IC 12-15-27
Chapter 27. Confidentiality and Release of Information
IC 12-15-27-1 Medicaid applicants and recipients; confidential records and
documents
Sec. 1. The following concerning a Medicaid applicant or
recipient under the Medicaid program are confidential, except as
otherwise provided in this chapter:
(1) An application.
(2) An investigation report.
(3) An information.
(4) A record. As added by P.L.2-1992, SEC.9.
IC 12-15-27-2 Authorized use and disclosure of confidential information
Sec. 2. The use and the disclosure of the information described in
this chapter to persons authorized by law in connection with the
official duties relating to:
(1) financial audits;
(2) legislative investigations; or
(3) other purposes directly connected with the administration of
the plan;
is permitted. As added by P.L.2-1992, SEC.9.
IC 12-15-27-3 Release and use of general information
Sec. 3. (a) The release and use of information of a general nature
shall be provided as needed for adequate interpretation or
development of the Medicaid program.
(b) The information under subsection (a) includes the following:
(1) Total Medicaid expenditures.
(2) The number of recipients.
(3) Statistical and social data used in connection with studies.
(4) Reports or surveys on health and welfare problems. As added by P.L.2-1992, SEC.9.
IC 12-15-27-4 Report of recipients' names, identification numbers, and monthly
amount of medical assistance received; public record; requests to
examine
Sec. 4. (a) The office shall keep a file that contains a report
showing the name and identification number of each recipient and
the amount of medical assistance received each month under the
Medicaid program.
(b) The report under subsection (a) is a public record open to
public inspection at all times during the regular office hours of the
office.
(c) A person who desires to examine a record, other than in
pursuance of official duties as provided under Medicaid, must sign
a written request to examine the record. The request must contain an
agreement on the part of the signer that the signer will not utilize
information gained from the information for religious, commercial,
or political purposes. As added by P.L.2-1992, SEC.9.
IC 12-15-27-5 Eligibility for federal financial participation; limitations on
chapter; rules
Sec. 5. (a) If it is established that this chapter causes the state
Medicaid plan to be ineligible for federal financial participation, the
provision is limited or restricted to the extent that is essential to
make the plan eligible for federal financial participation.
(b) The secretary shall establish rules under IC 4-22-2 that are
necessary to carry out this section. As added by P.L.2-1992, SEC.9.
IC 12-15-27-6 Eligibility information; immediate access systems
Sec. 6. The office shall make available the following for providing
health care providers with immediate access to information
indicating whether an individual is eligible for Medicaid:
(1) A twenty-four (24) hour telephone system.
(2) A computerized data retrieval system. As added by P.L.2-1992, SEC.9.
IC 12-15-27-7 Limitations on eligibility information available through immediate
access systems
Sec. 7. Information released under section 6 of this chapter is
limited to the following:
(1) Disclosure of whether an individual has been determined to
be eligible for Medicaid or whether the individual has an
application pending.
(2) The date the individual became eligible for Medicaid and
the individual's Medicaid number.
(3) Restrictions, if any, on the scope of services to be
reimbursed under the Medicaid program for the individual.
(4) Information concerning third party liability. As added by P.L.2-1992, SEC.9.
IC 12-15-27-8 Eligibility information obtained by health care providers;
confidentiality
Sec. 8. Information obtained by a health care provider under this
chapter concerning an individual's eligibility for Medicaid is
confidential and may not be disclosed to any person. As added by P.L.2-1992, SEC.9. IC 12-15-27-8.5 Use and disclosure of voter registration records
Sec. 8.5. A person may not examine, disclose, or use any record
described in this chapter concerning voter registration except in the
manner permitted under IC 12-15-1.5. As added by P.L.12-1995, SEC.122.
IC 12-15-27-9 Eligibility information access and confidentiality; rules
Sec. 9. The secretary shall adopt rules under IC 4-22-2 necessary
to carry out sections 6, 7, and 8 of this chapter. As added by P.L.2-1992, SEC.9.
