Common use of Confidential Reporting Instructions Clause in Contracts

Confidential Reporting Instructions. Before transmitting personally identifiable client information reported under the terms of this Agreement, the Provider must call or email the DFCS Program Contact. To protect confidentiality, the Provider must first establish the mechanism for a secure electronic file transfer. Or the Provider may fax the information to the Program Coordinator, after clearly identifying it as confidential on the cover page of the fax transmission. Alternatively, the Provider may submit hard copy information in a sealed envelope, stamped “confidential” placed inside another envelope. This information must be sent by certified, registered or express mail, or by courier service, with a requested return receipt to verify that it was received by the appropriate individual or office. DFCS has also adopted a platform called Direct Secure Messaging (DSM), which meets HIPAA requirements for data encryption. Do not, under any circumstances, send Electronically Protected Health Information (EPHI) or other sensitive data in email. In order to transfer these files in a HIPAA-compliant manner through email, the provider must use DSM. Additionally, DSM must be used only for the transfer of EPHI or other sensitive data, and not for other communications. Please review the FAQs about DSM at this link: xxxx://xxxxxx.xxxxxx.xxx/hit/pages/direct-secure- messaging.aspx and information concerning the Alaska Personal Information Protection Act at xxxx://xxx.xxx.xxxxx.xx.xx/department/civil/consumer/4548.html DSM contact information for this Provider Agreement Primary program contact: Xxxxxx Xxxxxx, Special Assistant; DSM:xxxxxx.xxxxxx@xxx.xxx.xxxxxxxx.xxx First back-up program contact: Xxxxxxx Xxxxxxx, Special Assistant II; DSM: xxxxxxxxx.xxxxxxx@xxx.xxx.xxxxxxxx.xxx Second back-up program contact: Xxxxxx Xxxxxxxxxxxxxx, Project Coordinator; DSM: xxxxxx.xxxxxxxxxxxxxx@xxx.xxx.xxxxxxxx.xxx

Confidential Reporting Instructions. Before transmitting personally identifiable client information reported under the terms of this Agreement, the Provider must call or email the DFCS DHSS Program Contact. To protect confidentiality, the Provider must first establish the mechanism for a secure electronic file transfer. Or Or, the Provider may fax the information to the Program Coordinator, after clearly identifying it as confidential on the cover page of the fax transmission. Alternatively, the Provider may submit hard copy information in a sealed envelope, stamped “confidential” placed inside another envelope. This information must be sent by certified, registered or express mail, or by courier service, with a requested return receipt to verify that it was received by the appropriate individual or office. DFCS DHSS has also adopted a platform called Direct Secure Messaging (DSM), which meets HIPAA requirements for data encryption. Do not, under any circumstances, send Electronically Protected Health Information (EPHI) or other sensitive data in email. In order to transfer these files in a HIPAA-compliant manner through email, the provider must use DSM. Additionally, DSM must be used only for the transfer of EPHI or other sensitive data, and not for other