Covered Entities: means health plans, health care clearinghouses, and those health care providers who conduct certain financial and administrative transactions electronically (such as eligibility, referral authorizations and claims) to comply with each set of final administrative simplification standards (Health, Insurance Portability and Accountability Act of 1996, 45 CRF, Section 160 and 164). Health Care Provider: means any person, corporation, facility or institution licensed to provide health care services, including, but not limited to, any physician, coordinated care organization, hospital, health care facility, nurse, psychologist, pharmacist, and employee or agent of such person acting in the course and scope of employment or agency related to health care services. DMH is a covered entity as a health care provider. Violation: means an infringement of the County’s privacy-related policies or any of the provisions of HIPAA. The term “violation” does not include disclosures by whistleblowers or disclosures by workforce crime victims, as defined in this policy. Workforce: means employees, volunteers, trainees and other persons whose conduct in the performance of his/her work for the covered healthcare component of the hybrid entity (as outlined in the Board Letter) is under the direct control of DMH whether or not they are paid by the County. |