Where your future begins

Benefits Orientation

Contact: Carla Lasley
Created: 08/07/2018
Date Emailed to Staff: 08/07/2018
Effective Date: 08/07/2018

Summary of Changes

NE DHHS is also now requiring a new Release of information that must be signed by the person (on the first and second pages.). The form is filled out with pre-populated information so that it is completed consistently, noting the information to be released, except that the name of the Benefits Services provider must be filled in so that information will be released to that agency. There are English and Spanish versions of the form.     

 

Forms - New or Revised

http://webforms.vr.ne.gov/assets/vr_forms/162/original/Authorization_Disclosure_Protected_Health_Information.pdf?1533587103

http://webforms.vr.ne.gov/assets/vr_forms/358/original/Authorization_Disclosure_Protected_Health_Information_Spanish.pdf?1533586903

 

QE2 Update

None

To Do

Ensure that the new Release of Information is used so that information can be released by DHSS to the Benefits Services agency.  Note that the form must be signed in two places--p. 1 and p. 2.

Team Communication

Please review this change in a team meeting to ensure that everyone who must use the new forms/follow new processes by getting release signed are reminded of the change. 

VRIS Posting

Benefits Orientation Chapter

 Monitoring Requirements

None 





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