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Family and Children's Medicaid MA-3500 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 or a courtesy application is taken. Info may also 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 unless there is a subpoena or court order signed by a judge

No

No

No

No

 

No

No

No

No

No

Social Security Administration:

only for ssi
recipients

Yes

Yes

Yes

No

 

No

No

No

No

No

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

No

No

No

No

 

No

No

No

No

No

REISSUED 10/01/11 – CHANGE NO. 17-11

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


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