Pennsylvania Code
Title 28 - HEALTH AND SAFETY
Part VI - Health Care Cost Containment Council
Chapter 915 - DATA ACCESS CRITERIA AND PROCEDURE
PROCEDURES FOR OBTAINING SPECIAL REPORTS
Section 915.41 - Procedure for requesting special reports to be prepared by Council

Universal Citation: 28 PA Code ยง 915.41

Current through Register Vol. 54, No. 44, November 2, 2024

(a) A request for special reports shall be made in writing to the Executive Director of the Council on a form prescribed by the Council. This form will require:

(1) The name of party requesting the data.

(2) The name, title, address and telephone number of the contact person for the request.

(3) A description of the information to be contained in the special report, including the time period, a description of desired tables, charts, analysis and report format, as applicable.

(4) The purpose or intended use of the report.

(5) The date when the report is to be completed.

(b) The form will also contain a statement prohibiting the recipient of the report, other than a recipient who is a purchaser, from selling, exchanging or publishing the report without the express written consent of and under the terms and conditions developed and approved by the Council. The statement will also prohibit the recipient of the special report from using the information in the special report to attempt to identify an individual or to use the data for purposes of disciplining, discharging or penalizing an employe of the recipient. The statement will indicate that a recipient is prohibited from further releasing information which:

(1) Could reasonably be expected to reveal the identity of an individual patient.

(2) Does not simultaneously disclose payment, as well as provider quality and provider service effectiveness.

(3) Could reasonably be expected to reveal the identity of a purchaser, except where the recipient is a purchaser receiving data on its own group and then that purchaser may reveal his own identity.

(4) Relates to actual payments to an identified provider made by a purchaser.

(5) Discloses discounts or differentials between payments accepted by providers for their billed charges obtained by identified payors from identified providers.

(c) Requesters of special reports will be required to sign the form to indicate that they have read and understood the prohibitions in subsection (b).

This section cited in 28 Pa. Code § 915.23 (relating to release of protected data).

Disclaimer: These regulations may not be the most recent version. Pennsylvania may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.