Ala. Admin. Code r. 560-X-27-.01

Current through Register Vol. 43, No. 1, October 31, 2024

Section 560-X-27-.01 - Confidential Materials - Applicant And Recipient Data

(1) Information regarding Medicaid applicants and recipients is required to be safeguarded by Section 1902(a)(7) of the Social Security Act (SSA), 42 CFR Part 431 Subpart F, the Health Insurance Portability and Accountability Act (HIPAA), and 45 CFR Part 164 . Confidential materials or categories of information relating to Medicaid applicants and recipients include, but are not limited to, the following:

(a) Lists of names, addresses, and Medicaid eligibility numbers;

(b) Medical services provided;

(c) Social and economic conditions and circumstances;

(d) Medicaid or other State or Federal government agency evaluation of personal information;

(e) Medicaid data, including but not limited to, diagnosis and past history of disease or disability;

(f) Fair hearing records.

(2) Confidential information relating to applicants and recipients may be used or disclosed only for purposes directly connected with the administration of the State Plan and in accordance with the Agency HIPAA Privacy Compliance Manual or other appropriate authority.

Author: Bill Butler, General Counsel

Ala. Admin. Code r. 560-X-27-.01

Rule effective October 1, 1982. Emergency rule effective April 5, 1985. Amended effective July 9, 1985. Emergency Rule effective November 16, 1987. Amended effective February 9, 1988. Amended: Filed May 12, 2004; effective June 16, 2004.

Statutory Authority:Code of Ala. 1975, § 41-22-12; 42 C.F.R § 431, Subpart F.