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PDFWAC 246-341-0425

Agency administrationIndividual clinical record system.

Each agency licensed by the department to provide any behavioral health service must:
(1) Maintain a comprehensive clinical record system that includes policies and procedures that protect an individual's personal health information;
(2) Ensure that the individual's personal health information is shared or released only in compliance with applicable state and federal law;
(3) If maintaining electronic individual clinical records:
(a) Provide secure, limited access through means that prevent modification or deletion after initial preparation;
(b) Provide for a backup of records in the event of equipment, media, or human error; and
(c) Provide for protection from unauthorized access, including network and internet access;
(4) Retain an individual's clinical record, including an electronic record, for a minimum of six years after the discharge or transfer of any individual;
(5) Retain a youth's or child's individual clinical record, including an electronic record, for at least six years after the most recent discharge, or at least three years following the youth's or child's eighteenth birthday; and
(6) Meet the access to clinical records requirements in WAC 246-341-0650.
[Statutory Authority: 2018 c 201 and 2018 c 291. WSR 19-09-062, § 246-341-0425, filed 4/16/19, effective 5/17/19.]
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