N.J. Admin. Code § 13:34D-5.4

Current through Register Vol. 56, No. 24, December 18, 2024

Section 13:34D-5.4 - Access by a managed health care plan to information in client record

(a) With regard to a client whose treatment cost is covered by a wholly insured health insurance plan or a managed health care plan, a licensee shall make all required information available upon the request of the client or duly authorized representative with the client's consent.

(b) A licensee whose client has explicitly waived the art therapist-client confidentiality privilege established at N.J.S.A. 45:8B-66may release requested information deemed professionally appropriate to a third-party payor whose benefit plan is qualified under the Federal Employee Retirement Income Security Act (ERISA); that is, the plan of a self-insured employer or an entity providing administrative services to that employer for the purposes of determining entitlement to benefits.

N.J. Admin. Code § 13:34D-5.4

Adopted by 51 N.J.R. 1674(a), effective 11/18/2019