Kristen,

Since your agency is covered as a health care provider, HIPAA requires
under 164.520 that your notice of privacy practices needs to be given
not later than the first treatment, and a good faith attempt to obtain
an acknowledgement.  It appears that the plan to communicate summary
information over the phone and mail out the Notice (with an
acknowldement form) will be a good approach.  The 12/04/02 OCR guidance
has a Q/A related directly to providing Notice where the first contact
is by telephone at http://www.hhs.gov/ocr/hipaa/privacy.html).  

As to the referrals to other agencies/organizations that can provide
services, the treatment definition,  allow a provider to use/disclose
information for provision, coordination, management of health care and
related services by one or more health care providers, including
coordination and management by a health care provider and a third party;
or referral of a patient for health health care from one provider to
another.  Further, the provision about disclosures for treatment
(164.506) allows covered entities to use/disclose information for its
own treatment as well as treatment activities of another health care
provider.  

So, I don't believe you would need an authorization for the
use/disclosure of information by your assistance line as these
activities are included in the treatment definition.  You may want to
include this type of activity as one of the examples you list in you
notice of privacy practices.

Regards, lhc 

Leah Hole-Curry, JD
FOX Systems, Inc.
602.708.1045 
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>>> "Kristen Emerson" <[EMAIL PROTECTED]> 01/17/03 06:29 AM >>>
The agency I work for operates a toll-free telephone assistance service
for older persons and their caregivers. The Elder Help Line assists
callers by identifying their critical needs and providing practical
information about the best ways to obtain services and benefits that
will most effectively address their problems.

Sometimes our I&R Specialist receive calls from individuals in the
community that are looking for services for their elderly parents, etc. 
Our specialist will collect Personal Health Information on the elderly
parent and may contact another agency in the community that could
provide certain services to the elderly person.  Our specialists may
then supply that agency with the name, location, and contact information
for the individual.

Many times the information given on these calls relates to the elderly
persons health and/or functional or mental status.  My question is how
should we start treating these calls so as to make sure we are complying
with HIPAA?   One thing I know we definitely plan to do before we
collect any information is to briefly describe our NPP and mail it out
to that individual with an acknowledgement form and a self addressed
stamped envelope to document our "good faith" effort.  I just wonder if
we will need to get an authorization signed by the actual individual
before we can contact any other agency/community resource regarding the
individual in need of service.

We are considered a covered entity based on the fact that our agency
provides case management , along with home health care services, medical
transportation, counseling, occupational therapy, etc.

Thanks in advance,

Kristen Emerson
Management Analyst/HIPAA Compliance Officer
Mid-Florida Area Agency on Aging

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