Legal and Regulatory Compliance Flashcards
7 cards from real CBHCM practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Legal and Regulatory Compliance flashcards as text
Under the Health Insurance Portability and Accountability Act (HIPAA), which of the following is considered a permitted disclosure without client authorization?
Answer: Disclosing PHI to law enforcement for public health activities
HIPAA permits disclosure of PHI to law enforcement for public health activities without client authorization under specific circumstances.
A behavioral health case manager learns that a client is being abused by a caregiver. Which legal obligation is MOST relevant?
Answer: Mandatory reporting of suspected abuse
Mandatory reporting laws require behavioral health professionals to report suspected abuse of vulnerable populations regardless of confidentiality concerns.
Which federal law prohibits discrimination against individuals with mental health conditions in employment settings?
Answer: Americans with Disabilities Act (ADA)
The ADA prohibits discrimination against qualified individuals with disabilities, including mental health conditions, in employment settings.
The Affordable Care Act (ACA) requires that health plans cover mental health and substance use disorder services. This requirement is BEST described as:
Answer: An essential health benefit mandated for qualified health plans
The ACA designates mental health and substance use disorder services as essential health benefits that qualified health plans must cover.
A case manager receives a subpoena for a client's mental health records. The BEST first action is to:
Answer: Notify the client and consult legal counsel before releasing records
A subpoena requires the case manager to notify the client and consult legal counsel, as the client may have the right to contest the disclosure.
Which provision of HIPAA gives clients the right to inspect and obtain copies of their own health records?
Answer: Privacy Rule — Right of Access
The HIPAA Privacy Rule's Right of Access provision grants individuals the right to inspect and obtain copies of their protected health information.
Under 42 CFR Part 2, substance use disorder treatment records receive special protections. These records may be disclosed without client consent ONLY for:
Answer: Medical emergencies where disclosure is necessary to protect life
42 CFR Part 2 permits disclosure of substance use disorder records without consent in medical emergencies when necessary to protect life.