Privacy Issues in Mental Health and Substance Abuse Treatment: Information Sharing Between Providers and Managed Care Organizations: Final Report. 5. Beyond Routine Outpatient Treatment

01/17/2003

Providers and consumer advocates involved in intensive forms of treatment or representing the seriously mentally ill generally agreed that it is appropriate to share more personal health information to justify treatment that goes beyond routine outpatient care.  In fact, this group of providers typically did not have specific views on what information is acceptable to share.  Instead, they were more focused on other issues related to managed care, such as MCOs’ coverage of their services or unwillingness to authorize the treatment time that clinicians believe is appropriate.  For example, a clinician for a methadone maintenance program questioned whether managed care is appropriate for such treatment, when the optimal level of treatment is three to five years and the success of the treatment depends on long-term retention. 

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