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HIPAA Privacy and Security

Welcome to ADP's information site about the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The HIPAA Branch facilitates compliance activities for the department and its business partners.

Take a moment to explore the information links below and to the right - they will lead you to information-rich websites that will answer many of your HIPAA questions.

Please direct all HIPAA related questions to hipaa1@adp.ca.gov.

Code of Federal Regulations: Confidentiality of Alcohol and Drug Abuse Patient Records

• The Code of Federal Regulation (CFR) Title 42 restricts the disclosure of records or other information concerning any patient in a federally assisted alcohol or drug program, except under certain specified conditions, and protects any and all information that could reasonably be used to identify an individual. The link above takes you to: Title 42 –Public Health. Chapter 1—Public Health Service, Department of Health and Human Services. Subchapter A—General Provisions. Part 2—Confidentiality of Alcohol and Drug Abuse Patient Records

What's New

Please click on the link below to access more information about the SD/MC Phase II Project.

https://mhhitws.cahwnet.gov/systems/sdmc/docs/public/short_doyle_-_medi-cal_phase_ii.asp

• SD/MC Phase 2 Implementation Planning Document (Updated 4/20/09)
• ADP SD/MC Phase 2 Cost Report Information (Updated 3/18/09)
• ADP SDMC Phase II FAQ's (PDF) (Updated 3/19/09)
• Appendix To Companion Guides (PDF) (Updated 5/19/09)
• ADP Bulletin 08-10: Short-Doyle Medi-Cal Phase II Implementation Information (PDF)
• 837P – Health Care Claim: Professional Companion Guide (PDF) (Updated 1/16/09)
• 835 – Health Care Claim Advice Companion Guide (PDF) (Updated 1/16/09)
• 276 – Health Care Claim Status Request Companion Guide (PDF)
• 277 – Health Care Claim Status Notification Companion Guide (PDF)
• 997 – Functional Acknowledgement Companion Guide (PDF) (Updated 1/16/09)
• 837P and 835 Changes from Phase I to Phase II Spreadsheet (XLS)
• DRAFT DMC Provider Billing Manual and Forms for SDMC Phase 2 Implementation (5/01/09)
• Draft DMC Provider Billing Manual (PDF)
• Draft Good Cause Certification (ADP 6065) (PDF)
• Draft Multiple Billing Override Certification (ADP 7700) (PDF)
• Draft Claim Submission Certification Form (PDF)

HIPAA Rules, Procedures, and Information

• ADP's May 1, 2008 Implementation FAQ's (4/11/2008)
• ADP's May 1, 2008 HIPAA Implementation Fact Sheet (PDF)
• Attachment to Fact Sheet (PDF)
• ADP Bulletin 08-02 (02/20/2008)
• 837P-835 Companion Guide Version 3.1 (04/24/2008)
• 276-277 Companion Guide Version 1.0 (02/20/2008)
• Notice of Privacy Practices
• HIPAA TCS/NPI FAQ's (updated 12/24/2007)
• Error Code Crosswalk - Changes Highlighted (04/24/2008)
• Notice of Privacy Practices (PDF)
• HIPAA Transactions and Code Sets Regulations (PDF)
• Business Operations, Security and Privacy (PDF)
• Determination of Covered Entity Status (PDF)
• Covered Entity Analysis (PDF)
• Privacy Rule Resources
• Rendering Provider Update (10/18/2007)
• NPI Only Implementation Fact Sheet (9/24/2007)
• ADP Bulletin 07-10 (10/15/2007)