This requires significant involvement of providers who have both the clinical skills and organizational systems associated with the delivery and demonstration of positive clinical outcomes and positive consumer satisfaction. Carefully developed and selected delivery systems allow choice and promote accountability and efficiency. Consumers shall be guaranteed the confidentiality of their relationships with their behavioral health professionals, except when law dictates otherwise, to assure their safety or the safety of others. The appropriate sharing of clinical information for the purposes of continuity of care should be clearly defined and understood and agreed to by the consumer.
Information is shared to promote coordinated, integrated, and effective care.
Confidentiality guidelines will be consistent with state and federal regulations governing the confidentiality of medical records. MBHOs want their patients to know and understand why a particular coverage determination is made. A patient's treatment plan should be developed based on evidence-based guidelines. Only qualified clinical personnel should be authorized to make clinical decisions. Upon purchase of health coverage, consumers shall be informed, in language they can understand, of the extent of their behavioral health benefits and of the available appeals and grievances processes.