23 Miss. Code. R. 100-3.5 - Protected Health Information
A. Protected Health
Information (PHI) is information created or received by the Division of
Medicaid that identifies an individual or for which there is a reasonable basis
to believe an individual can be identified, is transmitted or maintained by
electronic media or in any other form, with the exception of any such records
held by the Division of Medicaid in its role as an employer or regarding a
person who has been deceased for more than 50 years, and relates to the
following:
1. The past, present, or future
physical or mental health or condition of an individual,
2. The provision of health care to an
individual, or
3. The past,
present, or future payment for the provision of health care to an
individual;
B. Protected
Health Information (PHI) consists of eligibility/financial and/or medical
information and includes, but is not limited to, the following information:
1. Eligibility information:
a) Name and address of applicants and
beneficiaries,
b) Social and
economic conditions or circumstances,
c) Evaluation of personal information such as
financial status, citizenship, residence, age and other demographic
characteristics,
d) Information
received in connection with the identification of legally liable third-party
resources,
e) Information received
for verifying income eligibility and benefit level and
f) Income information verifying income
eligibility and benefit level received from the Social Security Administration,
the Veteran's Administration, State Retirement Board, or Medicare. Information
provided by these agencies must be safeguarded according to the requirements of
the agency that furnished the data.
2. Medical information:
a) Medical data, including diagnosis and past
history of disease or disability,
b) Medical services provided,
c) Medical status, psychobehavioral status,
and functional ability,
d) Results
of laboratory tests, and
e)
Medication records.
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