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Non-incentive Programs
 
CBHNP does not provide incentives to employees who conduct utilization management activities for denying, limiting or discontinuing medically necessary services.
  • Utilization Management (UM) decision-making is based only on appropriateness of care and service and existence of coverage
  • CBHNP does not specifically reward practitioners or other individuals for issuing denials of coverage or service care
  • Financial incentives for UM decision-makers do not encourage decisions that result in under-utilization
Privacy and Confidentiality
 
CBHNP takes your privacy very seriously. There are state and federal laws that we must follow to safeguard your privacy. CBHNP employees, along with certain state and county government representatives who monitor the quality and delivery of your services, may have access to your medical records.

We do not give out information about your treatment to anyone without your written approval. The only exception is in the event of a life-threatening emergency. Then, certain information may be shared to be sure that you and other people are safe.

We will not let anyone else see information about the care you receive if you don’t want us to.

 
When would you share information about me?
 
We will share information about your services
  • When necessary to arrange your treatment or payment, or to facilitate the basic health care operations of CBHNP
  • If it is required by your county or the state to monitor the activities of CBHNP
  • If you or someone else could get hurt
  • When you provide your written permission  

What if I have more questions about this?

If you would like more detailed information about how we respect your confidentiality, call CBHNP toll-free at 1-888-722-8646. QI-003 Attachment - Notification to Members Form 05-14-03.