D.C. Municipal Regulations (Last Updated: September 13, 2017) |
Title 22. HEALTH |
SubTilte 22-B. PUBLIC HEALTH AND MEDICINE |
Chapter 22-B55. STANDARDS FOR PREPAID PROVIDERS QUALIFYING TO SERVE DISTRICT OF COLUMBIA MEDICAID RECIPIENTS |
Section 22-B5514. CONFIDENTIALITY OF INFORMATION
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5514.1 All information, records and data collected and maintained by the QO or its subcontractors relating to enrollees shall be protected by the QO from unauthorized disclosure.
5514.2 Except as otherwise provided in Federal law or regulations, use or disclosure of information concerning enrollees shall be restricted to purposes directly connected with the administration of the Medicaid program.
5514.3 Purposes directly related to the Medicaid program shall include the following:
(a)Establishing eligibility;
(b)Providing services; or
(c)Conducting or assisting in a investigation, prosecution, civil or criminal proceeding relating to the administration of the Medicaid program.
5514.4 The type of information to be safeguarded shall include at least the following:
(a)Names and addresses of enrollees;
(b)Medical services provided;
(c)Medical data; and
(d)Social and economic conditions and circumstances.