New Mexico Administrative Code
Title 8 - SOCIAL SERVICES
Chapter 302 - MEDICAID GENERAL PROVIDER POLICIES
Part 1 - GENERAL PROVIDER POLICIES
Section 8.302.1.18 - PATIENT CONFIDENTIALITY
Current through Register Vol. 35, No. 18, September 24, 2024
A provider is required to comply with the HIPAA privacy regulations. Confidential medical information regarding medicaid information on the applicant or eligible recipient must be released by providers to MAD, and to other state or federal agencies, or their employees at no cost when:
A. the agency is involved in the administration of medicaid;
B. the information is to be used to establish eligibility, determine the amount of assistance or provide services related to medicaid;
C. the agency is subject to the same standards of confidentiality as MAD; and
D. the agency has the actual consent of applicant or eligible recipient or their personal representative for release of the information, or consent is obtained when an eligible recipient or their personal representative or a member of the assistance group makes application for benefits or services with the HCA.