communications. Please review the FAQs about DSM at this link: xxxx://xxxxxx.xxxxxx.xxx/hit/pages/direct-secure- xxxx://xxxx.xxxxxx.xxx/hit/pages/direct-secure- messaging.aspx and information concerning the Alaska Personal Information Protection Act at xxxx://xxx.xxx.xxxxx.xx.xx/department/civil/consumer/4548.html DSM contact information for this Provider Agreement Agreement: Primary program contact: Xxxxxx XxxxxxXxxxxxx Xxxx, Special Assistant; DSM:xxxxxx.xxxxxx@xxx.xxx.xxxxxxxx.xxx xxxxxxx.xxxx@xxx.xxx.xxxxxxxx.xxx First back-up program contact: Xxxxxxx XxxxxxxXxxx Xxxxx, Special Assistant II; DSM: xxxxxxxxx.xxxxxxx@xxx.xxx.xxxxxxxx.xxx xxxx.xxxxx@xxx.xxx.xxxxxxxx.xxx Second back-up program contact: Xxxxxx XxxxxxxxxxxxxxXxxx, Project Coordinator; DSM: xxxxxx.xxxxxxxxxxxxxx@xxx.xxx.xxxxxxxx.xxxxxxxxx.xxxx@xxx.xxx.xxxxxxxx.xxx

Confidential Reporting Instructions. Before transmitting personally identifiable client information reported under the terms of this Agreement, the Provider Consultant must call or email the DFCS DHSS Program Contact. To protect confidentiality, the Provider Consultant must first establish the mechanism for a secure electronic file transfer. Or Or, the Provider Consultant may fax the information to the Program CoordinatorContact, after clearly identifying it as confidential on the cover page of the fax transmission. Alternatively, the Provider Consultant may submit hard copy information in a sealed envelope, stamped “confidential” placed inside another envelope. This information must be sent by certified, registered or express mail, or by courier service, with a requested return receipt to verify that it was received by the appropriate individual or office. DFCS DHSS has also adopted a platform called Direct Secure Messaging (DSM), which meets HIPAA requirements for data encryption. Do not, under any circumstances, send Electronically Protected Health Information (EPHI) or other sensitive data in email. In order to transfer these files in a HIPAA-compliant manner through email, the provider Consultant must use DSM. Additionally, DSM must be used only for the transfer of EPHI or other sensitive data, and not for other communications. Please review the FAQs about DSM at this link: xxxx://xxxxxx.xxxxxx.xxx/hit/pages/direct-secure- messaging.aspx and xxxx://xxxx.xxxxxx.xxx/hit/pages/direct-secure-messaging.aspx information concerning the Alaska Personal Information Protection Act at xxxx://xxx.xxx.xxxxx.xx.xx/department/civil/consumer/4548.html xxxx://xxx.xxx.xxxxx.xx.xx/department/civil/consumer/4548.html. In the event that the Consultant is requested to transmit information, all personally identifiable client information transmitted from the Consultant must be sent through DSM contact information for this Provider Agreement Primary program contact: Xxxxxx Xxxxxxto xxxx.xxxxxxx@xxx.xxx.xxxxxxxx.xxx. To transfer or email any form of communication using a consumer’s name and personal information, Special Assistant; DSM:xxxxxx.xxxxxx@xxx.xxx.xxxxxxxx.xxx First back-up program contact: Xxxxxxx Xxxxxxx, Special Assistant II; you must use DSM: xxxxxxxxx.xxxxxxx@xxx.xxx.xxxxxxxx.xxx Second back-up program contact: Xxxxxx Xxxxxxxxxxxxxx, Project Coordinator; DSM: xxxxxx.xxxxxxxxxxxxxx@xxx.xxx.xxxxxxxx.xxx.

