Consent and Confidentiality

• Any email communications containing private health or sensitive information (PHI/SI) must be sent to Vaya Health securely. Vaya uses Zixmail to send and receive secure email. More information about Vaya Health Zixmail can be found on our website
• Providers must ensure an appropriate Release of Information (ROI) or consents are in place when sharing information and completing NC-TOPPS
• The primary provider agency may share a member’s PHI only with those provider agencies explicitly named on the signed consent form
• When requesting NC-TOPPS be switched to your agency, you must provide an ROI. The ROI must have the name of the agency who is providing the information (Vaya Health), the name of the agency receiving the information (Your agency) and what information is being sent/received (NC-TOPPS)
• The ROI form must be renewed at least annually

View example ROI below

The below example is a partial Release of Information form. The purpose of this example is to demonstrate how to fill out the following fields on your agency’s ROI for NC-TOPPS. This is not indented to be a complete ROI.