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TO: All Medicaid Providers
RE: Notification of Request for Medical Records from Provider
The Alabama Medicaid Agency (Medicaid) has
created a new form titled “Notification of Request for Medical Records from
Provider.” This form should be used
by all Medicaid providers to notify Medicaid that a recipient has requested
copies of their medical records.
It is the Medicaid provider’s
responsibility to collect all information from the requestor regarding
the purpose and nature of the information being requested and submit this
information to Medicaid. Once the form is faxed, the provider should release
the requested information to the recipient as Medicaid will no longer provide a
response to the provider.
Providers are to ensure that all HIPAA
Privacy and Security rules are met regarding an individual’s “right of access
to inspect and obtain a copy of protected health information about the
individual” (as stated in 45 C.F.R. §164.524).
The “Notification of
Request for Medicaid Records from Provider” form is available on this
webpage: https://medicaid.alabama.gov/content/7.0_Providers/7.1_Third_Party/7.1.4_Release_Information.aspx.
If you should
have any questions regarding this ALERT, please contact Zeffie Smith at (334)
242-5302 or Codie Rowland at (334) 242-5248.
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