(a) Insurers shall make medical records available to the Department of Developmental Services or a regional center upon request, so long as (1) the department/regional center certifies that the individual is an applicant/recipient of services for the developmentally disabled or the California Early Intervention Program; or is a person who is legally responsible for the applicant or recipient; and (2) the department/regional center is in certifiable compliance with all state and federal laws pertaining to the confidentiality of medical information.
Confidential medical information may be shared between the home health agency and the residential care facility for the elderly relative to the client's medical condition and the care and treatment provided to the client by the home health agency.
Disability insurers may establish reasonable requirements for the participating obstetrician and gynecologist or the family practice physician and surgeon, to communicate with the policyholder's primary care physician regarding the policyholder's condition, treatment, and any need for followup care.
If a family member or other designated person by the developmentally disabled resident requests and the resident authorizes, the facility shall inform the requester as to the resident's diagnosis, prognosis, medications prescribed, progress, and of any serious illness.
In determining whether continued inpatient treatment will be beneficial to the minor, the reviewing psychiatrist shall consider all reasonably available clinical information that is relevant to the determination. The psychiatrist shall also interview the minor and consult with the treating clinician. The psychiatrist must be notified if the minor received medication while an inpatient. The person in favor of inpatient treatment must inform the psychiatrist of the proposed treatment plan for the minor and whether the minor has had a previous independent clinical review.
Upon notice from the department that an enrollee has applied for an independent medical review, the plan or its contracting providers shall provide the requisite medical records (specified in (1) to (3)) to the independent medical review organization within 3 days. The confidentiality of any enrollee information shall be maintained in accordance with applicable laws.
In order to provide incidental medical services through a home health agency, an adult community care facility must show an agreed-upon protocol between the agency and the facility. The protocol shall address the sharing of client information related to the home health care plan, client's medical condition and the care and treatment provided to the client by the home health agency, including, but not limited to, medical information defined by the CMIA.
A health care provider must treat an individual in accordance with a Physician Orders for Life Sustaining Treatment form. A physician may conduct an evaluation of the individual and, in consultation with the individual or the individual's legally recognized health care decisionmaker, issue a new order consistent with the most current information available about the individual's health status and goals of care.
The legally recognized health care decisionmaker of an individual without capacity shall consult with the physician who is, at that time, the individual's treating physician prior to making a request to modify that individual's Physician Orders for Life Sustaining Treatment form.
If a patient with an emergency medical condition is covered by a health care service plan that requires prior authorization for poststabilization care, a noncontracting hospital shall seek to contact the patient's health care service plan or its contracting medical provider for authorization to provide poststabilization care.