2016-698 Emergency Svc - North State Medical Transport - Application for Services Franchise by Ordinance

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may disclose such PHI to another healthcare provider to provide treatment to the individual. 5. The HIPAA Compliance Officer shall also inform all other necessary parties at North State Medical Transport and its business associates, such as its billing company, about the accepted restriction and take all appropriate steps to ensure that those parties abide by the restriction. 6. The HIPAA Compliance Officer shall add the "Patient Request for Restriction of Protected Health Information" Form, the Acceptance letter and documentation regarding the acceptance of the request to the DRS. Denying the Request for Restriction 1. Unless North State Medical Transport is required by law to agree to a request for restriction of PHI, the HIPAA Compliance Officer shall deny the request in writing, by dispatching a "Denial of Patient Request for Restriction of PHI" letter to the patient. 2. The HIPAA Compliance Officer shall also note on the "Patient Request for Restriction of Protected Health Information" Form that the request was denied, and document all pertinent information regarding the request and denial (date, reason for denial, etc.). Termination of Restrictions 1. A restriction may be terminated if the individual agrees to or requests the termination. 2. Oral agreements to terminate restrictions must be documented. 3. Most restrictions may also be terminated by North State Medical Transport as long as North State Medical Transport notifies the patient that PHI created or received after the restriction is removed is no longer restricted. PHI that was restricted prior to the notice voiding the restriction must continue to be treated as restricted PHI. 4. North State Medical Transport should not terminate a restriction regarding PHI that pertains to a service for which North State Medical Transport has been paid in full and where a patient has requested that such PHI not be disclosed to the patient's health plan. Such restriction will only apply with respect to that service and not to subsequent services. The patient must make another request, and pay out-of-pocket for each service.