D.C. Mun. Regs. tit. 22, r. 22-B5514

Current through Register Vol. 72, No. 2, January 10, 2025

Rule 22-B5514 - CONFIDENTIALITY OF INFORMATION

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.

D.C. Mun. Regs. tit. 22, r. 22-B5514

Final Rulemaking published at 34 DCR 1550, 1564 (March 6, 1987)