Requirements for Confidentiality and Disclosure of Records - Mo. Rev. Stat. § 630.140

All substance abuse treatment records are confidential and privileged to the patient, and may only be disclosed in accordance with the statute. This statute governs both substance abuse treatment records and mental health records. Facilities must document the date, nature, purpose, recipient and patient of any disclosure.

Disclosure With Consent

Disclosure will be made upon the following parties’ requests:

• The client
• The parent of a minor client
• The guardian of a client
• The attorney of a client who is a ward of the juvenile court, or incompetent
• An attorney or physician as authorized by the client

The statute does not address consent or request procedures.

Disclosure Without Consent

Disclosure of substance abuse treatment information may be disclosed without consent to entities providing health care services to the client as permitted by HIPAA, to insurance companies as necessary for reimbursement purposes, and for research, audit, and evaluation purposes provided that patient identifying information is not published or disclosed. Disclosure is likewise permitted to law enforcement or public health officials if necessary to assist them in carrying out their offices.

Substance abuse treatment information may also be disclosed without consent in accordance with abuse and neglect reporting laws. Finally, the information may be disclosed to individuals to mitigate the likelihood of suicide.

Disclosure Pursuant to Court Order

Disclosure of substance abuse treatment information may be disclosed upon order from a court or administrative agency. The statute does not provide further restrictions.