MSPHI entered into a cooperative agreement to serve as fiscal intermediary to expand capacity for and access to high quality, sustainable, community-based health care services, including primary care, behavioral and mental healthcare, and environmental and occupational medicine on the Gulf Coast through the Gulf Region Health Outreach Program – Primary Care Capacity Project (PCCP), a program of the Louisiana Public Health Institute (LPHI). The purpose of the cooperative agreement is for the PCCP to provide funding for enhancements to the Mississippi Health Information Network (MS-HIN), the state’s Health Information Exchange, to provide ED/IP notifications that will advance transitions of care between Coastal Family Health and eventually other community health centers and the Mississippi Gulf Coast hospitals.
Part of this project involves establishing what parts of behavioral health records can be shared, as described below. The formal ruling on this information can be found here>>.
What CAN be shared:
Miss. Code Section 41-119-13 and 45 CFR 164.501 allow the following to be submitted and shared. Further, Section 41-21-97 supports the sharing of behavioral and mental health records without express patient consent when done so in furtherance of treatment of the patient.
* Medication prescription and monitoring.
* Counseling session start and stop times.
* Modalities and frequencies of treatment.
* Results of clinical tests (blood, lithium, etc).
* Diagnosis summaries.
* Functional status summaries.
* Treatment plan summaries.
* Symptoms and prognostic summaries
* Progress to date
The following behavioral / mental health records CANNOT be shared without patient consent:
* Psychotherapy notes may not be shared without a signed consent. 45 CFR 164.508(a)(2).
* Records related to substance use disorder treatment are treated differently than behavioral and mental health records and may not be released without a signed consent. These regulations may be found in 42 CFR Part 2 § 2.1 which strictly prohibits the sharing of records related to treatment for substance use disorders for any purpose without a written consent, unless it is a documented medical emergency and you have the ability to electronically tag the information to prevent searches and access.
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