2023 Colorado Revised Statutes › Title 25.5 - HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-11-101) › COLORADO MEDICAL ASSISTANCE ACT (§§ 25.5-4-101 — 25.5-6-2001) › Article 6 - COLORADO MEDICAL ASSISTANCE ACT - LONG-TERM CARE (§§ 25.5-6-101 — 25.5-6-2001) › Part 17 - CASE MANAGEMENT SERVICES FOR LONG-TERMSERVICES AND SUPPORTS (§§ 25.5-6-1701 — 25.5-6-1709) › Section 25.5-6-1707 - Records and confidentiality of information

(1)
A record for each member receiving services must be diligently maintained by the case management agency or the entity. The record must include, but not be limited to, information pertaining to the determination of eligibility for services and the person-centered support plan. The record is not a public record for purposes of the "Colorado Open Records Act", part 2 of article
72
of title
24
.
(2)
Except as otherwise provided by law, all information obtained and any records prepared in the course of determining eligibility or providing long-term services and supports pursuant to this article 6 or article
10
of this title 25.5 are confidential and subject to the evidentiary privileges established by law. The disclosure of this information and these records in any manner is permitted only:
(a)
To the applicant or member receiving services, to the parents of a minor receiving services, to the member's legal guardian, or to any person authorized by the member receiving services;
(b)
In communications between qualified professional personnel, including the board of directors or governing body of the case management agency and service agencies providing services to the member, to the extent necessary for the acquisition, provision, oversight, or referral of long-term services and supports;
(c)
To the extent necessary to make claims for aid, insurance, or medical assistance to which a member receiving services may be entitled, or to access long-term services and supports pursuant to the person-centered support plan;
(d)
For the purposes of evaluation, gathering statistics, or research when no identifying information concerning a person or family is disclosed. Identifying information is information which could reasonably be expected to identify a specific person and includes, but is not limited to, name, address, telephone number, social security number, medicaid number, household number, and photograph.
(e)
To the court when necessary to implement the provisions of this article 6 or article
10
of this title 25.5;
(f)
To persons authorized by a court order issued after a hearing, notice of which was given to the member, parents or legal guardian, where appropriate, and the custodian of the information;
(g)
To safeguard the health and safety of an at-risk member by coordinating appropriate services and medical supports;
(h)
To the agency designated pursuant to
45 CFR 1326.20
as the protection and advocacy system for Colorado when:
(I)
The protection and advocacy system receives a complaint from or on behalf of a member receiving services; and
(II)
The person does not have a legal guardian or the state or the designee of the state is the legal guardian of the person; and
(i)
To the state department or the state department's designees as deemed necessary by the executive director to fulfill the duties prescribed by this article 6 or article
10
of this title 25.5.
(3)
Nothing in this section limits a member receiving services access to the member's records.
(4)
Nothing in this section interferes with the protections afforded to a person under the federal "Health Insurance Portability and Accountability Act of 1996",
42 U.S.C. sec. 1320d
, and the federal "Family Educational Rights and Privacy Act of 1974",
20 U.S.C. sec. 1232g
.
Added by 2021 Ch. 83,§1, eff. 9/7/2021.
L. 2021: Entire part added, (HB 21-1187), ch. 318, p. 318, §1, effective September 7.
2021 Ch. 83, was passed without a safety clause. See Colo. Const. art. V, § 1(3).