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IL DEFINITIONS <br /> A The terms consumer, resident, individual, client or participant are used interchangeably <br /> throughout this MOU referring to the individual inquiring, accessing and/or receiving <br /> services <br /> B Authorization for Release of Protected Health Information (PHI) A HIPAA <br /> compliant authorization signed by the client or client's legal representative, authorizing <br /> DBH to release the client's information to a designated recipient This form must be <br /> completed thoroughly with specified records to be shared, a designated time frame and <br /> expiration date, as well as a signature by the DBH client or his/her legal representative If <br /> the form is signed by a legal representative, proof from the court system designating legal <br /> representation must accompany the request <br /> C Department of Behavioral Health (DBH) The San Bernardino County Department of <br /> Behavioral Health, under state law, provides mental health and substance use disorder <br /> treatment services to County residents In order to maintain a continuum of care, DBH <br /> operates or contracts for the provision of prevention and early intervention services, 24-hour <br /> care, day treatment outpatient services, case management, and crisis and referral services <br /> Community services are provided in all major County metropolitan areas and are readily <br /> accessible to County residents <br /> D Health Insurance Portability and Accountability Act (HIPAA) A federal law <br /> designed to improve portability and continuity of health insurance coverage in the group <br /> and individual markets, to combat waste, fraud, and abuse in health insurance and health <br /> care delivery, to promote the use of medical savings accounts, to improve access to long- <br /> term care services and coverage, to simplify the adirunistration of health insurance, and <br /> for other purposes <br /> E Mental Health Services Act (MHSA): Mental Health Services Act, also known as <br /> Proposition 63, imposes a 1% tax on adjusted annual income over $1,000,000 In <br /> November 2004, California voters passed Proposition 63 to adopt the MHSA According <br /> to the MHSA, the intent of the funding is to reduce the long term adverse impact on <br /> individuals, families, and State and local budgets resulting from untreated serious mental <br /> illness <br /> F Personally Identifiable Information (PII) PH is information that can be used alone or <br /> in conjunction with other personal or identifying information, which is linked or linkable <br /> to a specific individual This includes name, social security number, date of birth, <br /> address, driver's license, photo identification, other identifying number (case number, <br /> client index number, SIMON number/medical record number, etc ) <br /> G Protected Health Information (PHI) PHI is individually identifiable health information <br /> held or transmitted by a covered entity or its business associate, in any form or media, <br /> whether electronic, paper or oral Individually identifiable information is information, <br /> including demographic data, that relates to the individual's past, present or future <br /> physical or mental health or condition, the provision of health care to the individual, or <br /> Page 2 of 10 <br /> L Icaldjm\AgreementsWept of Behavior Health MOU doe <br />