№ files_lp_4_process_1_48454
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Consent for the release of personally identifiable student information for Medicaid reimbursement under SHARS services provided by Weslaco ISD.
Year:
2015
Region / City:
Weslaco, Texas
Subject:
Medicaid Reimbursement, Special Education Services
Document Type:
Consent Form
Organization / Institution:
Weslaco Independent School District
Author:
Weslaco ISD
Target Audience:
Parents/Guardians of students receiving special education services
Period of Validity:
As long as the child is receiving SHARS services
Approval Date:
07/08/2015
Modification Date:
None
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The product description is provided for reference. Actual content and formatting may differ slightly.
Year:
2019
Region / City:
North Carolina
Subject:
Data Privacy and Security
Document Type:
Best Practices Guide
Institution:
North Carolina Department of Public Instruction
Author:
Division of School Data, Research and Federal Policy
Target Audience:
NC Department of Public Instruction (DPI) staff, school and LEA staff
Period of Validity:
Ongoing
Approval Date:
August 30, 2019
Date of Modifications:
Not specified
Jurisdiction:
United States
Legal framework:
Health Insurance Portability and Accountability Act of 1996 (HIPAA)
Regulatory references:
45 CFR § 160.103; 45 CFR § 164.514; 45 CFR § 164.530(c); Subpart D of 45 CFR § 164
Subject matter:
Protected Health Information (PHI) and Personally Identifiable Information
Document type:
Legal agreement terms and conditions
Agreement type:
Data transfer and use agreement
Parties:
Provider; Recipient
Data classification:
Protected Health Information (PHI)
Purpose of data use:
Project-related use consistent with obtained consents or authorizations
Compliance requirements:
HIPAA Privacy Regulations
Institutional oversight:
Institutional Review Board (IRB) approval or waiver where required
Data access:
Authorized Persons only
Disclosure restrictions:
Use and disclosure limited to the terms of the agreement and applicable law
Incident notification:
Unauthorized use or disclosure must be reported to Provider within five business days
Data protection measures:
Reasonable safeguards to prevent prohibited uses and disclosures
Data retention and disposal:
Removal and secure destruction or return of identifiable data elements as directed by Provider
Amendment provision:
Agreement subject to amendment to maintain HIPAA compliance
Documentation requirement:
Recipient must provide IRB-approved protocol documentation upon request
Year:
Not specified
Region / City:
Not specified
Topic:
Ethics, Environment
Document Type:
Opinion
Author:
Not specified
Target Audience:
General public
Period of validity:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Year:
2017
Region / City:
United States
Topic:
Data privacy, healthcare information
Document Type:
Fact Sheet
Agency/Organization:
VHA Privacy Office
Author:
VHA
Target Audience:
VA employees
Effective Period:
May 2017
Approval Date:
May 2017
Date of Last Update:
May 2017
Year:
2019
Region / City:
North Carolina
Subject:
Data Privacy and Security
Document Type:
Best Practices Guide
Institution:
North Carolina Department of Public Instruction
Author:
Division of School Data, Research and Federal Policy
Target Audience:
NC Department of Public Instruction (DPI) staff, school and LEA staff
Period of Validity:
Ongoing
Approval Date:
August 30, 2019
Date of Modifications:
Not specified
Year:
2026
Institution:
The City University of New York
Type of Document:
Informed Consent Form
Principal Investigator:
Not specified
Target Audience:
Research participants providing identifiable private information or biospecimens
Purpose:
Obtain broad consent for future research use of identifiable private information and biospecimens
Scope:
Future research studies with potential sharing among academic, government, private, and nonprofit researchers
Risks:
Potential privacy violations
Benefits:
Advancement of scientific knowledge for society
Alternatives:
Participants may refuse broad consent without affecting current or future benefits
Withdrawal Policy:
Participants may withdraw consent for future research, with limitations on previously shared data
Year:
2024
Institution:
University at Buffalo
Program:
Human Research Protections Program
Document Type:
Guidance / Form
Audience:
Researchers submitting waiver requests
Related Regulations:
HIPAA
Purpose:
Request waiver of authorization for use of individually identifiable health information in research
Revision History:
R00 (3/25/14) original issue; R01 (6/10/19) policy alignment; annual reviews 2020–2024
Instructions Included:
Yes
Jurisdiction:
United States
Legal framework:
Health Insurance Portability and Accountability Act of 1996 (HIPAA)
Regulatory references:
45 CFR § 160.103; 45 CFR § 164.514; 45 CFR § 164.530(c); Subpart D of 45 CFR § 164
Subject matter:
Protected Health Information (PHI) and Personally Identifiable Information
Document type:
Legal agreement terms and conditions
Agreement type:
Data transfer and use agreement
Parties:
Provider; Recipient
Data classification:
Protected Health Information (PHI)
Purpose of data use:
Project-related use consistent with obtained consents or authorizations
Compliance requirements:
HIPAA Privacy Regulations
Institutional oversight:
Institutional Review Board (IRB) approval or waiver where required
Data access:
Authorized Persons only
Disclosure restrictions:
Use and disclosure limited to the terms of the agreement and applicable law
Incident notification:
Unauthorized use or disclosure must be reported to Provider within five business days
Data protection measures:
Reasonable safeguards to prevent prohibited uses and disclosures
Data retention and disposal:
Removal and secure destruction or return of identifiable data elements as directed by Provider
Amendment provision:
Agreement subject to amendment to maintain HIPAA compliance
Documentation requirement:
Recipient must provide IRB-approved protocol documentation upon request
Year:
2019
Organization:
Illinois CPA Society, Accounting Principles Committee
Document Type:
Comment letter
Addressee:
Financial Accounting Standards Board
Authors:
Brian Kot, CPA; William Keirse, CPA
Topic:
Accounting for goodwill and intangible assets
Target Audience:
FASB members and staff
Period Covered:
Current accounting standards and proposed changes
Reference Number:
2019-720
Context:
Letter provides professional perspectives on accounting standards proposals for intangible assets and goodwill, discussing cost-benefit considerations and differing views on amortization and impairment testing.