Confidential Reporting Instructions. Before transmitting personally identifiable client information reported under the terms of this Agreement, the Provider must call or email the DFCS DHSS Program Contact. To protect confidentiality, the Provider must first establish the mechanism for a secure electronic file transfer. Or Or, the Provider may fax the information to the Program CoordinatorContact, after clearly identifying it as confidential on the cover page of the fax transmission. Alternatively, the Provider may submit hard copy information in a sealed envelope, stamped “confidential” placed inside another envelope. This information must be sent by certified, registered or express mail, or by courier service, with a requested return receipt to verify that it was received by the appropriate individual or office. DFCS DHSS has also adopted a platform called Direct Secure Messaging (DSM), which meets HIPAA requirements for data encryption. Do not, under any circumstances, send Electronically Protected Health Information (EPHI) or other sensitive data in non-secure email. In order to transfer these files in a HIPAA-compliant manner through email, the provider must use DSM. Additionally, DSM must be used only for the transfer of EPHI or other sensitive data, and not for other communications. Please review the FAQs about DSM at this link: xxxx://xxxxxx.xxxxxx.xxx/hit/pages/direct-secure- xxxx://xxxx.xxxxxx.xxx/hit/pages/direct-secure- messaging.aspx and information concerning the Alaska Personal Information Protection Act at xxxx://xxx.xxx.xxxxx.xx.xx/department/civil/consumer/4548.html DSM contact information for this Provider Agreement Primary program contact: Xxxxxx Xxxxxx, Special Assistant; DSM:xxxxxx.xxxxxx@xxx.xxx.xxxxxxxx.xxx First back-up program contact: Xxxxxxx Xxxxxxx, Special Assistant II; DSM: xxxxxxxxx.xxxxxxx@xxx.xxx.xxxxxxxx.xxx Second back-up program contact: Xxxxxx Xxxxxxxxxxxxxx, Project Coordinator; DSMAgreement: xxxxxx.xxxxxxxxxxxxxx@xxx.xxx.xxxxxxxx.xxx

Confidential Reporting Instructions. Before transmitting personally identifiable client information reported under the terms of this Agreement, the Provider must call or email the DFCS DHSS Program Contact. To protect confidentiality, the Provider must first establish the mechanism for a secure electronic file transfer. Or Or, the Provider may fax the information to the Program Coordinator, after clearly identifying it as confidential on the cover page of the fax transmission. Alternatively, the Provider may submit hard copy information in a sealed envelope, stamped “confidential” placed inside another envelope. This information must be sent by certified, registered or express mail, or by courier service, with a requested return receipt to verify that it was received by the appropriate individual or office. DFCS DHSS has also adopted a platform called Direct Secure Messaging (DSM), which meets HIPAA requirements for data encryption. Do not, under any circumstances, send Electronically Protected Health Information (EPHI) or other sensitive data in email. In order to transfer these files in a HIPAA-compliant manner through email, the provider must use DSM. Additionally, DSM must be used only for the transfer of EPHI or other sensitive data, and not for other communications. Please review the FAQs about DSM at this link: xxxx://xxxxxx.xxxxxx.xxx/hit/pages/direct-secure- xxxx://xxxx.xxxxxx.xxx/hit/pages/direct-secure- messaging.aspx and information concerning the Alaska Personal Information Protection Act at xxxx://xxx.xxx.xxxxx.xx.xx/department/civil/consumer/4548.html DSM contact information for this Provider Agreement Primary program contact: Xxxxxx XxxxxxXxxxxxx XxXxxxxxx, Special AssistantPsyD, ABPP; DSM:xxxxxx.xxxxxx@xxx.xxx.xxxxxxxx.xxx DSM: xxxxxxx.xxxxxxxxx@xxx.xxx.xxxxxxxx.xxx First back-up program contact: Xxxxxxx XxxxxxxXxxx, Special Assistant Paralegal II; DSM: xxxxxxxxx.xxxxxxx@xxx.xxx.xxxxxxxx.xxx xxxxxxx.xxxx@xxx.xxx.xxxxxxxx.xxx Second back-up program contact: Xxxxxx Xxxxxxxxxxxxxx, Project CoordinatorXxxxx Xxxxxxxxxx; DSM: xxxxxx.xxxxxxxxxxxxxx@xxx.xxx.xxxxxxxx.xxxxxxxx.xxxxxxxxxx@xxx.xxx.xxxxxxxx.xxx

