N.J. Admin. Code § 13:34-18.4 - 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 counselor-client confidentiality privilege established by
N.J.S.A.
45:8B-49 may 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.
Notes
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