Current through Vol. 42, No. 1, September 16, 2024
(a)
Purpose. The purpose of this Chapter is to describe rules for the
comprehensive management of Adult and Family Services (AFS) cases.
(b)
Legal basis. Oklahoma Human
Services (OKDHS) maintains the confidentiality of all applications,
information, and records concerning applicants and recipients, per the Oklahoma
Social Security Act located in Sections 161-260 of Title 56 of the Oklahoma
Statutes (56 O.S. §§ 161-260) and the Federal Social Security
Act.
(c)
Custody of
records. All case information including electronic data procured by, or
available to, any OKDHS employee is OKDHS property and is used only in
accordance with the provisions of federal laws, Oklahoma Statutes, and OKDHS
rules.
(1)
Authority to disclose
information. The field manager is responsible for the custody and proper
use of records in the OKDHS office. All requests for information from an OKDHS
record are referred to the field manager, unless the request originates within
OKDHS in carrying out its regular functions. Employees of each OKDHS division
may exchange necessary information when working with the same family or a
related case to provide benefits and services.
(2)
Safeguarding case
information. OKDHS employees safeguard case information, per Oklahoma
Administrative Code (OAC)
340:1-1-20, OKDHS:2-41-15,
OKDHS:2-45, OAC
340:65-3-6, and as provided in
(A) through (D) of this paragraph.
(A) The
field manager is:
(i) the custodian of client
records assigned to and located in an OKDHS office, or processed at an
alternate work location; and
(ii)
responsible for:
(I) taking reasonable
precautions to ensure the confidentiality and proper use of client case
information; and
(II) ensuring
employees know OKDHS rules regarding safeguarding client case information and
when and to whom information may be released.
(B) Per OKDHS:2-1-301, alternate work
locations must be capable of safeguarding case information. When an alternate
work location does not meet safeguarding standards, case information is not
received, stored, or processed at that location.
(C) Practices for safeguarding information
include:
(i) secure records storage in locked
buildings, rooms, and containers;
(ii) securely storing OKDHS-owned electronic
equipment;
(iii) controlling or
restricting access to areas containing case information;
(iv) case information is:
(I) secured in a storage area, such as in a
desk or file cabinet, when an employee is not present;
(II) not stored on any electronic device or
storage media that is not OKDHS property;
(III) not emailed outside of OKDHS unless it
is encrypted; and
(IV) destroyed in
secure destruction bins when in paper form, after it is no longer needed or
required; and
(v)
providing reasonable privacy or restricted viewing of electronic data visible
on computer screens or mobile devices.
(D) Information that must be safeguarded
includes:
(i) names and addresses, including
lists;
(ii) information contained
in an application;
(iii)
investigation reports;
(iv) medical
data including, but not limited to, diagnosis and past history of disease and
disability;
(v) correspondence and
other records concerning the condition or circumstances of any person from whom
or about whom information is obtained;
(vi) evaluations of information contained in
(i) through (v) of this subparagraph; and
(vii) all data items available on computer
screens. Disclosure to any unauthorized person is a federal and state
regulation violation. Authorized persons are:
(I) the client;
(II) the client's authorized
representative;
(III) OKDHS
employees;
(IV) authorized
volunteers; and
(V) other agencies'
employees with a contract or agreement that allows access to specific
data.
(3)
Safeguarding federal tax
information (FTI). Per Section 6103 of Title 26 of the United States
Code (26 U.S.C. §
6103), OKDHS safeguards and restricts access
to FTI to persons whose duties or responsibilities require access.
(A) FTI information that is safeguarded
includes:
(i) the client's name;
(ii) the client's Social Security
number;
(iii) Internal Revenue
Service (IRS) reporting firm, company, and political subdivision;
(iv) state agency account number;
(v) income type; and
(vi) the amount of income or
resources.
(B) AFS
restricts FTI access to designated AFS FTI specialists who complete a favorably
adjudicated suitability or security background investigation prior to handling
FTI and every five years thereafter. At a minimum, the background investigation
must be at a tier-two level as designated by federal investigative standards
and include:
(i) the results of a Federal
Bureau of Investigation (FBI) fingerprint check using Form FD-258, FBI
Applicant Fingerprint Card, from the state identification bureau. In Oklahoma,
the Oklahoma State Bureau of Investigation Criminal Identification Section is
the agency authorized to conduct FBI fingerprinting. The fingerprint results
check the employee's criminal history in all 50 states;
(ii) a check of local law enforcement
agencies where the employee lived, worked, or attended school within the last
five years to identify trends of misbehavior and any identified
arrests;
(iii) validating the
employee's identity and eligibility to legally work in the United States
(U.S.). New employees must complete the U.S. Citizenship and Immigration
Services Form I-9, Employment Eligibility Verification, and be processed
through E-Verify within three-business days of completing the form to assist
with verifying the employee's employment status and the documents provided with
Form I-9; and
(iv) completing
another background investigation every five years following the previous
background investigation's completion.
(C) AFS Security (IS) manager reviews a
person's background investigation to determine whether AFS hires a job seeker,
disciplines or terminates an existing employee, or permits or terminates access
to FTI. To evaluate past criminal offenses, felonies, and misdemeanors, the AFS
IS manager considers:
(i) whether OKDHS
learned about the offense during the application or a subsequent
reinvestigation;
(ii) what the
position's duties and FTI access requirements are;
(iii) how much time has passed without a
subsequent charge or conviction relating to a new offense;
(iv) whether the offender complied or is
complying with any probation or parole terms;
(v) whether the offender has paid
restitution; and
(vi) how any
extenuating circumstances the offender offers mitigate the offense.