Confidential Reporting Instructions. Before transmitting personally identifiable client information reported under the terms of this Agreement, the Provider must call or email the DFCS DHSS Program Contact. To protect confidentiality, the Provider must first establish the mechanism for a secure electronic file transfer. Or Or, the Provider may fax the information to the Program CoordinatorContact, after clearly identifying it as confidential on the cover page of the fax transmission. Alternatively, the Provider may submit hard copy information in a sealed envelope, stamped “confidential” placed inside another envelope. This information must be sent by certified, registered or express mail, or by courier service, with a requested return receipt to verify that it was received by the appropriate individual or office. DFCS DHSS has also adopted a platform called Direct Secure Messaging (DSM), which meets HIPAA requirements for data encryption. Do not, under any circumstances, send Electronically Protected Health Information (EPHI) or other sensitive data in email. In order to transfer these files in a HIPAA-compliant manner through email, the provider must use DSM. Additionally, DSM must be used only for the transfer of EPHI or other sensitive data, and not for other communications. Please review the FAQs about DSM at this link: xxxx://xxxxxx.xxxxxx.xxx/hit/pages/direct-secure- messaging.aspx xxxx://xxxx.xxxxxx.xxx/hit/pages/direct-secure-messaging.aspx and information concerning the Alaska Personal Information Protection Act at xxxx://xxx.xxx.xxxxx.xx.xx/department/civil/consumer/4548.html DSM contact information for this Provider Agreement Agreement: Primary program contact: Xxxxxx XxxxxxXxxxxxx Xxxx, Special Assistant; DSM:xxxxxx.xxxxxx@xxx.xxx.xxxxxxxx.xxx xxxxxxx.xxxx@xxx.xxx.xxxxxxxx.xxx First back-up program contact: Xxxxxxx XxxxxxxXxxx Xxxxx, Special Assistant II; DSM: xxxxxxxxx.xxxxxxx@xxx.xxx.xxxxxxxx.xxx xxxx.xxxxx@xxx.xxx.xxxxxxxx.xxx Second back-up program contact: Xxxxxx XxxxxxxxxxxxxxXxxx, Project Coordinator; DSM: xxxxxx.xxxxxxxxxxxxxx@xxx.xxx.xxxxxxxx.xxxxxxxxx.xxxx@xxx.xxx.xxxxxxxx.xxx

Confidential Reporting Instructions. Before transmitting personally identifiable client information reported under the terms of this Agreement, the Provider must call or email the DFCS DHSS Program ContactContact to arrange for secure transmission of protected client information. To protect confidentialitythe confidentiality of personally identifiable client information that is reported electronically, the Provider grantee must first establish the mechanism for a secure electronic file transfer. Or the Provider may fax the information to the Program Coordinator, after clearly identifying it as confidential on the cover page of the fax transmission. Alternatively, the Provider may submit hard copy information in a sealed envelope, stamped “confidential” placed inside another envelope. This information must be sent by certified, registered or express mail, or by courier service, with a requested return receipt to verify that it was received by the appropriate individual or office. DFCS DHSS has also adopted a platform called Direct Secure Messaging (DSM), which meets HIPAA requirements for data encryption. Do not, under any circumstances, send Electronically Protected Health Information (EPHI) or other sensitive data in email. In order to transfer these files in a HIPAA-HIPAA- compliant manner through emailmanner, the provider grantee must use DSM. Additionally, DSM must be used only for the transfer of EPHI or other sensitive data, and not for other communications. Please review the FAQs about DSM at this link: xxxx://xxxxxx.xxxxxx.xxx/hit/pages/direct-secure- messaging.aspx xxxx://xxxx.xxxxxx.xxx/hit/pages/direct-secure-messaging.aspx and information concerning the Alaska Personal Information Protection Act at xxxx://xxx.xxx.xxxxx.xx.xx/department/civil/consumer/4548.html DSM contact information for All fax transmissions associated to this Provider Agreement Primary program contactincluding fax documents to and from testing laboratories must include the following statement: Xxxxxx Xxxxxx“The information contained in this facsimile message may contain CONFIDENTIAL information that is protected by federal law and state regulation from further disclosure. If you are not the individual(s) listed above, Special Assistant; DSM:xxxxxx.xxxxxx@xxx.xxx.xxxxxxxx.xxx First back-up program contact: Xxxxxxx Xxxxxxxyou are hereby notified that you may not use, Special Assistant II; DSM: xxxxxxxxx.xxxxxxx@xxx.xxx.xxxxxxxx.xxx Second back-up program contact: Xxxxxx Xxxxxxxxxxxxxxcopy, Project Coordinator; DSM: xxxxxx.xxxxxxxxxxxxxx@xxx.xxx.xxxxxxxx.xxxdisclose or distribute to anyone the facsimile or any information contained in this facsimile. If you have received this facsimile in error, please immediately notify the sender at the number listed above and destroy the original facsimile.” Alternatively, the Grantee/Provider may submit hard copy information to the DHSS Program Manager, in a sealed envelope, stamped “confidential”, inside another envelope. This information must be sent by certified, registered or express mail, or by courier service, with a requested return receipt to verify that it was received by the appropriate individual or office.

