Confidentiality: HIPAA – Frequently Asked Questions

Q1. I am a Family Services Specialist and am working with an elderly SNAP client. Can I request a billing statement from a pharmacist to determine a medical deduction for the SNAP case?
Yes, but you will need to assist your client in completing and signing an Authorization to Disclose Medical Records form. This new form is HIPAA –compliant and replaces Section IV of the 08AD060E (formerly the ADM-60). It is codified as 08HI003E (HIPAA-3) and can be found on the InfoNet in the HIPAA folder.
Q2. Do Family Services Specialists need to give the Privacy Notice to all Medicaid recipients?
No. The 08HI001E, (HIPAA-1) Privacy Notice, must be displayed in the reception area and a copy provided to anyone who specifically requests one. Only our employees who provide direct health care (nurses, case managers, etc.) are required to give each client a Privacy Notice. The Oklahoma Health Care Authority mails their Privacy Notice to all Medicaid recipients, but OKDHS is not required to do a mass mailing.
Q3. How does HIPAA affect fair hearings that may involve protected health information?
No one can attend a fair hearing except the client, his or her personal representative, the hearing officer, and the OKDHS representative(s), unless the client gives permission.
Q4. We are getting many provider requests for medical ID numbers to file claims because our notices and authorizations do not include the new personal medical ID numbers. Are we allowed to provide the medical ID numbers without permission from the client?
Yes, because it is for the purpose of payment, which HIPAA says we can disclose to the provider without the client’s permission.
Was this article helpful?

Comments or Suggestions?

We want Quest to be your source for important information that you need to succeed at in your work but we need your help:

Was this article helpful? Was it missing something you needed to get the job done?

Tell us what you think, what you know about this article. What are we doing well, and what we could do better.

All fields are required.