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Adult Medicaid Manual MA-300 CONFIDENTIALITY

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VIII. RELEASE OF INFORMATION WITHOUT CLIENT CONSENT CHART

Information May Be Released To The Following:

Type of Information

 

Purpose

Eligibility Status

Explanation of DSS Action (Case specific)

Personal Info

3rd Party Info

“Confidential” “Do Not Release” or SSA

 

Appeal

Fraud

Other Crimes

Billing

MA

Billing Client

County, State and Federal dss staff for the purpose of administering the programs of public assistance and social services

Yes Yes Yes No Yes Yes No Yes Yes

Yes, if client moves from one county to another. Information may also be shared for the purposes of taking courtesy applications. Info may be shared with other states to establish residency or avoid duplicate benefits or dual participation.

Other federal, state, local employees

Yes, if necessary to the administration of the program. Examples: DMA monitors, financial auditors, CMS and DDS employees reviewing cases, state and regional DMA/DSS eligibility staff for supervision/reporting

A/R & A/R’s authorized rep. (parent, legal guardian, POA, executor)

Yes

Yes

Yes

No. Must be advised if info withheld

 

Yes, if info is used as evidence

Yes

No

Yes

Yes

Providers enrolled in Medicaid (hosps., drs., labs, health depts., etc.)

Yes

No

No

No

 

No

No

No

Yes

Yes

Providers not enrolled in Medicaid

No

No

No

No

 

No

No

No

No

No

Law Enforcement personnel

No No No No No No No No No

unless there is a subpoena or court order signed by a judge

Social Security Administration:

only for ssi
recipients

Yes

Yes

Yes

No

 

No

No

No

No

No

Other agencies, ex. housing, INS, legal services, school lunch, WIC (not enrolled as providers)

No

No

No

No

 

No

No

No

No

No

REISSUED 10/01/11 – CHANGE NO. 18-11

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