HIPAA Policies Procedures and Forms Manual

August&1,&2014&
&
4&
I. Introduction
&
A. General Policy
Pepperdine&University&is&committed&to&protecting&the&privacy&of&individual&health&
information&in&compliance&with&the&Health&Insurance&Portability&and&Accountability&
Act&of&1996&(HIPAA)&and&the&regulations&promulgated&there&under.&&These&policies&
and&procedures&apply&to&protected&health&information&created,&acquired,&or&
maintained&by&the&designated&covered&components&of&the&University&after&April&14,&
2003.&&The&statements&in&this&Manual&represent&the&University’s&general&operating&
policies&and&procedures.&&For&further&details&regarding&these&policies&and&procedures&
see&45&C.F.R.&Parts&160&and&164.&
&
B. Scope
Pepperdine&University&is&a&hybrid&entity&as&defined&in&45&C.F.R.&§164.103&and&
includes&both&covered&and&nonAcovered&components.&&These&policies&and&procedures&
apply&only&to&the&University’s&designated&covered&components,&which&include:&
&
Athletic&Training&Center;&
Boone&Center&for&the&Family;&
Disability&Services&Office;&
Human&Resources,&Benefits&Department;&
Pepperdine&Community&Counseling&Center;&
Pepperdine&Jerry&B.H.&Union&Rescue&Clinic;&
Pepperdine&Psychology&and&Education&Clinic;&
Student&Counseling;&and&
Student&Health&Center.&
&
Certain&administrative&and/or&support&offices&may&also&be&designated&as&covered&
components.&
&
The&designated&covered&components&may&not&share&protected&health&information&
with&the&nonAcovered&components&of&the&University,&unless&specifically&permitted&by&
the&privacy&regulations.&&It&is&the&responsibility&of&each&designated&covered&
component&to&assure&that&their&employees,&students,&volunteers,&etc.&comply&with&
these&policies&and&procedures.&&A&designated&covered&component&may&develop&and&
incorporate&additional&policies&and&procedures&if&doing&so&is&necessary&and&
appropriate&to&comply&with&more&stringent&state&laws.
1
&&However,&a&designated&
covered&component&may&not&delete&sections&of&these&policies&and&procedures&
without&first&consulting&the&Privacy&Official&or&the&Security&Official.&
&
&
&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&
1
&HIPAA&ensures&a&federal&standard&(a&“floor”)&of&privacy&protections.&&State&privacy&laws&may&be&
more&stringen t&than&the&HIPA A&privacy&rule.&&In&those&cases,&the&more&stringent&state&law&w ill&apply.&
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