Confidential Reporting Instructions. Before transmitting personally identifiable client information reported under the terms of this Agreement, the Provider must call or email the DFCS Program Contact. To protect confidentiality, the Provider must first establish the mechanism for a secure electronic file transfer. Or Or, the Provider may fax the information to the Program Coordinator, after clearly identifying it as confidential on the cover page of the fax transmission. Alternatively, the Provider may submit hard copy information in a sealed envelope, stamped “confidential” placed inside another envelope. This information must be sent by certified, registered or express mail, or by courier service, with a requested return receipt to verify that it was received by the appropriate individual or office. DFCS has also adopted a platform called Direct Secure Messaging (DSM), which meets HIPAA requirements for data encryption. Do not, under any circumstances, send Electronically Protected Health Information (EPHI) or other sensitive data in email. In order to transfer these files in a HIPAA-compliant manner through email, the provider must use DSM. Additionally, DSM must be used only for the transfer of EPHI or other sensitive data, and not for other communications. Please review the FAQs about DSM at this link: xxxx://xxxxxx.xxxxxx.xxx/hit/pages/direct-secure- xxxx://xxxx.xxxxxx.xxx/hit/pages/direct-secure- messaging.aspx and information concerning the Alaska Personal Information Protection Act at xxxx://xxx.xxx.xxxxx.xx.xx/department/civil/consumer/4548.html DSM contact information for this Provider Agreement Primary program contact: Xxxxxx Xxxxxx, Special AssistantXxxxx Xxxxxxx; DSM:xxxxxx.xxxxxx@xxx.xxx.xxxxxxxx.xxx DSM: xxxxx.xxxxxxx@xxx.xxx.xxxxxxxx.xxx First back-up program contact: Xxxxxxx Xxxxxxx, Special Assistant IIXxxx; DSM: xxxxxxxxx.xxxxxxx@xxx.xxx.xxxxxxxx.xxx xxxxxxx.xxxx@xxx.xxx.xxxxxxxx.xxx Second back-up program contact: Xxxxxx Xxxxxxxxxxxxxx, Project CoordinatorXxxxx Xxxxxxxx; DSM: xxxxxx.xxxxxxxxxxxxxx@xxx.xxx.xxxxxxxx.xxxxxxxx.xxxxxxxx@xxx.xxx.xxxxxxxx.xxx

Confidential Reporting Instructions. Before transmitting personally identifiable client information reported under the terms of this Agreement, the Provider must call or email the DFCS DHSS Program Contact. To protect confidentiality, the Provider must first establish the mechanism for a secure electronic file transfer. Or Or, the Provider may fax the information to the Program Coordinator, after clearly identifying it as confidential on the cover page of the fax transmission. Alternatively, the Provider may submit hard copy information in a sealed envelope, stamped “confidential” placed inside another envelope. This information must be sent by certified, registered or express mail, or by courier service, with a requested return receipt to verify that it was received by the appropriate individual or office. DFCS DHSS has also adopted a platform called Direct Secure Messaging (DSM), which meets HIPAA requirements for data encryption. Do not, under any circumstances, send Electronically Protected Health Information (EPHI) or other sensitive data in email. In order to transfer these files in a HIPAA-compliant manner through email, the provider must use DSM. Additionally, DSM must be used only for the transfer of EPHI or other sensitive data, and not for other communications. Please review the FAQs about DSM at this link: xxxx://xxxxxx.xxxxxx.xxx/hit/pages/direct-secure- xxxx://xxxx.xxxxxx.xxx/hit/pages/direct-secure- messaging.aspx and information concerning the Alaska Personal Information Protection Act at xxxx://xxx.xxx.xxxxx.xx.xx/department/civil/consumer/4548.html DSM contact information for this Provider Agreement Primary program contact: Xxxxxx Xxxxxx, Special Assistant; DSM:xxxxxx.xxxxxx@xxx.xxx.xxxxxxxx.xxx First back-up program contact: Xxxxxxx Xxxxxxx, Special Assistant II; DSM: xxxxxxxxx.xxxxxxx@xxx.xxx.xxxxxxxx.xxx Second back-up program contact: Xxxxxx Xxxxxxxxxxxxxx, Project Coordinator; DSM: xxxxxx.xxxxxxxxxxxxxx@xxx.xxx.xxxxxxxx.xxx