Note:
Year
Topic:
Medicaid Services, People with Disabilities, Case Management
Document Type:
Guide
Organization / Institution:
Oregon Department of Human Services (ODHS)
Target Audience:
Case Managers, Social Workers, Healthcare Providers
Year:
2024
Region / City:
Oregon
Theme:
Medicaid, Long-Term Services & Supports
Document Type:
Checklist
Agency / Institution:
Oregon Department of Human Services (DHS)
Author:
Not specified
Target Audience:
Eligibility Case Managers, Oregon ACCESS users
Period of Action:
Not specified
Approval Date:
9/11/24
Modification Date:
9/11/24
Year:
2023
Region / City:
United States
Topic:
Medicaid, 340B Program
Document Type:
Instructional Form
Organization:
HRSA (Health Resources and Services Administration)
Author:
HRSA
Target Audience:
Covered entities, contract pharmacies, Medicaid providers
Effective Period:
Ongoing
Approval Date:
March 5, 2010
Modification Date:
December 12, 2014
Year:
2023
Region / City:
Oregon
Topic:
Medicaid, Health Care Programs
Document Type:
Guide
Agency / Institution:
Oregon Project Independence
Author:
Oregon Department of Human Services
Target Audience:
Health care providers, Medicaid recipients
Effective Period:
Ongoing
Approval Date:
N/A
Amendment Date:
N/A
Year:
2023
Region / city:
Washington State
Topic:
Medicaid Alternative Care (MAC), Tailored Supports for Older Adults (TSOA), Family Caregivers
Document type:
Policy Description
Organ / institution:
Washington State Department of Social and Health Services (DSHS)
Author:
Resa Lee-Bell, Adrienne Cotton
Target audience:
Unpaid family caregivers, healthcare professionals, Medicaid recipients
Period of validity:
Not specified
Approval date:
Not specified
Date of changes:
Not specified
Note:
Description of the document
Year:
2023
Region / City:
Illinois
Theme:
Mental Health, Crisis Assessment
Document Type:
Assessment Tool
Institution:
Illinois Medicaid
Author:
Unknown
Target Audience:
Mental Health Professionals
Period of Validity:
Ongoing
Approval Date:
Unknown
Date of Changes:
Unknown
Note:
Year
Theme:
Adoption Assistance
Document Type:
Annual Assurance Form
Agency / Organization:
Ohio Department of Children and Youth
Target Audience:
Adoptive Parents, Eligibility Determiners
Note:
Year
Region / City:
Illinois
Document Type:
Comprehensive needs assessment
Organization / Agency:
Illinois Medicaid
Target Population:
Medicaid-eligible individuals
Assessment Type:
Initial / Update / Re-assessment
Sections Included:
General Information, Established Supports, Trauma Exposure, Presenting Problem and Impact on Functioning, Safety
Data Collected:
Personal information, demographics, caregiver details, trauma history, behavioral and emotional needs, life functioning, risk behaviors
Scoring System:
0–3 scale for CANS items
Modules Reference:
IM+CANS Modules Addendum
Year:
Not specified
Region / jurisdiction:
South Carolina
Program:
Medicaid
Document type:
Administrative form
Purpose:
Prior authorization review for inpatient services
Submitting method:
Fax
Fax number:
1-855-300-0082
Responsible organizations:
KePRO; South Carolina Department of Health and Human Services
Provider identification:
National Provider Identifier (NPI); Medicaid ID
Mandatory provider location data:
9-digit ZIP code
Review types:
Initial; Recertification; Change; Cancel; Retrospective review
Service setting:
Inpatient; freestanding inpatient psychiatric
Population focus:
Medicaid members; psychiatric services for children under 21 and adults 65 and older
Eligibility window:
Up to 30 days prior to scheduled services
Clinical information required:
Diagnosis; severity of illness; intensity of services
Approval process:
Subject to medical necessity and eligibility verification
Date:
August 1, 2023
Jurisdiction:
United States; South Carolina
Parties:
U.S. Department of Health and Human Services; Centers for Medicare & Medicaid Services; South Carolina Department of Health and Human Services
Document type:
Intergovernmental contract
Program:
Medicare-Medicaid integrated care demonstration
Subject matter:
Care coordination, enrollment, provider networks, quality improvement, and payment provisions
Covered entities:
Comprehensive Integrated Care Organizations (CICOs)
Regulatory framework:
Medicare and Medicaid
Effective period:
Demonstration years as specified in the contract
Governing law:
Applicable federal and state law