Page 1 of 141
BC-TMH EXAM PREP BANK | {LATEST 2026/
2027 UPDATE} COMPLETE ACTUAL AND
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Access
It ought to be equal access. So people with hearing impairment, vision
impairment, dexterity issues, mobility issues. We ought to provide
access and technology actually helps significantly with these things. So
with hearing impairment. We have sign language. We have
interpreters, we have speech to text. And vision impairment. You
could maximize, you know, you can enlarge the text on a screen.
There's keyboards that have really large keys, make it easier to find
with mobility issues. Telemental health obviously very much helps
with that. And then language barriers, interpretive services through
video. And over the phone, makes interpreter services very accessible.
Interpretive services as of now are still very expensive, but they are
certainly available. If people don't have access to technology, we
should try to help them find a way to get equal access to the
technology.
Coverage/on-call services
Providers ought to have back up or services to respond to those in an
urgent situation
,Page 2 of 141
Documentation on website
We ought to write in a way that is easy to understand. Write at a low
grade level of writing because not everybody has the same
capabilities right in terms of reading information, understanding that
Privacy in clinician location
So it's our responsibility to ensure the privacy and security of our
environment. Our office space, which includes investigating our
technology. People do what's called penetration tests, you'll have an
expert in doing this, try to penetrate into your internal network at
your office through the Internet. If you work in an office space with
other clinicians, other people. How do you make sure that someone's
not going to just barge into your office or start knocking on the door?
do you have other clients and clinicians walking right outside your
door and in a corridor where they're going to be loud and you're going
to overhear them?
Limits of confidentiality
imminent risk to themselves or others, or in the case of abuse or if
you're subpoenaed by a judge or if they request that you provide their
,Page 3 of 141
information to someone for them on their behalf or for billing
purposes.
HIPAA
Health Insurance Portability and Accountability Act of 1996
HIPAA compliance means that as a health care provider you comply
with HIPAA law in all of its amendments and related law, such as the
HITEC law, the HITEC Act, which is the Health Information Technology
for Economic and Clinical Health Act.
HIPAA law is regulated and enforced by the Department of Health and
Human Services and under that the Office of Civil Rights.
So if there's a complaint made, they're going to investigate that and
conduct an audit and they could impose some pretty hefty fines.
HIPAA is found in Code of Federal Regulations, it's 45 CFR
42 CFR part 2
if you're a substance abuse treatment provider and you receive
government assistance, like your Medicaid or Medicare. You're a Part
2 provider and you also have to comply with that law; this law
prohibit REDISCLOSURE: if I as a health care provider receive medical
records about a client from another provider of that client, HIPAA
does not prohibit me from redisclosing those same records to another
, Page 4 of 141
provider of that client without authorization. Some states DO require
the clinician to obtain consent before redisclosure however 42 CFR 2
requires you to obtain consent prior to redisclosure of substance
abuse related information. FEDERAL law. NOTE: ACA code of ethics
requires ongoing discussion about who you are disclosing information
to and why/when; what info is being shared.
Current and prospective clients
ACA code of ethics states we have a responsibility to protect the
privacy of current and prospective patients
Counselors disclose information only with appropriate consent or with
sound legal and ethical justification
Redisclosure
HIPAA law does allow clinicians to without authorization or consent
from the client disclose patient information to other providers of that
client. Again, it has to be the minimum necessary information to
achieve the goal of coordinating with the other provider, but without
the consent needed. ACA code of ethics is saying that we ought to get
consent from the clients, or with sound legal and ethical justification,
but it's encouraging with consent. It also says clients are informed
before confidential information is disclosed or involved in the
BC-TMH EXAM PREP BANK | {LATEST 2026/
2027 UPDATE} COMPLETE ACTUAL AND
AUTHENTIC EXAM | BRAND NEW!
Access
It ought to be equal access. So people with hearing impairment, vision
impairment, dexterity issues, mobility issues. We ought to provide
access and technology actually helps significantly with these things. So
with hearing impairment. We have sign language. We have
interpreters, we have speech to text. And vision impairment. You
could maximize, you know, you can enlarge the text on a screen.
There's keyboards that have really large keys, make it easier to find
with mobility issues. Telemental health obviously very much helps
with that. And then language barriers, interpretive services through
video. And over the phone, makes interpreter services very accessible.
Interpretive services as of now are still very expensive, but they are
certainly available. If people don't have access to technology, we
should try to help them find a way to get equal access to the
technology.
Coverage/on-call services
Providers ought to have back up or services to respond to those in an
urgent situation
,Page 2 of 141
Documentation on website
We ought to write in a way that is easy to understand. Write at a low
grade level of writing because not everybody has the same
capabilities right in terms of reading information, understanding that
Privacy in clinician location
So it's our responsibility to ensure the privacy and security of our
environment. Our office space, which includes investigating our
technology. People do what's called penetration tests, you'll have an
expert in doing this, try to penetrate into your internal network at
your office through the Internet. If you work in an office space with
other clinicians, other people. How do you make sure that someone's
not going to just barge into your office or start knocking on the door?
do you have other clients and clinicians walking right outside your
door and in a corridor where they're going to be loud and you're going
to overhear them?
Limits of confidentiality
imminent risk to themselves or others, or in the case of abuse or if
you're subpoenaed by a judge or if they request that you provide their
,Page 3 of 141
information to someone for them on their behalf or for billing
purposes.
HIPAA
Health Insurance Portability and Accountability Act of 1996
HIPAA compliance means that as a health care provider you comply
with HIPAA law in all of its amendments and related law, such as the
HITEC law, the HITEC Act, which is the Health Information Technology
for Economic and Clinical Health Act.
HIPAA law is regulated and enforced by the Department of Health and
Human Services and under that the Office of Civil Rights.
So if there's a complaint made, they're going to investigate that and
conduct an audit and they could impose some pretty hefty fines.
HIPAA is found in Code of Federal Regulations, it's 45 CFR
42 CFR part 2
if you're a substance abuse treatment provider and you receive
government assistance, like your Medicaid or Medicare. You're a Part
2 provider and you also have to comply with that law; this law
prohibit REDISCLOSURE: if I as a health care provider receive medical
records about a client from another provider of that client, HIPAA
does not prohibit me from redisclosing those same records to another
, Page 4 of 141
provider of that client without authorization. Some states DO require
the clinician to obtain consent before redisclosure however 42 CFR 2
requires you to obtain consent prior to redisclosure of substance
abuse related information. FEDERAL law. NOTE: ACA code of ethics
requires ongoing discussion about who you are disclosing information
to and why/when; what info is being shared.
Current and prospective clients
ACA code of ethics states we have a responsibility to protect the
privacy of current and prospective patients
Counselors disclose information only with appropriate consent or with
sound legal and ethical justification
Redisclosure
HIPAA law does allow clinicians to without authorization or consent
from the client disclose patient information to other providers of that
client. Again, it has to be the minimum necessary information to
achieve the goal of coordinating with the other provider, but without
the consent needed. ACA code of ethics is saying that we ought to get
consent from the clients, or with sound legal and ethical justification,
but it's encouraging with consent. It also says clients are informed
before confidential information is disclosed or involved in the