Confidential Reporting Instructions. Before transmitting personally identifiable client information reported under the terms of this Agreement, the Provider must call or email the DFCS DHSS Program ContactContact to arrange for secure transformation of protected client information. To protect confidentialitythe confidentiality of personally identifiable client information that is reported electronically, the Provider grantee must first establish the mechanism for a secure electronic file transfer. Or the Provider may fax the information to the Program Coordinator, after clearly identifying it as confidential on the cover page of the fax transmission. Alternatively, the Provider may submit hard copy information in a sealed envelope, stamped “confidential” placed inside another envelope. This information must be sent by certified, registered or express mail, or by courier service, with a requested return receipt to verify that it was received by the appropriate individual or office. DFCS DHSS has also adopted a platform called Direct Secure Messaging (DSM), which meets HIPAA requirements for data encryption. Do not, under any circumstances, send Electronically Protected Health Information (EPHI) or other sensitive data in email. In order to transfer these files in a HIPAA-HIPAA- compliant manner through emailmanner, the provider grantee must use DSM. Additionally, DSM must be used only for the transfer of EPHI or other sensitive data, and not for other communications. Please review the FAQs about DSM at this link: xxxx://xxxxxx.xxxxxx.xxx/hit/pages/direct-secure- messaging.aspx xxxx://xx.xxxx.xx.xxxxx/XXX/xxxx/XXXX_XXX_XXX.xxx and information concerning the Alaska Personal Information Protection Act at xxxx://xxx.xxx.xxxxx.xx.xx/department/civil/consumer/4548.html DSM contact information for All fax transmissions associated to this Provider Agreement Primary program contactincluding fax documents to and from testing laboratories must include the following statement: Xxxxxx Xxxxxx“The information contained in this facsimile message may contain CONFIDENTIAL information that is protected by federal law and state regulation from further disclosure. If you are not the individual(s) listed above, Special Assistant; DSM:xxxxxx.xxxxxx@xxx.xxx.xxxxxxxx.xxx First back-up program contact: Xxxxxxx Xxxxxxxyou are hereby notified that you may not use, Special Assistant II; DSM: xxxxxxxxx.xxxxxxx@xxx.xxx.xxxxxxxx.xxx Second back-up program contact: Xxxxxx Xxxxxxxxxxxxxxcopy, Project Coordinator; DSM: xxxxxx.xxxxxxxxxxxxxx@xxx.xxx.xxxxxxxx.xxxdisclose or distribute to anyone the facsimile or any information contained in this facsimile. If you have received this facsimile in error, please immediately notify the sender at the number listed above and destroy the original facsimile.” Alternatively, the Grantee/Provider may submit hard copy information to the DHSS Program Manager, in a sealed envelope, stamped “confidential”, inside another envelope. This information must be sent by certified, registered or express mail, or by courier service, with a requested return receipt to verify that it was received by the appropriate individual or office.