Brian, 

HIPAA regulates sharing of information, whether internal to a single
legal entity (uses) or external (disclosures) in much the same way. 
Although there are some differences, It is largely dependent on what the
purpose of the sharing is, not whether it is internal or external.

So, first the purpose of the information sharing needs to be identified.
 The rules then indicate which information use/disclosure are permitted,
required, or restricted.  If permitted, then whether it is external or
internal will drive certain requirements (e.g. do you need a business
associtate contract, must you account for the disclosures, etc).  

In the case you present, if both programs are within the same legal
entity (or within the health care component of a hybrid legal entity),
and the information sharing is permitted (say under payment provisions)
then the programs may use (because it is internal) the information,
without the need for a business associate agreement (because they are
members of the same workforce).

Leah Hole-Curry, JD
FOX Systems, Inc.
602.708.1045 
Information transmitted is confidential and may be proprietary to FOX
Systems, Inc.  It is intended only for the person or entity to which it
is addressed.   Anyone else is prohibited from disclosing, copying, or
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>>> Brian McGrath <[EMAIL PROTECTED]> 03/20/03 06:45 AM >>>
I am unclear as to what the regs mean in regards to an Agency that is
running several different programs under one umbrella. May 2 programs
share
client info without a confidentiality agreement if they are part of the
same
agency?


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