23 Miss. Code. R. 100-3.3 - Access to Information
A. The beneficiary
or their authorized representative may have access to information in the
eligibility case record to either review the file or request copies of
information from the file, in certain situations and under specified conditions
as required by the Health Insurance Portability and Accountability Act (HIPAA)
of 1996. The privacy restrictions for protected health information (PHI) under
HIPAA are specific regarding the disclosure of information to and on behalf of
a Medicaid beneficiary. Privacy policies and procedures for all disclosures and
the authorization forms required prior to the release of case record
information are located in the HIPAA Privacy Policies Manual and the HIPAA
Privacy Procedures Manual.
B. The
HIPAA Privacy Procedures Manual outlines requirements for the release of
information, with or without consent of the beneficiary, and the type and
amount of information that is allowed to be released to or for:
1. A Medicaid beneficiary.
2. A Personal Representative of a beneficiary
as defined by HIPAA.
3. A legal
representative of a beneficiary.
4.
A parent or guardian of a minor child.
5. Law enforcement agencies or
officials.
6. Public
authorities.
7. A judicial or
administrative hearing.
8. Federal
or state agencies.
9. Audits or
compliance reviews.
10. Legislators
or elected officials.
11. Providers
and their contractors.
Notes
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