Alaska Administrative Code
Title 7 - Health and Social Services
Part 9 - Medicaid Electronic Health Record Incentive Program; Electronic Health Care Information Exchanges
Chapter 166 - Statewide Electronic Health Information Exchange System
7 AAC 166.900 - Definitions

Universal Citation: 7 AK Admin Code 7 AAC 166.900

Current through August 30, 2024

In AS 18.23.300-18.23.325 and this chapter, unless the context requires otherwise,

(1) "billing" has the meaning given "payment" in 45 C.F.R. 164.501;

(2) "department" means the Department of Health and Social Services;

(3) "electronic health information" means an individual's information located on an HIE, including an individual's individually identifiable heath information; AS 18.23.300;

(4) "governing body" means the governing body of the designee under

(5) "health care provider" has the meaning given in 45 C.F.R. 160.103;

(6) "health plan" has the meaning given in 45 C.F.R. 160.103;

(7) "HIE" means an electronic health information exchange;

(8) "HIE participant" means an entity or facility that has paid a participation fee to an HIE and signed a participation agreement with the HIE;

(9) "HIE system" means the system of statewide electronic HIEs established under AS 18.23.300;

(10) "individually identifiable health information" means information, including demographic information collected from an individual, that

(A) is created or received by a health care provider or health plan; and

(B) relates to the past, present, or future physical or mental health or condition of an individual, the provision of health care to an individual, or the past, present, or future payment for the provision of health care to an individual, and
(i) that identifies the individual; or

(ii) with respect to which there is a reasonable basis to believe the information can be used to identify the individual;

(11) "treatment" means

(A) the provision, coordination, or management of health care and related services by one or more health care providers, including the coordination or management of health care by a health care provider with a third party, consultation between health care providers relating to a patient, or the referral of a patient for health care from one health care provider to another;

(B) health care operations related to patient care and safety, to be limited to the following:
(i) case management and care coordination;

(ii) an HIE participant contacting health care providers and the HIE participant's own patients with information about treatment alternatives; and

(iii) resolution of HIE-related grievances;

(C) reporting on clinical quality measures or other measures related to demonstrating meaningful use under 45 C.F.R. Part 170 to the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS); and

(D) public health reporting required by law.

Authority:AS 18.23.300

AS 18.23.305

AS 18.23.310

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