Interoperability and Patient Access
Connecting Your Healthcare
New Options For Managing Your Digital Medical Records
Imagine:
- You go to a new healthcare provider because you don’t feel well and that provider can pull up your health history from the past five years.
- The provider uses that information to diagnose you and quickly finds the right specialist by checking an up-to-date provider directory.
- You have a question about a claim, so you go to your computer and see if it’s paid, denied, or still being processed.
Starting in 2021, a new federal rule will make it easier for Oklahoma Complete Health members* to do all of this and more.
The Interoperability and Patient Access rule (CMS-9115-F) puts patients first by giving you control and easy access to your health information when you need it most. Complete access to your health information allows you to manage your health better and know what healthcare resources are available to you.
THE NEW RULE MAKES IT SO YOU CAN EASILY FIND INFORMATION** ON:
- claims (paid and denied)
- provider appointments
- past test results
- health status
- your cost of care
- specific parts of your clinical information
- healthcare providers
- pharmacy directory data***
Patient Demographics
- first name
- last name
- previous name
- middle name
- suffix
- birth sex
- date of birth
- race
- ethnicity
- preferred language
Allergies & Intolerances
- substances (medications)
- substances (drug class)
- reaction
New Demographics
- current address
- previous address
- phone number
- phone number type
- email address
Clinical Notes
- consultation note
- discharge summary note
- history & physical
- imaging narrative
- laboratory report narrative
- pathology report narrative
- procedure note
- progress note
Vital Signs ****
- body height
- body weight
- BMI percentile (2-20 years)
- blood pressure
- heart rate
- respiratory rate
- body temperature
Health Concerns
Immunizations
Procedures
Medications
Laboratory Tests & Results
Assessment & Treatment Plan
Care Team Members
* Applies to Medicare Advantage, SoonerSelect Children's Specialty Program and CHIP Managed Care, and federally funded ACA exchange plans.
** Data will be available for dates of service on or after Jan. 1, 2016.
*** For Medicare Advantage Prescription Drug (MAPD) plans.
**** Vital Signs maintained by the Health Plan will be available.
Having your medical information in one place helps you and your providers understand your health better so you can make better decisions and improve your health outcomes. This often reduces healthcare costs. This information will follow you to any provider or health plan in the future.
At Oklahoma Complete Health, your privacy and the security of your PHI is a top concern. The new rule allows you to look up your information using an app from a third-party application developer (a company with no connection to Oklahoma Complete Health). We promise to give you information on what to consider when selecting an app, the ways your data can be used by the third party, and the importance of understanding the security and privacy practices of the app. We will give you information on federal agencies you can contact if you feel your rights to patient privacy have not been protected.
The CARIN alliance is a bipartisan, multi-sector collaborative working to advance consumer-directed exchange of health information. Learn more about third-party application privacy standards on the on the CARIN Alliance website. (This is an external link that will take you outside the Oklahoma Complete Health website.) The CARIN Code of Conduct is a set of industry-leading best practices these applications have voluntarily adopted to protect and secure your health information. We will require third-party application developers to prove they will follow certain privacy standards by attesting to the CARIN Code of Conduct. Visit My Health Application (This is an external link that will take you outside the Oklahoma Complete Health website.) for a list of apps that have attested to the CARIN Code of Conduct.
Find a trusted app. Visit My Health Application (This is an external link that will take you outside the Oklahoma Complete Health website.) for a list of apps that have attested to the CARIN Code of Conduct ensuring they meet the strictest privacy and security guidelines.
Download the app. Smartphone apps are available through the Google Play Store (Android) and the App Store (iOS), and web apps are available for computers.
Create your account. Follow the instructions in the app of your choice to sign up and link your health information.
Use your information to manage your healthcare. Now you have the information you need to make the best healthcare decisions for yourself.
Check out the Frequently Asked Questions or call Member Services at 1-833-752-1665 (TTY: 711).
Call Oklahoma Complete Health at 1-833-752-1665 (TTY: 711).
For more information on CMS Policies and Technology for Interoperability and Burden Reduction visit the CMS website. This is an external link that will take you outside the Oklahoma Complete Health website.
Any health information maintained by Oklahoma Complete Health with a date of service January 1, 2016 or later will be made available.
You will have access to your health information, no matter what health plan or provider you go to.
Yes, you can use an app to see what shots you’ve had with a date of service January 1, 2016 or later.
No, the app you use will not be affiliated with Oklahoma Complete Health. You may also visit My Health Application (This is an external link that will take you outside the Oklahoma Complete Health website.) for a list of apps that have attested to the CARIN Code of Conduct ensuring they meet the strictest privacy and security guidelines. Follow the instructions on the app to connect it with your health record.
