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Authorization to Use and Disclose PDF

Treatment Record Documentation PDF

HIPAA Information About Psychotherapy Notes

Under the Health Insurance Portability and Accountability Act of 1996 (HIPAA), patient records have new confidentiality requirements, with special emphasis on psychotherapy notes.

The release of sensitive information contained in psychotherapy notes requires authorization. It is important to keep this information confidential. However, BlueCross BlueShield of Tennessee as part of its payment and health care operations, may request behavioral health records as needed without special authorizations.

HIPAA regulations allow the disclosure and contractually providers (subject to all applicable privacy and confidentiality requirements) are obligated to make medical records of BlueCross BlueShield of Tennessee members available to each physician and/or Health Care Professional treating BlueCross BlueShield of Tennessee members and to BlueCross BlueShield of Tennessee, its agents, or representatives. Privacy Regulations should not impact patient treatment and quality of care; it is vital for the benefit of our members and your patients that quality of care is not negatively impacted due to misconceptions about allowable exchanges of information for treatment, payment, and health care operations (TPO).

The following are behavioral health records that are excluded from the confidentiality requirements:

  • medication prescription and monitoring;
  • counseling session start and stop times
  • modalities and frequencies of treatment furnished
  • results of clinical tests, and
  • any summary of the following items:
    • diagnosis,
    • functional status,
    • treatment plan,
    • symptoms,
    • prognosis, and
    • progress to date.

Page Modified:May 21, 2012