CBHCM Legal and Regulatory Compliance 2

Question 1

Under the Health Insurance Portability and Accountability Act (HIPAA), which of the following is considered a permitted disclosure without client authorization?

Accepted Answer

Disclosing PHI to law enforcement for public health activities

Answer

Sharing records with the client's employer

Answer

Providing treatment records to a marketing firm

Answer

Releasing records to family members at their request

Question 2

A behavioral health case manager learns that a client is being abused by a caregiver. Which legal obligation is MOST relevant?

Accepted Answer

Mandatory reporting of suspected abuse

Answer

Duty to warn third parties

Answer

Confidentiality protections under HIPAA

Answer

Informed consent requirements

Question 3

Which federal law prohibits discrimination against individuals with mental health conditions in employment settings?

Accepted Answer

Americans with Disabilities Act (ADA)

Answer

Mental Health Parity and Addiction Equity Act (MHPAEA)

Answer

Rehabilitation Act of 1973

Answer

Fair Housing Act

Question 4

The Affordable Care Act (ACA) requires that health plans cover mental health and substance use disorder services. This requirement is BEST described as:

Accepted Answer

An essential health benefit mandated for qualified health plans

Answer

An optional benefit that plans may choose to offer

Answer

A parity provision applicable only to large group plans

Answer

A Medicaid-specific requirement

Question 5

A case manager receives a subpoena for a client's mental health records. The BEST first action is to:

Accepted Answer

Notify the client and consult legal counsel before releasing records

Answer

Immediately release the records to comply with the court order

Answer

Refuse to release any records on grounds of confidentiality

Answer

Destroy the records to protect the client

Question 6

Which provision of HIPAA gives clients the right to inspect and obtain copies of their own health records?

Accepted Answer

Privacy Rule — Right of Access

Answer

Security Rule — Safeguard Standard

Answer

Breach Notification Rule

Answer

Minimum Necessary Standard

Question 7

Under 42 CFR Part 2, substance use disorder treatment records receive special protections. These records may be disclosed without client consent ONLY for:

Accepted Answer

Medical emergencies where disclosure is necessary to protect life

Answer

Insurance billing purposes

Answer

Coordination of care with any treating provider

Answer

Research with IRB approval only