There may be some apps that don’t follow all the privacy provisions. We will let you know which apps have agreed to follow our guidelines for your privacy. If you have already selected an app prior to us receiving a response from the app provider on their privacy policies, you will have a chance to select another app within a certain timeframe. We recommend that you request a Notice of Privacy Practices from the app. If the app does not provide you with a Notice of Privacy Practices, we recommend that you choose another app. You may also visit My Health Application (This is an external link that will take you outside the Oklahoma Complete Health website.) for a list of trusted apps.
Starting April 1, 2024, you will be able to access your Oklahoma Complete Health information through the apps.
No, you do not have to use an app to access your healthcare info. You can contact your provider or health plan for needed information.
The app will collect your health data including, but not limited to, your claims, medications, diagnoses, procedures, and doctor visits. When you enroll in the app, you are giving your permission for the app to collect this information.
Apps do have the ability to collect non-health data such as location. Some apps let you have the option to provide that information. We recommend that you ask your app provider.
Requesting your health data via an app could potentially include the health data of family members who are associated with your health account.
To correct mistakes in your health data, you will need to contact your provider or health insurance company. The health app only makes data available from healthcare sources. The app does not create this data. If the app is showing incorrect information that was not sent to the app then the app must correct this problem.
We recommend that you ask the app provider for their notice of privacy and security practices.
Most apps will not be covered by HIPAA. Most apps will instead fall under the jurisdiction of the Federal Trade Commission (FTC) and the protections provided by the FTC Act. The FTC Act, among other things, protects against deceptive acts (e.g., if an app shares personal data without permission, despite having a privacy policy that says it will not do so).
The FTC provides information about mobile app privacy and security for consumers on the FTC consumer information website. This is an external link that will take you outside the Oklahoma Complete Health website.
For apps that are subject to HIPAA, you can find more information about patient rights under HIPAA and who is obligated to follow HIPAA. This is an external link that will take you outside the Oklahoma Complete Health website.
You can also see the HIPAA FAQs for Individuals. This is an external link that will take you outside the Oklahoma Complete Health website.
We recommend that you request a Notice of Privacy Practices from the app provider to understand your rights.
We recommend that you request a Notice of Privacy Practices from the app provider to understand how they respond to a privacy and security incident. You have the right to file a complaint with enforcement agencies including the Office for Civil Rights (OCR) and the Federal Trade Commission (FTC).
Most apps will not be considered covered entities under HIPAA. Most apps will instead fall under the jurisdiction of the Federal Trade Commission (FTC) and the protections provided by the FTC Act. The FTC Act, among other things, protects against deceptive acts (e.g., if an app shares personal data without permission, despite having a privacy policy that says it will not do so).
Learn more about filing a complaint with OCR under HIPAA. This is an external link that will take you outside the Oklahoma Complete Health website.
Individuals can file a complaint with OCR using the OCR complaint portal. This is an external link that will take you outside the Oklahoma Complete Health website.
Individuals can file a complaint with the FTC using the FTC complaint assistant. This is an external link that will take you outside the Oklahoma Complete Health website.
Although the purpose of the app is for you to be able to see your data in one place, we recommend that you request a Notice of Privacy Practices to understand how the app will use your data.
We recommend that you request a Notice of Privacy Practices from the app provider to understand if the app will share your data with third parties.
We recommend that you request a Notice of Privacy Practices from the app provider to understand what happens to your data after you stop using the app.
We recommend that you request a Notice of Privacy Practices from the app provider to understand what happens to your data after you stop using the app.
The best way to stop sharing data is through the Third Party Application or by contacting the Third Party Application support. If you are unable to successfully stop sharing data through the Third Party Application or using the Third Party Application Support then you may call Oklahoma Complete Health member services for assistance.
We recommend that you request a Notice of Privacy Practices from the app provider to understand if the app will share your data with third parties for advertising and research.
App providers may respond to user complaints in different ways. We recommend that you ask this question to your app provider.
We recommend that you request a Notice of Privacy Practices from the app provider to understand how the app stores your data.
We recommend that you request a Notice of Privacy Practices and additional information on security practices from the app provider to understand how they handle a security incident.
We recommend that you request a Notice of Privacy Practices from the app provider to understand how you can limit the use and release of your data.
Frequently Asked Questions
Read our Frequently Asked Questions or call us at 1-833-752-1665 (TTY: 711).
Members may request that Oklahoma Complete Health send health records to other health plans. They can also request that Oklahoma Complete Health receive health records from other health plans. If a member switches health plans, Oklahoma Complete Health will send their clinical records (included in the USCDI data set) (This is an external link that will take you outside the Oklahoma Complete Health website.) to another health plan. This is in order to build a complete health record. A complete health record will help a member make decisions that improve their quality of care and health outcomes.
Former members of Oklahoma Complete Health should start the request through their new health plan. Based on this request, Oklahoma Complete Health will send the clinical records to their new health plan.
