SECTION 354.1186. Requirements for the Health Passport

(a) The Health Passport is an electronic medical record used to document healthcare services provided to clients who receive services through the comprehensive foster care healthcare delivery system, mandated by the Texas Family Code §266.003 and §266.006, and other Medicaid clients as may be designated by the Health and Human Services Commission (HHSC).

(b) The contents of the Health Passport must include, but are not limited to:

(1) Client's name, birthdate, address of record, and Medicaid ID number;

(2) Name and address of each of the client's physicians and health care providers;

(3) A record of each visit to a physician or other healthcare provider, including routine checkups conducted in accordance with the Texas Health Steps Program;

(4) A record of immunizations;

(5) Identification of the client's known health problems; and

(6) Information on all client prescriptions.

(c) The electronic Health Passport system must be secure and maintain the confidentiality of the client's health records in compliance with security and privacy rules adopted by the U.S. Department of Health and Human Services under the Health Insurance Portability and Accountability Act of 1996 (HIPAA), 45 C.F.R. §§164.302 - 164.318 and §§164.500 - 164.534.

(d) If the client is in foster care, the Health Passport information shall be available in printed and electronic formats to the following individuals when the client is discharged from foster care:

(1) The client's legal guardian, managing conservator, or parent; or

(2) The client, if the client is at least 18 years of age or has been awarded the legal rights of an adult through the removal of the disabilities of minority, as defined in the Texas Family Code, Title 2, Chapter 31.

(e) The administrator of the electronic Health Passport system shall be determined by HHSC. The administrator shall be responsible for meeting all requirements of the Health Passport.

Source Note: The provisions of this §354.1186 adopted to be effective June 1, 2007, 32 TexReg 1903