(D) Information safeguarding
practices include:
(i) securing FTI, such as
any written, typed, photocopied, or printed information from the Income
Eligibility Verification System-Internal Revenue Service (IEVS-IRS), and
Beneficiary and Earnings Data Exchange System (BENDEX) in a storage area, such
as in a locked desk or file cabinet;
(ii) not viewing or storing FTI on any
electronic device that is not OKDHS or state of Oklahoma property;
(iii) not printing or maintaining FTI in a
non-electronic format;
(iv) not
emailing FTI;
(v) not faxing
FTI;
(vi) not sharing FTI in
unapproved applications, such as Microsoft Office 365 applications including,
but not limited to, Outlook, Yammer, Teams, SharePoint, OneDrive, and Planner;
and
(vii) not bypassing access
controls to enter a restricted area that contains FTI.
(E) FTI disclosure in violation of the
guidelines specified in IRS Publication 1075, is a felony punishable by a fine
in an amount not exceeding $5,000 or imprisonment of not more than five years,
or both, together with the prosecution costs. Further, an AFS FTI specialist
may lose access to FTI and be subject to disciplinary action, per OKDHS:2-1-7,
when the specialist:
(i) does not properly
safeguard FTI;
(ii) does not
complete or pass the annual favorably adjudicated suitability or security
background investigation; or
(iii)
releases FTI to an unauthorized person(s), per
26 U.S.C. §
7213.
(4)
Nature of information to be made
available. General information not identified with any particular person
or group of persons, such as total expenditures made, number of recipients, and
other statistical information and social data contained in reports or surveys
do not fall within the material to be safeguarded.
(A) Requested information is released to
representatives of other agencies that are authorized by federal law or
Oklahoma Statutes to have the information. Information may be released to other
agencies only when they give assurance that the:
(i) confidential character of the information
is preserved;
(ii) information is
used only for purposes related to administering the assistance program and the
inquiring agency's functionality; and
(iii) protection standards their agency
establishes are equal to those OKDHS establishes, regarding both how their
employees use the information and their protective procedures
provisions.
(B) Client
addresses may be disclosed to federal, state, and local law enforcement
officers who furnish the client's name, Social Security number, and notify
OKDHS that the location or apprehension of the client is within their official
duties and that the client is:
(i) a fugitive
felon who is fleeing to avoid prosecution, custody, or confinement after
conviction; or
(ii) violating a
probation or parole condition.
(C) The days and hours a child is approved
for the Child Care Subsidy Program may be disclosed to a child care
provider.
(D) Upon written request,
information used to establish eligibility that is not otherwise legally
protected is made available to the client or the client's representative during
normal business hours. Confidential information, including the names of persons
who have disclosed information about the client without the client's knowledge,
and the nature or status of pending criminal prosecutions, is
withheld.
(E) Information the
employee obtains from collateral sources, other than public records or the
employee's written evaluation of the client's situation, is not made available
to the client or to any other person without the consent of the person who gave
the information.
(F) Prior to a
fair hearing, the designated OKDHS field employee provides the client with a
copy of the completed hearing summary and documents or other records the
employee plans to present at the hearing.
(5)
Information release at client
request. Upon the client's, or the client representative's, written
request, OKDHS may release client-provided information to the client or the
authorized representative. When an OKDHS employee receives a written inquiry
from an interested person, another agency, or the courts, and the client's
written permission accompanies the inquiry, the employee may furnish the
information when the written release specifies what client-provided information
to release and to whom it may be released.
(6)
Information release to
courts. OKDHS employees may only release case information about the
client in court proceedings upon subpoena, except upon a court official's
request in cases of child abandonment and desertion, child neglect, or
restitution when OKDHS referred such cases to the court. In these situations,
OKDHS employees' testimony is limited to material affecting the administration
of public assistance law except when participating in a case the client or the
client's representative requested and in which the client's personal interests
are at stake.
(A) When a court subpoenas an
OKDHS employee to give testimony based upon OKDHS records, the field manager
confers with OKDHS Legal Services (LS) regarding the proper way to convey to
the court the confidential character of information made available to OKDHS in
the process of administering assistance and OKDHS's duty, per 43A O.S. §
10-110, to protect its records.
(B)
When there is reason to believe the court will not respect the confidential
character of OKDHS records, the field manager communicates immediately with
OKDHS LS to determine the best course of action to take.
(7)
Information release to the District
Attorney (DA). OKDHS employees may release information to the DA as
necessary, to carry out OKDHS rules regarding child support pursuit from a
non-custodial parent. When child support pursuit is required in order for a
client to receive Temporary Assistance for Needy Families benefits or
SoonerCare (Medicaid), AFS employees inform the client of this
requirement.
(8)
Medical
information release. Medical information OKDHS or the Oklahoma Health
Care Authority pays for may be released at the request of the person to whom it
pertains, as well as to another agency to which the person applied for services
with the objective to protect or advance the person's welfare. There is nothing
in federal law or Oklahoma Statutes to prevent a physician from releasing
medical information to the physician's patient or a patient's authorized
representative. In such instances, the physician-patient relationship governs
the physician.
(A) OKDHS LS determines if the
requested medical information may be released under federal regulations and
OKDHS rules.
(B) AFS employees do
not release information obtained from the U.S. Department of Veterans Affairs
or from the Social Security Administration to anyone outside of
OKDHS.
(C) When a client requests a
fair hearing on a medical decision, all medical records or reports considered
in establishing a medical decision are provided to the client or the client's
authorized representative at a reasonable time before the hearing except for
psychological and psychiatric records and medical records regarding alcohol or
substance abuse treatment. Copies of psychological and psychiatric records and
medical records regarding alcohol or substance abuse treatment are only
released with the treating physician's or practitioner's consent or when a
court of competent jurisdiction orders it released upon a finding that it is in
the patient's best interest.