1226.5 Officials Conducting an Investigation, Prosecution, or Criminal/Civil Proceeding

Information is to be disclosed to the official conducting an investigation, prosecution or criminal or civil proceeding in connection with the administration of the medical assistance program if such information is reasonably necessary to the investigation, prosecution or criminal or civil proceeding. This includes welfare fraud investigations and prosecutions. The client's signature on the application/redetermination form authorizes the disclosure of information from the case record necessary to conduct an investigation, prosecution, criminal or civil proceeding related to eligibility for medical assistance.

Information concerning clients is to be disclosed to the official conducting an investigation, prosecution or criminal or civil proceeding in conjunction with the administration of the SSI program if such information is reasonably necessary to the investigation, prosecution, or criminal or civil proceeding.

Information disclosed pursuant to the above paragraphs shall be provided the appropriate official in the following manner:

The official requesting such information shall be allowed to review pertinent case record material in the agency office during normal working hours.

Such official, upon request, shall be furnished with copies, or authenticated copies, or originals of pertinent case record materials as necessary at no cost. Prior to the release of an original document, a copy of the document shall be placed in the case record with a notation as to the disposition of the original.

If a question arises as to the pertinency of any requested material, consult the Policy Legal Division.