2015 Indiana Code
TITLE 16. HEALTH
ARTICLE 39. HEALTH RECORDS
CHAPTER 4. PROVISION OF MENTAL HEALTH INFORMATION


Download as PDF IC 16-39-4 Chapter 4. Provision of Mental Health Information IC 16-39-4-1 Application of chapter Sec. 1. This chapter applies only to patients receiving mental health services. As added by P.L.2-1993, SEC.22. IC 16-39-4-2 "Primary caregiver"; written request from relative or guardian for information; provision of mental health records to a school Sec. 2. (a) As used in this section, "primary caregiver" means an individual who provides for the physical, emotional, and social needs of another individual who cannot provide for the other individual's own needs. (b) Upon the written request of a patient's: (1) spouse; (2) parent if: (A) the patient does not have a spouse; or (B) the parent is the primary caregiver to the patient; (3) adult child if the patient has neither a spouse nor a parent; (4) sibling if the patient has neither a spouse, a parent, nor an adult child; or (5) guardian, guardian ad litem, or court appointed special guardian; who is involved in the planning, provision, and monitoring of mental health services delivered to the patient and the written consent of the treating physician for the patient, the provider shall provide the individual described in subdivision (1), (2), (3), (4), or (5) with the information described in section 3 of this chapter. (c) Upon the written request of the parent, guardian, or court appointed special guardian who is involved in the planning, provision, and monitoring of the mental health of a child enrolled in a school, the provider shall provide the child's school principal or school leader with information described in section 3 of this chapter without charge. (d) A parent, guardian, guardian ad litem, or court appointed special guardian who prepares a written request under this section shall sign an authorization for the release of mental health records, as may be requested by the provider in satisfaction of any requirements under the federal Health Insurance Portability and Accountability Act (42 U.S.C. 201 et seq., as amended and including governing regulations) and state law. A provider that discloses information and records to a school principal or school leader as requested under this chapter is immune from civil, criminal, and administrative liability for the disclosure to the school principal or school leader. The authorization required by the provider may confirm the provider's immunity. Indiana Code 2015 As added by P.L.2-1993, SEC.22. Amended by P.L.189-1995, SEC.2; P.L.41-2014, SEC.1. IC 16-39-4-3 Summary response from provider; limitation for mental health information to school; requirement of confidentiality agreement; immunity Sec. 3. (a) If a provider has received a written request under section 2(b) of this chapter, the provider shall provide the following information to the individual who made the request or, if the request is made under section 2(c) of this chapter, the patient's school principal or school leader: (1) A summary of the patient's diagnosis. (2) A summary of the information required to be given to the patient under IC 12-27-6-2 and IC 12-27-6-3. (3) The types of medication that have been prescribed for the patient. (4) A summary of the patient's prognosis. If the information is provided after a request is made under section 2(c) of this chapter, the provider shall limit the information provided to information concerning the patient's mental health. The school principal or school leader shall keep the information the principal or school leader receives under this section confidential. (b) A school principal or school leader who receives information and mental health records under this chapter shall sign a confidentiality agreement prescribed by the provider confirming that the information and mental health records released by the provider may not be disclosed by the principal except to the minimum necessary extent required to: (1) inform necessary school staff of the principal's or school leader's decision regarding the student's fitness for school attendance and participation in services; or (2) satisfy duties imposed upon the principal or school leader by law. (c) A school principal or school leader who receives information and mental health records under this chapter is immune from civil, criminal, and administrative liability for disclosures made pursuant to this chapter. As added by P.L.2-1993, SEC.22. Amended by P.L.41-2014, SEC.2. IC 16-39-4-4 Copying fees Sec. 4. IC 16-39-9 governs the fees that may be charged for making and providing copies of records under this chapter. As added by P.L.2-1993, SEC.22. Amended by P.L.102-1994, SEC.5. IC 16-39-4-5 Information subject to disclosure; exempt institutions; failure of patient to authorize release of information Indiana Code 2015 Sec. 5. (a) This section does not apply to the following: (1) An institution licensed under IC 12-25. (2) A hospital licensed under IC 16-21. (3) A treatment facility certified under IC 12-23-1-6. (4) A state institution listed under IC 12-24-1. (b) This section applies only to a patient's mental health records. (c) A patient, or the patient's legal representative if the patient is incompetent, who consents in writing to the release of information to an insurer that has issued a policy of accident and sickness insurance (as defined in IC 27-8-5-1) covering the patient, authorizes the provider to disclose the following information to the insurer: (1) The patient's name and the policy or contract number. (2) The date the patient was admitted to a treatment facility or the date the patient began receiving mental health, intellectual disability, or substance abuse (as defined in IC 27-8-5-15.5) services. (3) The date of the beginning of the patient's illness. (4) The date the patient was discharged from the treatment facility or the date the services were terminated, if known. (5) The diagnosis for the patient with concise information substantiating the diagnosis. (6) A brief description of the services provided to the patient, including the type of therapy used, medications ordered and administered, the total number of hours spent in individual, group, or family treatment, recreational therapy, or rehabilitation activities. (7) The patient's status as either an inpatient or outpatient. (8) The patient's relationship to the policyholder or contract subscriber. (9) The patient's prognosis and plan of treatment. An insurer's request for the release of additional mental health information relating to subdivisions (1) through (9) does not require a further release in order for the provider to submit the additional information to the insurer. The provider may release to the insurer mental health information in addition to that reasonably related to subdivisions (1) through (9) if an additional written consent is obtained from the patient or the patient's representative authorizing the release of all information necessary for the insurer to adjudicate a claim made by the patient or the patient's representative. If such a release is obtained, no further releases are required in order for the provider to submit additional information in response to subsequent requests for information by the insurer to complete its review of the claim. (d) Nothing in this section removes the obligation of a patient to pay for services if the patient's failure to authorize the release of information under this section results in the limitation or denial of insurance benefits. As added by P.L.102-1994, SEC.6. Amended by P.L.117-2015, SEC.33. Indiana Code 2015 IC 16-39-4-6 Application to other mental health records laws Sec. 6. This chapter does not prohibit the application to mental health records of any law concerning health records that is not addressed by this chapter. As added by P.L.4-1997, SEC.11. Indiana Code 2015

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