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Compliance with the Confidentiality of Substance Use Disorder Patient Records Rule (42 C.F.R. Part 2)

Providers who treat or diagnose patients for Substance Use Disorders (SUD) or refer patients for treatment of SUDs are subject to the Confidentiality of Substance Use Disorder Patient Records Rule (42 C.F.R. Part 2) as a Part 2 Program. Part 2 is intended to protect patients who are receiving treatment for a SUD from adverse consequences of the disclosure of their records. 

In order to comply with 42 C.F.R. Part 2, Providers must obtain appropriate consent(s) from patients and include the Part 2 Disclaimer for any claim containing Patient Identifying Information (PII). By submitting any claim containing PII to Blue Cross Blue Shield of North Dakota (BCBSND), the Provider represents  they have obtained patient consent that meets the requirements established in BCBSND’s Provider Manual. BCBSND reserves the right to deny payment of any claim in the event the Provider fails to obtain such consent.