Current members of Oklahoma Complete Health may start the request by logging into the Oklahoma Complete Health secure member portal. There they can request and receive the clinical records from their previous health plan.
To learn more, call Oklahoma Complete Health at 1-833-752-1665 (TTY: 711).
You will have access to health information with a date of service of January 1, 2016 or later.
Yes. You will be able to access your health information no matter what health plan or provider you go to.
Yes. You can use an app to see what shots you’ve had with a date of service January 1, 2016 or later.
No. The app is not affiliated with Oklahoma Complete Health. Visit the My Health Application website (This is an external link that will take you outside the Oklahoma Complete Health website.) for a list of apps. This includes apps that promise to meet the CARIN Code of Conduct. Follow the instructions on the app to connect it with your health record.
Not every app has agreed to meet the CARIN Code of Conduct or any other set of guidelines. We will let you know which apps have agreed to follow our privacy guidelines. You will have a chance to select another app if you selected the app before they shared their privacy practices with us.
We suggest that you request a Notice of Privacy Practices from the app. Read it carefully before using that app. If the app does not provide you with a Notice of Privacy Practices, we suggest that you choose another app. Visit the My Health Application website (This is an external link that will take you outside the Oklahoma Complete Health website.) for a list of apps that agree to follow the CARIN Code of Conduct.
You will be able to access your health plan information in the apps starting on April 1, 2024.
No. You do not have to use an app to access your health information. You can contact your provider or health plan for information.
It depends on the app you choose. Some apps will collect your health data. This includes (but is not limited to):
- claims
- medications
- diagnoses
- procedures
- doctor visits
You give the app permission to collect your health information when you sign up for it. The app’s Notice of Privacy Practices should tell you what information it collects.
The app's Notice of Privacy Practices should tell you what information it collects. Apps do have the ability to collect non-health data, such as your location. Some apps give you the option to provide that information. We suggest that you ask your app provider.
If a family member is linked to your health account, there is a chance that their health information will be shared.
You will need to contact your provider or health plan. The app only makes data available from healthcare sources. The app does not create this data.
We suggest that you ask the app provider for their Notice of Privacy Practices.
Most apps will not be covered by HIPAA. They will instead be covered by the Federal Trade Commission (FTC) and the protections provided by the FTC Act. The FTC Act protects against deceptive acts. For example, if an app shares personal data without permission. This is even though the privacy policy says it will not do so.
For more information:
- The FTC has information about mobile app privacy and security for consumers on their websites (This is an external link that will take you outside the Oklahoma Complete Health website.)
- For apps subject to HIPAA, the HHS.gov website (This is an external link that will take you outside the Oklahoma Complete Health website.) has information about HIPAA patient rights and who is obligated to follow HIPAA
- The HHS.gov website (This is an external link that will take you outside the Oklahoma Complete Health website.) also has HIPAA FAQs for Individuals
We suggest that you request a Notice of Privacy Practices from the app provider to understand your rights.
We suggest that you request a Notice of Privacy Practices from the app provider. This is so that you can understand how they respond to a privacy and security incident. You have the right to file a complaint with enforcement agencies including the Office for Civil Rights (OCR) and the Federal Trade Commission (FTC).
Most apps will not be covered by HIPAA. They will instead be covered by the Federal Trade Commission (FTC) and the protections provided by the FTC Act. The FTC Act protects against deceptive acts. For example, if an app shares personal data without permission. This is even though the privacy policy says it will not do so.
For more information:
- To learn more about filing a complaint with OCR under HIPAA, visit the HHS.gov (This is an external link that will take you outside the Oklahoma Complete Health website.) website
- Individuals can file a complaint with OCR using the OCR complaint portal (This is an external link that will take you outside the Oklahoma Complete Health website.)
- Individuals can file a complaint with the FTC using the FTC complaint assistant (This is an external link that will take you outside the Oklahoma Complete Health website.)
The purpose of the app is for you to see your health data in one place. We suggest that you request a Notice of Privacy Practices to understand how the app will use your data.
We suggest that you request a Notice of Privacy Practices from the app provider to understand if the app will share your data with third parties.
We suggest that you request a Notice of Privacy Practices from the app provider. This is so that you can understand what happens to your data after you stop using the app.
The best way to stop sharing data is through the app or by contacting the app’s support. If this doesn’t work, call Oklahoma Complete Health member services.
We suggest that you request a Notice of Privacy Practices from the app provider. This is so you can understand if the app will share your data with third parties for advertising or research.
App providers may respond to complaints in different ways. We suggest that you ask your app provider this question.
We suggest that you request a Notice of Privacy Practices from the app provider. This is so you can understand how the app stores your data.
We suggest that you request a Notice of Privacy Practices and additional information on security practices from the app provider. This is so you can understand how they handle a security incident.
We suggest that you request a Notice of Privacy Practices from the app provider. This is so you can understand how to limit the use and release of your data.