N.Y. Comp. Codes R. & Regs. tit. 10 § 425.21

Current through Register Vol. 46, No. 51, December 18, 2024

Section 425.21 - Clinical records

The operator must:

(a) provide a clinical record for each registrant in accordance with the clinical records requirements of section 415.22 of this Subchapter;

(b) ensure that all reports and information pertaining to registrant care and planning are entered promptly;

(c) ensure that all entries are dated and authenticated by the person making the entry or ordering the services;

(d) ensure that all clinical records for registrants referred by a managed care plan are made available to the referring managed care plan ;

(e) ensure that the record is kept in a place convenient for use by authorized staff; and

(f) retain intact clinical records and all other records of registrants and keep them readily accessible in a safe and secure place. Such records shall be retained safely and securely for a period of six years following discharge or cessation of operation of services. In the case of a minor, retention shall be for three years after reaching majority (18 years of age).

N.Y. Comp. Codes R. & Regs. Tit. 10 § 425.21

Amended by New York State Register September 10, 2014/Volume XXXVI, Issue 36, eff. 9/10/2014.

Amended and Renumbered from 425.20 New York State Register March 20, 2024/Volume XLVI, Issue 12, eff. 3/20/2024