JUSTIFICATION FOR ACCESS. A. Federal requirements: Suggested Citation (if applicable) B. State requirements: Suggested Citation; (if applicable)
JUSTIFICATION FOR ACCESS. A. Federal requirements: Section 1902(a)(7) of the Social Security Act (as amended) provides for safeguards which restrict the use or disclosure of information concerning Medicaid applicants and recipients to purposes directly connected with the administration of the State plan. Regulations at 42 CFR 431.302 specify the purposes directly related to State plan administration. These include (a) establishing eligibility; (b) determining the amount of medical assistance; providing services for recipients; and (d) conducting or assisting an investigation, prosecution, or civil or criminal proceeding related to the administration of the plan. If the State Medicaid agency is a party to this agreement, specifically as the provider of information being sought by the requestor, it must be demonstrated in this section how the disclosure of information meets the above requirements. An example of permissible data matching/sharing arrangements is the matching of data with a registry of vaccines or diseases for the purposes of improving outreach or expanding Medicaid coverage of populations being served under Medicaid. States should identify any additional requirements that are needed for the release of additional data in this section.
JUSTIFICATION FOR ACCESS. This agreement is authorized by law under section 1902(a)(7) of the Social Security Act. Section 1902(a)(7) of the Social Security Act mandates that a State Medicaid Plan provide safeguards that restrict the use or disclosure of information concerning applicants and recipients to purposes directly connected with the administration of the Plan. This agreement implements this statute by allowing the Agency to disclose the data necessary for the administration of the Medicaid program.
JUSTIFICATION FOR ACCESS. Medicaid has given a notice of intent to award to pursuant to Medicaid’s efforts to provide for the delivery of medical services to Medicaid beneficiaries on a managed care basis through the Alabama Coordinated Health Network (ACHN) case management entity. must meet specific requirements to move forward as a fully certified ACHN. To meet these benchmarks, is in need of Medicaid data for use in becoming a fully certified ACHN.
JUSTIFICATION FOR ACCESS. A. Federal requirements: Section 1902(a)(7) of the Social Security Act (as amended) provides for safeguards which restrict the use or disclosure of information concerning Medicaid applicants and recipients to purposes directly connected with the administration of the State plan. Regulations at 42 CFR 431.302 specify the purposes directly related to State plan administration. These include (a) establishing eligibility; (b) determining the amount of medical assistance; providing services for recipients; and (d) conducting or assisting an investigation, prosecution, or civil or criminal proceeding related to the administration of the plan. If the State Medicaid agency is a party to this agreement, specifically as the provider of information being sought by the requestor, it must be demonstrated in this section how the disclosure of information meets the above requirements.
JUSTIFICATION FOR ACCESS. In this section, the requestor provides justification under the terms and conditions of the ASTD Framework for access to the Data
JUSTIFICATION FOR ACCESS. This agreement is authorized under the Health Insurance Portability and Accountability Act of 1996 (HIPAA), as amended, and associated federal regulations, specifically 45 CFR § 164.514 regarding disclosure of limited data sets.
