HIPAA

HIPAA Forms

• 145 Records Request Fee Schedule (XLS)
• Electronic Communication With Clients (PDF)
• HHS HIPAA Manual (PDF)
• HIPAA incident reporting form - English (PDF)
• Notice of Privacy form - English (PDF)
• Notice of Privacy form - Spanish (PDF)
• Number 1011 amending PHI Request (PDF)
• Number 1021 Disclosures Log (PDF)
• Number 1022 Access Account (PDF)

HIPAA Training

• Powerpoint Training Regarding 42 CFR Part 2 Info on Updated Rule (PPTX)
• Relias Training Web Site

National Provider Identifier Information

• NPI Module 1 General Information to CMS (PPT)

ROI Forms

• ROI Form - English - large print (Word doc) (DOC)
• ROI Form - English (Word doc) (DOC)
• ROI Form - Spanish - large print (Word doc) (DOC)
• ROI Form - Spanish (Word doc) (DOC)
• ROI Form Instructions (Word doc) (DOCX)

Agency Links

• DHS HIPAA Page
• Main HCFA HIPAA page
• US Dept of HHS - Administrative Simplification
• US Dept of HHS - Public Submitted Q and A
• HHS - Privacy of Personal Health Information
• HHS - Office for Civil Rights
• US Dept of HHS - Code Sets FAQ
• FAQ re:Electronic Transaction Standards
• Medicare EDI
• Medicaid HIPAA page
• National Provider Identifier

Third Party Links

• Code Set Summary
• Executive Summary from QuadraMed
• FAQ from QuadraMed