(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.
Physicians and surgeons are eligible to receive payment for patient care services provided by a properly credentialed nurse practitioner or physician's assistant for care rendered under the direct supervision of a physician and surgeon who is present and available for immediate consultation. Payment is limited to claims that are substantiated by a medical record and that have been reviewed and countersigned by the supervising physician and surgeon.
Authorizes the disclosure of medical information to specified persons involved with patient's care or health care payments; Such disclosure generally requires the person's agreement, or if agreement is not practical, limited disclosure may occur as specified.
Unless a refusal to permit record sharing is made under (e), health care providers and other agencies may disclose information specified in (c)(1) to (9) from the patient's medical record or the client's record to local health departments operating immunization information systems and to the State Department of Health Services. Local health departments and the State Department may disclose (c)(1) to (9) information to each other and to requesting health care providers taking care of a particular patient.
The department may examine any of the books and records of applicants, providers, or person or entity providing goods or services and seeking reimbursement, to the extent necessary to carry out the listed provisions and regulations. Applicants, providers or others receiving or seeking reimbursement through the Medi-Cal program or other health care program must provide copies of records upon request by the department. The information provided shall only be used to investigate Medi-Cal fraud or abuse.