IC 12-15-27
Chapter 27. Confidentiality and Release of Information
IC 12-15-27-1 Medicaid applicants and recipients; confidential records and
documents
Sec. 1. The following concerning a Medicaid applicant or
recipient under the Medicaid program are confidential, except as
otherwise provided in this chapter:
(1) An application.
(2) An investigation report.
(3) An information.
(4) A record. As added by P.L.2-1992, SEC.9.
IC 12-15-27-2 Authorized use and disclosure of confidential information
Sec. 2. The use and the disclosure of the information described in
this chapter to persons authorized by law in connection with the
official duties relating to:
(1) financial audits;
(2) legislative investigations; or
(3) other purposes directly connected with the administration of
the plan;
is permitted. As added by P.L.2-1992, SEC.9.
IC 12-15-27-3 Release and use of general information
Sec. 3. (a) The release and use of information of a general nature
shall be provided as needed for adequate interpretation or
development of the Medicaid program.
(b) The information under subsection (a) includes the following:
(1) Total Medicaid expenditures.
(2) The number of recipients.
(3) Statistical and social data used in connection with studies.
(4) Reports or surveys on health and welfare problems. As added by P.L.2-1992, SEC.9.
IC 12-15-27-4 Report of recipients' names, identification numbers, and monthly
amount of medical assistance received; public record; requests to
examine
Sec. 4. (a) The office shall keep a file that contains a report
showing the name and identification number of each recipient and
the amount of medical assistance received each month under the
Medicaid program.
(b) The report under subsection (a) is a public record open to
public inspection at all times during the regular office hours of the
office.
(c) A person who desires to examine a record, other than in
pursuance of official duties as provided under Medicaid, must sign
a written request to examine the record. The request must contain an
agreement on the part of the signer that the signer will not utilize
information gained from the information for religious, commercial,
or political purposes. As added by P.L.2-1992, SEC.9.
IC 12-15-27-5 Eligibility for federal financial participation; limitations on
chapter; rules
Sec. 5. (a) If it is established that this chapter causes the state
Medicaid plan to be ineligible for federal financial participation, the
provision is limited or restricted to the extent that is essential to
make the plan eligible for federal financial participation.
(b) The secretary shall establish rules under IC 4-22-2 that are
necessary to carry out this section. As added by P.L.2-1992, SEC.9.
IC 12-15-27-6 Eligibility information; immediate access systems
Sec. 6. The office shall make available the following for providing
health care providers with immediate access to information
indicating whether an individual is eligible for Medicaid:
(1) A twenty-four (24) hour telephone system.
(2) A computerized data retrieval system. As added by P.L.2-1992, SEC.9.
IC 12-15-27-7 Limitations on eligibility information available through immediate
access systems
Sec. 7. Information released under section 6 of this chapter is
limited to the following:
(1) Disclosure of whether an individual has been determined to
be eligible for Medicaid or whether the individual has an
application pending.
(2) The date the individual became eligible for Medicaid and
the individual's Medicaid number.
(3) Restrictions, if any, on the scope of services to be
reimbursed under the Medicaid program for the individual.
(4) Information concerning third party liability. As added by P.L.2-1992, SEC.9.
IC 12-15-27-8 Eligibility information obtained by health care providers;
confidentiality
Sec. 8. Information obtained by a health care provider under this
chapter concerning an individual's eligibility for Medicaid is
confidential and may not be disclosed to any person. As added by P.L.2-1992, SEC.9. IC 12-15-27-8.5 Use and disclosure of voter registration records
Sec. 8.5. A person may not examine, disclose, or use any record
described in this chapter concerning voter registration except in the
manner permitted under IC 12-15-1.5. As added by P.L.12-1995, SEC.122.
IC 12-15-27-9 Eligibility information access and confidentiality; rules
Sec. 9. The secretary shall adopt rules under IC 4-22-2 necessary
to carry out sections 6, 7, and 8 of this chapter. As added by P.L.2-1992, SEC.9.
