Under Michigan's Medical Records Access Act, when a patient submits a written request for a copy of their medical record and the record IS maintained on-site, how quickly must the health care provider or health facility respond?
A. As promptly as required under the circumstances, but not later than 30 days after receipt of the request
B. Within 10 business days, with no extension permitted
C. Within 60 days, matching the outer limit under HIPAA's Privacy Rule
D. Within 15 days for paper records and 5 days for electronic records
Source: MCL 333.26265 (Medical Records Access Act, Sec. 5)
A workforce member at a Michigan practice needs to know which provider types are NOT covered by the state's Medical Records Access Act (meaning a different Michigan statute governs a patient's right to those records). Which of the following is excluded from the Act's definition of "health care provider"?
A. A psychiatrist, psychologist, social worker, or professional counselor who provides only mental health services
B. A hospital medical records department
C. A licensed physical therapist
D. A licensed dentist
Source: MCL 333.26263(e) (Medical Records Access Act, Sec. 3 definitions)
Under the Medical Records Access Act's fee provisions, which statement about an "initial fee" for copying a medical record is correct?
A. A provider may charge an initial fee, but only up to the same amount as the per-page copying fee
B. Providers may never charge any fee to any requester, including authorized representatives
C. A provider may charge an initial fee to an authorized representative, but shall not charge a patient an initial fee for their own medical record
D. The initial fee may be charged only if the patient requests records that are more than 7 years old
Source: MCL 333.26269 (Medical Records Access Act, Sec. 9)
A Michigan patient who receives public assistance and is documented as medically indigent asks for a copy of their record. What does the Medical Records Access Act require regarding fees for that request?
A. The provider may charge the standard fee schedule regardless of indigent status
B. The provider must waive all fees for the medically indigent individual, limited to one set of copies per provider, facility, or medical records company
C. The provider must reduce the fee by half but may still charge for postage
D. Indigent status only waives the per-page copying fee, not the initial fee
Source: MCL 333.26269(3) (Medical Records Access Act, Sec. 9)
Under Michigan's Mental Health Code, information in a recipient's mental health record and other information acquired while providing mental health services is treated how, as a general default rule?
A. Open to public inspection unless the recipient specifically objects
B. Confidential only for minors; adult recipients' records are treated as public health data
C. Automatically shared with the recipient's employer for workplace accommodation purposes
D. Kept confidential and not open to public inspection, disclosable outside the record holder only under the circumstances and conditions the Code sets out
Source: MCL 330.1748(1) (Mental Health Code, Sec. 748)
