Agreement for Sharing of Information between Providers and DHHS (including SU data):
According to 42 CFR 2.53, providers are required, before submitting the information into the Incident Response Improvement System, to obtain written agreement from the collecting state agency that the state agency agrees to specific conditions. The following message constitutes such written agreement by NC DHHS to address the sharing of information between these agencies.
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DHHS agrees to the following: DHHS represents that it provides financial assistance to the program and/or is authorized by law to regulate its activities;
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DHHS requires the information for, and will use it only for, conducting an audit, conducting an evaluation, or (if a quality improvement organization) performing a utilization or quality control review;
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DHHS will maintain and destroy the patient identifying information in a manner consistent with the policies and procedures established under ยง 2.16;
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DHHS will retain records in compliance with applicable federal, state, and local record retention laws; and
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DHHS will disclose patient identifying information only back to the program from which it was obtained, or as required by law.
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