Adult Medicaid Manual MA-300 CONFIDENTIALITY

II. REQUIREMENTS

Federal and state laws require states to provide safeguards to restrict the use or disclosure of information concerning Medicaid applicants and recipients. No information may be released from the client’s eligibility record that identifies a specific applicant/recipient except for purposes directly connected with the administration of programs of public assistance and social services. These programs are: Work First (WF), Special Assistance (SA), Food and Nutrition Services (FNS), Medicaid, and Foster Care and Adoption Payment Services.

A. Purposes directly related to the administration of the programs include:

1. Establishing eligibility;

2. Determining the amount of assistance;

3. Providing services to recipients of social services, including transportation for Medicaid covered services;

4. Conducting or assisting in an investigation, prosecution and civil or criminal proceedings related to the programs.

REVISED 04/01/2009 – CHANGE NO. 06-09

(II.)

B. Information Not Considered Confidential

County and state agencies may release general information to anyone requesting it if the information does not identify specific clients. Examples of information that is not confidential include:

1. Non-identifying statistical information, such as number of Medicaid recipients in a county, or average expenditures per recipient in a specific category.

2. General information about the scope of any programs administered by the Division of Medical Assistance (DMA), such as covered services or managed care options.

3. Written policy relevant to the administration of the Medicaid program, such as Medicaid eligibility policy manuals.







For questions or clarification on any of the policy contained in these manuals, please contact your local county office.