IC 12-15-27
Chapter 27. Confidentiality and Release of Information
IC 12-15-27-1 Medicaid applicants and recipients; confidential records and
documents
Sec. 1. The following concerning a Medicaid applicant or
recipient under the Medicaid program are confidential, except as
otherwise provided in this chapter:
(1) An application.
(2) An investigation report.
(3) An information.
(4) A record. As added by P.L.2-1992, SEC.9.
IC 12-15-27-2 Authorized use and disclosure of confidential information
Sec. 2. The use and the disclosure of the information described in
this chapter to persons authorized by law in connection with the
official duties relating to:
(1) financial audits;
(2) legislative investigations; or
(3) other purposes directly connected with the administration of
the plan;
is permitted. As added by P.L.2-1992, SEC.9.
IC 12-15-27-3 Release and use of general information
Sec. 3. (a) The release and use of information of a general nature
shall be provided as needed for adequate interpretation or
development of the Medicaid program.
(b) The information under subsection (a) includes the following:
(1) Total Medicaid expenditures.
(2) The number of recipients.
(3) Statistical and social data used in connection with studies.
(4) Reports or surveys on health and welfare problems. As added by P.L.2-1992, SEC.9.
IC 12-15-27-4 Report of recipients' names, identification numbers, and monthly
amount of medical assistance received; public record; requests to
examine
Sec. 4. (a) The office shall keep a file that contains a report
showing the name and identification number of each recipient and
the amount of medical assistance received each month under the
Medicaid program.
(b) The report under subsection (a) is a public record open to
public inspection at all times during the regular office hours of the
office.
(c) A person who desires to examine a record, other than in
pursuance of official duties as provided under Medicaid, must sign
a written request to examine the record. The request must contain an
agreement on the part of the signer that the signer will not utilize
information gained from the information for religious, commercial,
or political purposes. As added by P.L.2-1992, SEC.9.
IC 12-15-27-5 Eligibility for federal financial participation; limitations on
chapter; rules
Sec. 5. (a) If it is established that this chapter causes the state
Medicaid plan to be ineligible for federal financial participation, the
provision is limited or restricted to the extent that is essential to
make the plan eligible for federal financial participation.
(b) The secretary shall establish rules under IC 4-22-2 that are
necessary to carry out this section. As added by P.L.2-1992, SEC.9.
IC 12-15-27-6 Eligibility information; immediate access systems
Sec. 6. The office shall make available the following for providing
health care providers with immediate access to information
indicating whether an individual is eligible for Medicaid:
(1) A twenty-four (24) hour telephone system.
(2) A computerized data retrieval system. As added by P.L.2-1992, SEC.9.
IC 12-15-27-7 Limitations on eligibility information available through immediate
access systems
Sec. 7. Information released under section 6 of this chapter is
limited to the following:
(1) Disclosure of whether an individual has been determined to
be eligible for Medicaid or whether the individual has an
application pending.
(2) The date the individual became eligible for Medicaid and
the individual's Medicaid number.
(3) Restrictions, if any, on the scope of services to be
reimbursed under the Medicaid program for the individual.
(4) Information concerning third party liability. As added by P.L.2-1992, SEC.9.
IC 12-15-27-8 Eligibility information obtained by health care providers;
confidentiality
Sec. 8. Information obtained by a health care provider under this
chapter concerning an individual's eligibility for Medicaid is
confidential and may not be disclosed to any person. As added by P.L.2-1992, SEC.9. IC 12-15-27-8.5 Use and disclosure of voter registration records
Sec. 8.5. A person may not examine, disclose, or use any record
described in this chapter concerning voter registration except in the
manner permitted under IC 12-15-1.5. As added by P.L.12-1995, SEC.122.
IC 12-15-27-9 Eligibility information access and confidentiality; rules
Sec. 9. The secretary shall adopt rules under IC 4-22-2 necessary
to carry out sections 6, 7, and 8 of this chapter. As added by P.L.2-1992, SEC.9.
