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Medicare Data Requirements in California

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California law requires that inpatient records contain the patient’s Medicare Identification number, if applicable.1  The medical records of any Medicare recipient are confidential and cannot be released without the written consent of the recipient or his or her representative.  However, the medical record may be released for statistical or summary data purposes if it has been de-identified.  Additionally the medical record may be exchanged between providers,  payers, or state or local agencies.2

 

Footnotes

  • 1. 22 CA ADC §70749
  • 2. 22 CA ADC §51009

 

Medicare Data Requirements in California

Subtopic Statute/Regulation Description
Confidentiality of Medicare data Confidential Nature of Medical Records For Those Receiving Medical Assistance – Cal. Code Regs. tit. 22 § 51009 All medical records of individuals receiving medical assistance, such as Medicare or Medicaid, must remain confidential and cannot be released...
Reporting by Medicare providers: Utilization List of Charges for Common Services and Procedures – Cal. Health & Safety Code § 1339.56 Each hospital must compile a list of 25 common outpatient procedures and annually submit to the Office of Statewide Health Planning and Development...
Click on the individual state law in the table above to see our summary of the individual law.


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