may be released to law enforcement without the written permission of the PI. (See Releasing Information to Law Enforcement)
 
The permission to release information MUST include ALL of the following:
 
●The information to be released.
●The name of the person or organization that is allowed to receive the information.
●The period of time the release is valid.
●The dated signature of the PI or representative.
 
When the participant requests to view or receive copies of information from their case file(g) see Participant Review of Case Information.
 
Refer all inquiries about a participant's medical provider or health plan to AHCCCS.
 
When there is a court order or subpoena issued see Court Order or Subpoena to Release Information for routing instructions.
 
WARNING
DO NOT release any documents that contain the physical address of an Address Confidentiality Program (ACP) participant.