55 Pa. Code § 52.15 - Provider records
(a) The
following requirements are in addition to the recordkeeping provisions under §
1101.51(d) and
(e) (relating to ongoing responsibilities of
providers):
(1) A provider shall use the
Department's designated information system to record service plan information
regarding the participant as required under §
52.25 (relating to service
plan).
(2) A provider shall
complete and maintain documentation on service delivery.
(b) Electronic records are acceptable
documentation when the provider meets the following:
(1) The electronic format conforms to Federal
and State requirements.
(2) The
electronic record is the original record and has not been altered or if altered
shows the original and altered versions, dates of creation and the
creator.
(3) The electronic record
is readily accessible to the Department, the Department's designee and State
and Federal agencies.
(4) The
provider creates and implements an electronic record retention
policy.
(5) Electronic imaging of
paper documentation must result in an exact reproduction of the original record
and conform to the provider's electronic record retention policy.
(c) The provider shall ensure
records are compliant with the Health Insurance Portability and Accountability
Act of 1996 (Pub. L. No.
104-191 ).
(d) The requirements of this section are in
addition to the recordkeeping provisions in Chapters 2380 and 2390 (relating to
adult training facilities; and vocational facilities), 6 Pa. Code Chapter 11
(relating to older adult daily living centers) and 28 Pa. Code Chapters 601 and
611 (relating to home health care agencies; and home care agencies and home
care registries).
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